Fed Regist. 1998 Jan 7;63(4):687-90.
This interim final rule implements section 4316 of the Balanced Budget Act of 1997. It revises the process for establishing a realistic and equitable payment amount for all Medicare Part B services (other than physician services) when the existing payment amounts are inherently unreasonable because they are either grossly excessive or deficient. This rule describes the factors HCFA (or its carrier) will consider and the procedures it will follow in establishing realistic and equitable payment amounts.
本暂行最终规则实施了1997年《平衡预算法案》第4316条。当现有支付金额本质上不合理,即过高或过低时,本规则修订了为所有医疗保险B部分服务(医生服务除外)确定现实且公平支付金额的流程。本规则描述了医疗保健财务管理局(或其承保机构)在确定现实且公平支付金额时将考虑的因素及遵循的程序。