applicable condition
Defined in 1 place of the United States Code.
The term “applicable condition” means, subject to subparagraph (B), a condition or procedure selected by the Secretary among conditions and procedures for which—
(i) readmissions (as defined in subparagraph (E)) that represent conditions or procedures that are high volume or high expenditures under this subchapter (or other criteria specified by the Secretary); and
(ii) measures of such readmissions—
(I) have been endorsed by the entity with a contract under section 1395aaa(a) of this title; and
(II) such endorsed measures have exclusions for readmissions that are unrelated to the prior discharge (such as a planned readmission or transfer to another applicable hospital).
Source
- 2010–present42 U.S.C. § 1395WWThe Public Health and Welfare · Payments to hospitals for inpatient hospital services · under this section