United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2000_register executive 2010-09-23 article Part II Rules and Regulations D09002ee1c81fa686 D09002ee1c81fa7bb United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Health Care Financing Administration originator org United States Government Agency or Subagency This final rule with comment period implements a prospective payment system for hospital outpatient services furnished to Medicare beneficiaries, as set forth in section 1833(t) of the Social Security Act. It also establishes requirements for provider departments and provider-based entities, and it implements section 9343(c) of the Omnibus Budget Reconciliation Act of 1986, which prohibits Medicare payment for nonphysician services furnished to a hospital outpatient by a provider or supplier other than a hospital, unless the services are furnished under an arrangement with the hospital. In addition, this rule establishes in regulations the extension of reductions in payment for costs of hospital outpatient services required by section 4522 of the Balanced Budget Act of 1997, as amended by section 201(k) of the Balanced Budget Refinement Act of 1999. 65 FR 18434 https://www.govinfo.gov/app/details/FR-2000-04-07/00-8215 00-8215 fr07ap00-17 RIN 0938-AI56 4120-01-P HCFA-1005-FC https://www.govinfo.gov/app/details/FR-2000-04-07/00-8215 https://www.govinfo.gov/content/pkg/FR-2000-04-07/html/00-8215.htm https://www.govinfo.gov/content/pkg/FR-2000-04-07/pdf/00-8215.pdf Archives and Records Grant Program-Social Programs Maternal and Child Health Medicaid Penalties Health Facilities Medicare Health Professions Kidney Diseases Laboratories Rural Areas X-Rays Reporting and Recordkeeping Requirements Administrative Practice and Procedure Puerto Rico Hospitals Emergency Medical Services 387 p. 18434 18820 65 FR 18434 Title 42 Part 1003 42 CFR Part 1003 Title 42 Part 409 42 CFR Part 409 Title 42 Part 410 42 CFR Part 410 Title 42 Part 411 42 CFR Part 411 Title 42 Part 412 42 CFR Part 412 Title 42 Part 413 42 CFR Part 413 Title 42 Part 419 42 CFR Part 419 Title 42 Part 424 42 CFR Part 424 Title 42 Part 489 42 CFR Part 489 Title 42 Part 498 42 CFR Part 498 RIN 0938-AI56 Office of Inspector General; Medicare Program; Prospective Payment System for Hospital Outpatient Services; Federal Register Vol. 65, Issue RULE 00-8215 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Care Financing Administration 2000-07-01 HCFA-1005-FC 4120-01-P 00-8215 Final rule with comment period.

This final rule with comment period implements a prospective payment system for hospital outpatient services furnished to Medicare beneficiaries, as set forth in section 1833(t) of the Social Security Act. It also establishes requirements for provider departments and provider-based entities, and it implements section 9343(c) of the Omnibus Budget Reconciliation Act of 1986, which prohibits Medicare payment for nonphysician services furnished to a hospital outpatient by a provider or supplier other than a hospital, unless the services are furnished under an arrangement with the hospital. In addition, this rule establishes in regulations the extension of reductions in payment for costs of hospital outpatient services required by section 4522 of the Balanced Budget Act of 1997, as amended by section 201(k) of the Balanced Budget Refinement Act of 1999.

Effective date: July 1, 2000, except that the changes to Sec. 412.24(d)(6), new Sec. 413.65, and the changes to Sec. 489.24(h), Sec. 498.2, and Sec. 498.3 are effective October 10, 2000. Janet Wellham, (410) 786-4510 or Chuck Braver, (410) 786-6719 (for general information) Joel Schaer (OIG), (202) 619-0089 (for information concerning civil money penalties) Kitty Ahern, (410) 786-4515 (for information related to the classification of services into ambulatory payment classification (APC) groups) George Morey (410) 786-4653 (for information related to the determination of provider-based status) Janet Samen (410) 786-9161 (for information on the application of APCs to community mental health centers) Archives and Records Grant Program-Social Programs Maternal and Child Health Medicaid Penalties Health Facilities Medicare Health Professions Kidney Diseases Laboratories Rural Areas X-Rays Reporting and Recordkeeping Requirements Administrative Practice and Procedure Puerto Rico Hospitals Emergency Medical Services http://www.hcfa.gov/medicare/hcpcs http://www.hcfa.gov/medicare/hcpcs.htm http://www.hcfa.gov/medicare/hopsmain.htm Vol. 65, no. 68 Office of the Federal Register, National Archives and Records Administration 2000-04-07 continuing daily deposited born digital 658 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2000-04-07 P0b002ee1809f24f1 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr07ap00 https://www.govinfo.gov/app/details/FR-2000-04-07 https://www.govinfo.gov/content/pkg/FR-2000-04-07/pdf/FR-2000-04-07.pdf https://www.govinfo.gov/content/pkg/FR-2000-04-07/xml/FR-2000-04-07.xml fdlp 18221 18869 DGPO 2010-09-23 2024-06-08 FR-2000-04-07 machine generated eng FR FR-2000-04-07 65 68