Page 2790
prior authorization is not obtained under 7 AAC 105.130. (d) Repealed 3/19/2014. (e) Except as provided in (f) of this section, the department will not pay a hospital for the following provider-preventable conditions:
(1) services and procedures related to a health care-acquired condition as defined in 42 C.F.R. 447.26(b), adopted by reference in 7 AAC 160.900;
(2) a wrong surgical or other invasive procedure performed on a patient;
(3) a surgical or other invasive procedure performed on the wrong body part;
(4) a surgical or other invasive procedure performed on the wrong patient. (f) A reduction in payment resulting from a provider-preventable condition identified in (e) of this section will be abrogated in accordance with 42 C.F.R. 447.26(c)(2) or limited in accordance with 42 C.F.R. 447.26(c)(3). The provisions of 42 C.F.R. 447.26(c) are adopted by reference in 7 AAC 160.900. (g) In this section, “cost center” has the meaning given in 7 AAC 150.990. (Eff. 2/1/2010, Register 193; am 3/19/2014, Register 209) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 7 AAC 140.320. Length of hospitalization. (a) Except as provided in (b) and (d) of this section, the department will not pay for more than three days of hospitalization for any single admission, except that, for a maternal and newborn hospital stay related to childbirth, the department will not pay for more than 48 hours of inpatient hospitalization for a single recipient following a normal vaginal delivery and no more than 96 hours of inpatient hospitalization for a single recipient following a cesarean delivery. (b) The department will not pay for coverage beyond the days or hours of hospitalization specified in (a) of this section unless the department has given prior authorization for those days or hours under 7 AAC 105.130. (c) If the department reimburses a provider under the Diagnosis Related Groups (DRG) methodology, the department will use the method specified in 7 AAC 150.250(a)(4) to calculate