The LTCH-based payment, not under the DRG system, is a payment that is determined by the one to two diagnosis codes that are reported on the individual claim form.

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LTCH (Long-Term Care Hospital) payments are primarily based on the LTCH Prospective Payment System (PPS), which uses MS-LTC-DRGs (Medicare Severity Long-Term Care Diagnosis-Related Groups) that consider multiple factors including diagnosis codes, procedures, comorbidities, and patient demographics, not just one to two diagnosis codes.

The LTCH-Based Payment, Not Under the DRG System, Is a Payment