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Swing Bed Services

Under the Social Security Act, certain small, rural hospitals are permitted to enter into a swing bed agreement, under which the hospital can use its beds, as needed, to provide either acute or Skilled Nursing Facility (SNF) care. A swing bed hospital is a hospital or critical access hospital (CAH) participating in Medicare that has CMS approval to provide post-hospital SNF care and meets certain requirements. Medicare Part A covers post-hospital extended care services furnished in a swing bed hospital - not necessarily the same facility in which the patient received initial care.

Under the Balanced Budget Act (BBA) of 1997, swing bed facilities must be incorporated into the skilled nursing facility (SNF) prospective payment system (PPS) by the end of a statutory transition period. This applies to short term hospitals, long term hospitals, and rehabilitation hospitals certified as swing bed hospitals. To qualify for SNF-level services, a beneficiary is required to receive acute care as a hospital inpatient for a medically necessary stay of at least 3 consecutive calendar days.

The SNF PPS covers all costs (ancillary, routine, and capital) related to covered services furnished to beneficiaries under Medicare Part A. Like the PPS for inpatient hospital services, the SNF PPS excludes certain specified services, which are separately billable to Part B. The PPS relies on information from a resident assessment instrument to classify residents into one of 44 categories for payment purposes.

Voice (870) 297-3726 · Fax (870) 297-4161 · 61 Grasse Street · PO Box 438 · Calico Rock, AR 72519