Fed Regist. 1988 Sep 30;53(190):38476-640.
We are revising the Medicare inpatient hospital prospective payment system to implement necessary changes arising from legislation and our continuing experience with the system. In addition, in the addendum to this rule, we describe changes in the methods, amounts, and factors necessary to determine prospective payment rates for Medicare inpatient hospital services. In general, these changes are applicable to discharges occurring on or after October 1, 1988. We also set forth rate-of-increase limits for hospitals and hospital units excluded from the prospective payment system.
我们正在修订医疗保险住院医院预期支付系统，以实施因立法及我们在该系统方面的持续经验而产生的必要变革。此外，在本规则的附录中，我们描述了确定医疗保险住院医院服务预期支付费率所需的方法、金额及因素的变更。一般而言，这些变更适用于1988年10月1日或之后的出院情况。我们还规定了被排除在预期支付系统之外的医院及医院科室的增率限制。
