OPEN MINDS Industry Resources
Department of Health & Human Services: Centers for Medicaid and Medicare 42 CFR Part 412 Medicare Program: Change in Methodology for Determining Payment for Extraordinary High-Cost Cases (Cost Outliers) Under Acute Care Hospital Inpatient and Long-Term Care Hospital Prospective Payment Systems; Final Rule In the final rule, HHS and CMS are revising the methodology for determining payments for extraordinarily high-cost cases (cost outliers) made to Medicare-participating hospitals under the acute care hospital inpatient prospective patient system (IPPS). They are also revising the methodology used to determine payment for high-cost outlier and short-stay outlier cases . . .
