Payment for screening mammography performed by hospitals on an outpatient basis. Payment for hospital outpatient radiology services and other diagnostic procedures. Payment for facility services related to covered ASC surgical procedures performed in hospitals on an outpatient basis. Payment for posthospital SNF care furnished by a swing-bed hospital. Reasonable cost of physical and other therapy services furnished under arrangements. Special treatment of certain accrued costs. Qualified and Non-Qualified Deferred Compensation Plans. Purchase discounts and allowances, and refunds of expenses. Incentive payments under plans for voluntary reduction in number of medical residents.īad debts, charity, and courtesy allowances. Payments for Medicare + Choice nursing and allied health education programs. Requirements for a determination that a facility or an organization has provider-based status.ĭirect GME payments: General requirements.ĭirect GME payments: Calculation of payments for GME costs.ĭirect GME payments: Determination of per resident amounts.ĭirect GME payments: Determination of the total number of FTE residents.ĭirect GME payments: Determination of the weighted number of FTE residents.ĭirect GME payments: Determination of weighting factors for foreign medical graduates.ĭirect GME payments: Application of community support and redistribution of costs in determining FTE resident counts.ĭirect GME payments: Special rules for States that formerly had a waiver from Medicare reimbursement principles.ĭirect GME payments: Adjustment of a hospital's target amount or prospective payment hospital-specific rate.Ĭost of approved nursing and allied health education activities. Limitations on coverage of costs: Charges to beneficiaries if cost limits are applied to services.Ĭeiling on the rate of increase in hospital inpatient costs.ĭetermination of cost of services to beneficiaries. Principles of Reasonable Cost Reimbursement Payment for End-Stage Renal Disease Services Prospectively Determined Payment Rates for Skilled Nursing Facilities Payment for Acute Kidney Injury DialysisĪmount of payment if customary charges for services furnished are less than reasonable costs.
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March 2023
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