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スタッフブログ

2012-10-01

【病院様】2012年4月改定_15対1の特定入院基本料について

【質問内容】
特定入院料(一般病棟で90日超)は、今も健在ですか?
点数本を一緒に確認したが、2012年4月の点数本では
15対1は、届出により療養病棟入院基本料が算定可能なことしかありません。
届出せず、従来のままで10月以降も現行のまま続けたい場合、
「従来のまま」が点数本にはないのですがどうしたらいいですか。

【回答内容】
10月1日から療養病棟入院基本料を算定する届出を出さない場合は、
前年度からの制度を引き継ぐため、15対1入院基本料を算定する病棟であっても、
従来通り、一般病棟の「特定入院基本料 939点」を算定することになり、
点数本「注釈9」に記載のある検査、投薬、注射、病理診断や画像診断等は、
特定入院基本料に含まれることになります。
また、90日を超えて引き続き一般病棟入院基本料を算定する患者は、
「平均在院日数の算定の対象」になります。