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医疗保险计划;为终末期肾病患者提供的医生门诊维持性透析服务及其他医生服务的支付——医疗保健财务管理局。最终规则。

Medicare program; payment for physician outpatient maintenance dialysis services and other physician services for ESRD patients--HCFA. Final rule.

出版信息

Fed Regist. 1990 Jun 8;55(111):23435-43.

PMID:10106785
Abstract

This final rule reinstates a modified version of the initial method of payment for physician dialysis services and clarifies and modifies some of the principles of the monthly capitation payment method. Under both the initial method and the monthly capitation payment method, we specify that, to be payable, physician services must meet certain requirements that distinguish services furnished to individual patients from services furnished to facilities that benefit the facilities' patients generally. The reinstatement of a modified version of the initial method is necessitated by a court order.

摘要

本最终规则恢复了医生透析服务初始支付方法的修改版本,并对每月人头支付方法的一些原则进行了澄清和修改。在初始方法和每月人头支付方法下,我们规定,为了可支付,医生服务必须满足某些要求,这些要求将提供给个体患者的服务与提供给设施(这些设施总体上使设施的患者受益)的服务区分开来。恢复初始方法的修改版本是法院命令所必需的。

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