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医疗保险计划;2006财年熟练护理设施的前瞻性支付系统和合并计费。最终规则。

Medicare program; prospective payment system and consolidated billing for skilled nursing facilities for FY 2006. Final rule.

出版信息

Fed Regist. 2005 Aug 4;70(149):45025-127.

PMID:16082772
Abstract

In this final rule we update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs), for fiscal year (FY) 2006. Annual updates to the PPS rates are required by section 1888(e) of the Social Security Act (the Act), as amended by the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 (BBRA), the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA), and the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), relating to Medicare payments and consolidated billing for SNFs. This final rule also responds to public comments submitted on the proposed rule published on May 19, 2005 (70 FR 29070), and promulgates provisions set forth in that proposed rule, along with several additional technical revisions to the regulations.

摘要

在本最终规则中,我们更新了2006财年熟练护理机构(SNF)在预期支付系统(PPS)下使用的支付费率。《社会保障法》(该法案)第1888(e)条要求对PPS费率进行年度更新,该条已由1999年《医疗保险、医疗补助和儿童健康保险计划平衡预算细化法案》(BBRA)、2000年《医疗保险、医疗补助和儿童健康保险计划福利改善和保护法案》(BIPA)以及2003年《医疗保险处方药、改善和现代化法案》(MMA)修订,这些修订涉及医疗保险支付以及SNF的合并计费。本最终规则还回应了就2005年5月19日发布的拟议规则(70 FR 29070)提交的公众意见,并颁布了该拟议规则中规定的条款以及对法规的若干其他技术修订。

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