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Policy: BlueCross Blue Shield of Rhode Island covers interim billing for payment of services provided by an acute rehabilitation/skilled nursing facility, hospice or home health agency. Interim billing is covered for acute care hospitals only if the hospital is covered at a per diem rate.
IPPS rules. Short-term acute-care hospitals are reimbursed under the inpatient prospective payment system (IPPS) within the Medicare program. The rates are prospectively set based primarily on the diagnosis each year for implementation October 1.