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医疗保险计划；熟练护理设施的前瞻性支付系统和合并计费——医疗保健财务管理局。有意见征求期的暂行最终规则。

Medicare program; prospective payment system and consolidated billing for skilled nursing facilities--HCFA. Interim final rule with comment period.

出版信息

Fed Regist. 1998 May 12;63(91):26252-316.

PMID:10179337
Abstract

This interim final rule implements provisions in section 4432 of the Balanced Budget Act of 1997 related to Medicare payment for skilled nursing facility services. These include the implementation of a Medicare prospective payment system for skilled nursing facilities, consolidated billing, and a number of related changes. The prospective payment system described in this rule replaces the retrospective reasonable cost-based system currently utilized by Medicare for payment of skilled nursing facility services under Part A of the program.

摘要

本暂行最终规则实施了1997年《平衡预算法案》第4432节中与医疗保险对熟练护理设施服务支付相关的条款。这些条款包括实施针对熟练护理设施的医疗保险预期支付系统、合并计费以及一些相关变更。本规则中描述的预期支付系统取代了医疗保险目前在该计划A部分下用于支付熟练护理设施服务的基于回顾性合理成本的系统。

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