The Bundled Rate plus Outlier Per Diems includes:
1. Those comprehensive facility services, supplies, and equipment necessary to perform the Bundled Procedure and rendered by PROVIDER
2. Those professional services necessary to perform the Bundled Procedure and rendered by a Physician
3. The treatment of any complication or concurrent related illness associated with or resulting from the performance of the Bundled Procedure
The Bundled Rate Period covers the 1 day(s) prior to the procedure for the scheduled Accarent Procedure and up to 5 inpatient days in the hospital. Should the length of stay exceed 5 inpatient days, then per diem outlier payments will be applicable for each subsequent inpatient day. Covered outpatient follow-up services related to the bundled procedure beginning on the day of discharge through 30 calendar days are included in the bundled price.
