Prospective Payment Systems for Inpatient Hospital Services

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medicare Program
  6. Prospective Payment Systems for Inpatient Hospital Services

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Subpart
A

General Provisions

Subpart
B

Hospital Services Subject to and Excluded From the Prospective Payment Systems for Inpatient Operating Costs and Inpatient Capital-Related Costs

Subpart
C

Conditions for Payment Under the Prospective Payment Systems for Inpatient Operating Costs and Inpatient Capital-Related Costs

Subpart
D

Basic Methodology for Determining Prospective Payment Federal Rates for Inpatient Operating Costs

Subpart
E

Determination of Transition Period Payment Rates for the Prospective Payment System for Inpatient Operating Costs

Subpart
F

Payments for Outlier Cases, Special Treatment Payment for New Technology, and Payment Adjustment for Certain Replaced Devices

Subpart
G

Special Treatment of Certain Facilities Under the Prospective Payment System for Inpatient Operating Costs

Subpart
H

Payments to Hospitals Under the Prospective Payment Systems

Subpart
I

Adjustments to the Base Operating DRG Payment Amounts Under the Prospective Payment Systems for Inpatient Operating Costs

Subpart
J

Subpart J [Reserved]

Subpart
K

Prospective Payment System for Inpatient Operating Costs for Hospitals Located in Puerto Rico

Subpart
L

The Medicare Geographic Classification Review Board

Subpart
M

Prospective Payment System for Inpatient Hospital Capital Costs

Subpart
N

Prospective Payment System for Inpatient Hospital Services of Inpatient Psychiatric Facilities

Subpart
O

Prospective Payment System for Long-Term Care Hospitals

Subpart
P

Prospective Payment for Inpatient Rehabilitation Hospitals and Rehabilitation Units