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医疗保险计划;向医院及其他医疗服务提供者支付定期中期款项——医疗保健财务管理局。附意见征求期的最终规定。

Medicare program; periodic interim payments for hospitals and other providers--HCFA. Final rule with comment period.

出版信息

Fed Regist. 1988 Jan 21;53(13):1621-9.

Abstract

This rule implements section 9311(a) of the Omnibus Budget Reconciliation Act of 1986, which sets forth the circumstances under which the periodic interim payment (PIP) method is available for services furnished by hospitals and other providers. Generally, inpatient hospital services furnished by hospitals excluded from the prospective payment system, as well as skilled nursing facility services, home health services, and hospice care services may be paid for on a PIP basis. With certain exceptions, inpatient hospital services furnished by prospective payment hospitals are not eligible for payment on a PIP basis.

摘要

本规则实施了1986年《综合预算调节法》第9311(a)条,该条规定了医院和其他提供者提供服务时可采用定期中期付款(PIP)方法的情形。一般而言,被排除在预期付款系统之外的医院提供的住院医院服务,以及熟练护理设施服务、家庭健康服务和临终关怀服务,可按PIP方式支付。在某些例外情况下,预期付款医院提供的住院医院服务不符合按PIP方式付款的条件。

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