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    <titleInfo>
        <title>Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs</title>
        <partNumber>Part II</partNumber>
        <partName>Rules and Regulations</partName>
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    <abstract>This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2018 to implement changes arising from our continuing experience with these systems. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. In addition, this final rule with comment period updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program.</abstract>
    <identifier type="FR citation">82 FR 52356</identifier>
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    <subject>
        <topic>Administrative Practice and Procedure</topic>
        <topic>Health Facilities</topic>
        <topic>Health Professions</topic>
        <topic>Kidney Disease</topic>
        <topic>Medicare</topic>
        <topic>Reporting and Recordkeeping Requirements</topic>
        <topic>Hospitals</topic>
    </subject>
    <physicalDescription>
        <extent>282 p.</extent>
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    <part type="Part II">
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            <start>52356</start>
            <end>52637</end>
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    <identifier type="preferred citation">82 FR 52356</identifier>
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        <searchTitle>Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Federal Register Vol. 82, Issue </searchTitle>
        <granuleClass>RULE</granuleClass>
        <accessId>2017-23932</accessId>
        <partNumber>II</partNumber>
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        <frDocNumber>2017-23932</frDocNumber>
        <action>Final rule with comment period.</action>
        <summary>This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2018 to implement changes arising from our continuing experience with these systems. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. In addition, this final rule with comment period updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program.</summary>
        <dates>Effective date: This final rule with comment period is effective on January 1, 2018, unless otherwise noted.</dates>
        <contact>(We note that public comments must be</contact>
        <cfr title="42">
                                    
            <part number="414"/>
                                    
            <subject>Administrative Practice and Procedure</subject>
                                    
            <subject>Health Facilities</subject>
                                    
            <subject>Health Professions</subject>
                                    
            <subject>Kidney Disease</subject>
                                    
            <subject>Medicare</subject>
                                    
            <subject>Reporting and Recordkeeping Requirements</subject>
                                
        </cfr>
        <cfr title="42">
                                    
            <part number="416"/>
                                
        </cfr>
        <cfr title="42">
                                    
            <part number="419"/>
                                    
            <subject>Hospitals</subject>
                                
        </cfr>
        <tocSubject1>Medicare Programs:</tocSubject1>
        <tocDoc>Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs
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