Payment for Outlier Cases

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

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Section
412.80

Outlier cases: General provisions.

Section
412.82

Payment for extended length-of-stay cases (day outliers).

Section
412.84

Payment for extraordinarily high-cost cases (cost outliers).