Pricing and Payment

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Health Care Infrastructure and Model Programs
  6. Comprehensive Care for Joint Replacement Model
  7. Pricing and Payment

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Section
510.300

Determination of episode quality-adjusted target prices.

Section
510.301

Determination of reconciliation target prices.

Section
510.305

Determination of the NPRA and reconciliation process.

Section
510.310

Appeals process.

Section
510.315

Composite quality scores for determining reconciliation payment eligibility and quality incentive payments.

Section
510.320

Treatment of incentive programs or add-on payments under existing Medicare payment systems.

Section
510.325

Allocation of payments for services that straddle the episode.