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2010-08-03
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Medicare Program; Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates; Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2011 Payment Rates; Proposed Changes to Payments to Hospitals for Certain Inpatient Hospital Services and for Graduate Medical Education Costs; and Proposed Changes to Physician Self-Referral Rules and Related Changes to Provider Agreement Regulations
Part II—Continued
Proposed Rules
D09002ee1bdd19f53
D09002ee1bdd1a042
United States
Department of Health and Human Services
originator
org
United States Government Agency or Subagency
United States
Centers for Medicare & Medicaid Services
originator
org
United States Government Agency or Subagency
This proposed rule would revise the Medicare hospital outpatient prospective payment system (OPPS) to implement applicable statutory requirements and changes arising from our continuing experience with this system and to implement certain provisions of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 (Affordable Care Act). In this proposed rule, we describe the proposed changes to the amounts and factors used to determine the payment rates for Medicare hospital outpatient services paid under the prospective payment system. These proposed changes would be applicable to services furnished on or after January 1, 2011. In addition, this proposed rule would update the revised Medicare ambulatory surgical center (ASC) payment system to implement applicable statutory requirements and changes arising from our continuing experience with this system and to implement certain provisions of the Affordable Care Act. In this proposed rule, we set forth the proposed applicable relative payment weights and amounts for services furnished in ASCs, specific HCPCS codes to which these proposed changes would apply, and other pertinent ratesetting information for the CY 2011 ASC payment system. These proposed changes would be applicable to services furnished on or after January 1, 2011. This proposed rule also includes proposals to implement provisions of the Affordable Care Act relating to payments to hospitals for direct graduate medical education (GME) and indirect medical education (IME) costs; and new limitations on certain physician referrals to hospitals in which they have an ownership or investment interest.
75 FR 46170
https://www.govinfo.gov/app/details/FR-2010-08-03/2010-16448
2010-16448
FR03AU10-28
RIN 0938-AP82
4120-01-P
CMS-1504-P
https://www.govinfo.gov/app/details/FR-2010-08-03/2010-16448
https://www.govinfo.gov/content/pkg/FR-2010-08-03/html/2010-16448.htm
https://www.govinfo.gov/content/pkg/FR-2010-08-03/pdf/2010-16448.pdf
Health Facilities
Health Professions
Laboratories
Medicare
Rural Areas
X-Rays
Kidney Diseases
Physician Referral
Reporting and Recordkeeping Requirements
Administrative Practice and Procedure
Puerto Rico
Hospitals
Grant Programs-Health
Medicaid
662 p.
46170
46831
75 FR 46170
Code of Federal Regulations
Title 42 Part 410
42 CFR Part 410
Code of Federal Regulations
Title 42 Part 411
42 CFR Part 411
Code of Federal Regulations
Title 42 Part 412
42 CFR Part 412
Code of Federal Regulations
Title 42 Part 413
42 CFR Part 413
Code of Federal Regulations
Title 42 Part 416
42 CFR Part 416
Code of Federal Regulations
Title 42 Part 419
42 CFR Part 419
Code of Federal Regulations
Title 42 Part 482
42 CFR Part 482
Code of Federal Regulations
Title 42 Part 489
42 CFR Part 489
Regulation Identification Number 0938-AP82
RIN 0938-AP82
Medicare Program; Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates; Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2011 Payment Rates; Proposed Changes to Payments to Hospitals for Certain Inpatient Hospital Services and for Graduate Medical Education Costs; and Proposed Changes to Physician Self-Referral Rules and Related Changes to Provider Agreement Regulations; Federal Register Vol. 75, Issue
PRORULE
2010-16448
II—Continued
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
2010-08-31
CMS-1504-P
4120-01-P
2010-16448
Proposed rule.
This proposed rule would revise the Medicare hospital outpatient prospective payment system (OPPS) to implement applicable statutory requirements and changes arising from our continuing experience with this system and to implement certain provisions of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 (Affordable Care Act). In this proposed rule, we describe the proposed changes to the amounts and factors used to determine the payment rates for Medicare hospital outpatient services paid under the prospective payment system. These proposed changes would be applicable to services furnished on or after January 1, 2011. In addition, this proposed rule would update the revised Medicare ambulatory surgical center (ASC) payment system to implement applicable statutory requirements and changes arising from our continuing experience with this system and to implement certain provisions of the Affordable Care Act. In this proposed rule, we set forth the proposed applicable relative payment weights and amounts for services furnished in ASCs, specific HCPCS codes to which these proposed changes would apply, and other pertinent ratesetting information for the CY 2011 ASC payment system. These proposed changes would be applicable to services furnished on or after January 1, 2011. This proposed rule also includes proposals to implement provisions of the Affordable Care Act relating to payments to hospitals for direct graduate medical education (GME) and indirect medical education (IME) costs; and new limitations on certain physician referrals to hospitals in which they have an ownership or investment interest.
To be assured consideration, comments on all sections of this proposed rule must be received at one of the addresses provided in the ADDRESSES section no later than 5 p.m. EST on August 31, 2010.
Alberta Dwivedi, (410) 786-0378, Hospital outpatient prospective payment issues.
Health Facilities
Health Professions
Laboratories
Medicare
Rural Areas
X-Rays
Kidney Diseases
Physician Referral
Reporting and Recordkeeping Requirements
Administrative Practice and Procedure
Puerto Rico
Hospitals
Grant Programs-Health
Medicaid
Medicare Program:
Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates, etc.
,
APCPanel@cms.hhs.gov
OIRA_submission@omb.eop.gov
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Federal Register
Vol. 75, no. 148
Office of the Federal Register, National Archives and Records Administration
2010-08-03
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Table of Contents:
AE 2.7:
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AE 2.106:
KF70.A2
https://www.govinfo.gov/app/details/FR-2010-08-03
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0042-1219
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https://www.govinfo.gov/app/details/FR-2010-08-03
https://www.govinfo.gov/content/pkg/FR-2010-08-03/pdf/FR-2010-08-03.pdf
https://www.govinfo.gov/content/pkg/FR-2010-08-03/xml/FR-2010-08-03.xml
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2010-08-03
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