Medicare program; fiscal year 1987 changes to the inpatient hospital prospective payment system--HCFA. Final rule with comment period.

This rule implements those portions of sections 9302 and 9303 of the Omnibus Budget Reconciliation Act of 1986 affecting fiscal year 1987 payments to prospective payment hospitals and hospitals excluded from the prospective payment system. The changes in the law affecting prospective payment hospitals concern the update factor; reductions in the standardized amounts to reflect differences in payment for outliers between urban and rural hospitals; revised rural referral center criteria; and reductions in payments for capital-related costs. For hospitals excluded from the prospective payment system, from the changes affect the rate-of-increase limits (target amounts).