Amounts billed to organ procurement organizations by donor community hospitals and transplant hospitals for hospital services provided to cadaveric donors in the hospital and included as organ acquisition costs.

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medicare Program
  6. Principles of Reasonable Cost Reimbursement; Payment for End-Stage Renal Disease Services; Prospectively Determined Payment Rates for Skilled Nursing Facilities; Payment for Acute Kidney Injury Dialysis
  7. Payment of Organ Acquisition Costs for Transplant Hospitals. Organ Procurement Organizations, and Histocompatibility Laboratories
  8. Amounts billed to organ procurement organizations by donor community hospitals and transplant hospitals for hospital services provided to cadaveric donors in the hospital and included as organ acquisition costs.

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§ 413.418 Amounts billed to organ procurement organizations by donor community hospitals and transplant hospitals for hospital services provided to cadaveric donors in the hospital and included as organ acquisition costs.

(a) General. A donor community hospital (a Medicare-certified non-transplant hospital) and a transplant hospital incur organ acquisition costs for donor organ procurement services, authorized by the OPO following declaration of death and consent to donate.

(b) Amounts billed for organ acquisition costs. For cost reporting periods beginning on or after February 25, 2022, when a donor community hospital or a transplant hospital incurs costs for services furnished to a cadaveric donor, as authorized by the OPO, the donor community hospital or transplant hospital must bill the OPO the lesser of its customary charges that are reduced to cost by applying its most recently available hospital specific cost-to-charge ratio for the period in which the service was rendered, or a negotiated rate.


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