RO Approval Procedures for Swing-Bed Approval

2040 - RO Approval Procedures for Swing-Bed Approval (Rev. 1, 05-21-04) The RO prepares a formal determination and notifies the hospital of its approval or denial. For approvals, see Exhibit 83,”Approval Notification for Swing-beds in a Hospital” or denials, see Exhibit 83B, “Denial for Swing-bed Approval in a Hospital.” If the provider is found to be in non-compliance after they have started to provide swing- bed services, a termination of the approval can be accomplished through a termination letter, see Exhibit 163, “Termination Letter for Hospital Swing-Bed Services.” Failure to satisfy requirements for swing-bed approval does not affect Medicare approval as a provider of hospital services, but it does withdraw the approval to provide SNF level services at the hospital.