TITLE

CMS Issues Final Outlier Payment Rule

PUB. DATE
July 2003
SOURCE
Venulex Legal Summaries;2003 Q3, p1
SOURCE TYPE
Law
DOC. TYPE
Article
ABSTRACT
The article offers information on the U.S. Centers for Medicare and Medicaid Services (CMS) final rule for determining payment for extraordinarily high-cost cases in 2003. The rule was adopted to target hospitals that have manipulated its own cost-to-charge ratio to benefit from high cost outlier payments. Changes to the cost outlier payment methodology brought about by the final rule includes the use of more recent cost report data, CMS authority to adjust cost-to-charge ratio and limit the use of statewide averages.
ACCESSION #
23542069

 

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