Which facility type has the description 'Billing method determines discharge response' for M1000?

• A. Inpatient Rehabilitation Hospital
• B. Swing Bed
• C. Hospital at Home
• D. Proxy Response

Answer: (B)

The key idea is that in Swing Bed settings, the way Medicare is billed can drive when and where a patient is discharged. A swing bed is a rural hospital bed that can be billed under different Medicare categories, effectively allowing the same bed to provide either inpatient hospital care or skilled-nursing-facility–level care. Because the billing method (which category is used for reimbursement) handcuffs what services are covered and for how long, the discharge decision is often shaped by payer rules as much as by clinical status. In other words, the financial classification used for billing influences the discharge plan.

This is different from the other facility types, where discharge is guided more strictly by clinical criteria and level-of-care needs rather than billing arrangements.