S.D. Admin. R. 67:16:03:06.12

Current through Register Vol. 50, page 162, June 24, 2024

Section 67:16:03:06.12 - Services included in reimbursement rate for outpatient surgical procedures covered under chapter 67:16:28

For those outpatient surgical procedures covered under § 67:16:28:04 that have a payment group of 1, 2, 3, or 4, the rate of reimbursement includes the following services:

(1) Nursing, technician, and related services;

(2) Use of the outpatient hospital facilities;

(3) Supplies, drugs, biologicals, surgical dressings, splinting and casting supplies, appliances, and equipment directly related to the provision of the services;

(4) Diagnostic or therapeutic services or items directly related to the provision of the service;

(5) Administrative and record-keeping services;

(6) Housekeeping items and supplies;

(7) Materials for anesthesia; and

(8) Recovery and observation room charges unless the patient is required to stay in excess of 12 hours after the completion of the outpatient service.

S.D. Admin. R. 67:16:03:06.12

23 SDR 232, effective 7/10/1997; 35 SDR 49, effective 9/10/2008.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.