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医疗保险计划;住院康复机构预期支付系统及2004财年费率的变更。最终规则。

Medicare program; changes to the inpatient rehabilitation facility prospective payment system and fiscal year 2004 rates. Final rule.

出版信息

Fed Regist. 2003 Aug 1;68(148):45673-728.

PMID:12901386
Abstract

In this final rule, we are establishing the prospective payment rates for inpatient hospital services furnished under Medicare by inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2004, as required under section 1886(j)(3)(C) of the Social Security Act (the Act). As required by law and regulations, we are specifying the classification and weighting factors for the IRF case- mix groups and providing a description of the methodology and data used in computing the prospective payment rates for FY 2004. These rates are applicable to discharges occurring on or after October 1, 2003 and before October 1, 2004. In addition, we are revising and clarifying policies governing the payment for inpatient hospital services furnished by IRFs under the IRF PPS.

摘要

在本最终规则中,我们根据《社会保障法》(该法案)第1886(j)(3)(C)节的要求,确定了2004财年住院康复机构(IRF)在医疗保险项下提供的住院医院服务的预期支付费率。根据法律和法规的要求,我们规定了IRF病例组合分组的分类和权重因素,并描述了用于计算2004财年预期支付费率的方法和数据。这些费率适用于2003年10月1日及以后、2004年10月1日之前发生的出院情况。此外,我们正在修订和澄清关于IRF在IRF预付费制度下提供的住院医院服务支付的政策。

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