A contract with inpatient bed charges that are reimbursed per diem requires what action to ensure no other inpatient charges are reimbursed?

• A. Add a stopping condition to the last inpatient bed charge per diem contract line.
• B. Do not build any inpatient contract lines other than the inpatient bed charge per diems.
• C. Build component groups that combine the inpatient bed charges and any other inpatient charges.
• D. Add a payment mechanism to define that only the per diems should be reimbursed.

Answer: (A)

When a contract pays inpatient bed charges on a per-diem basis, you need a clear end point so that only those daily bed charges are eligible for reimbursement. The best action is to add a stopping condition to the last inpatient bed charge per diem contract line. This creates a defined end to that line, so once the bed days are covered, the system stops evaluating or paying any further inpatient charges under that contract. Without this, other inpatient charges could slip through under the same contract because there’s no definitive cutoff.

Other options either fail to provide a precise cutoff, would mix bed charges with other inpatient charges, or rely on a broad payment rule that doesn’t by itself prevent additional inpatient charges from being reimbursed. The stopping condition on the final bed per diem line gives a concrete boundary that isolates the per diem reimbursements.