Fed Regist. 2005 Nov 10;70(217):68515-980.
This final rule with comment period revises the Medicare hospital outpatient prospective payment system to implement applicable statutory requirements and changes arising from our continuing experience with this system and to implement certain related provisions of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003. In addition, the final rule with comment period describes changes to the amounts and factors used to determine the payment rates for Medicare hospital outpatient services paid under the prospective payment system. This final rule with comment period also changes the requirement for physician oversight of mid-level practitioners in critical access hospitals (CAHs). In this final rule with comment period, we also are responding to public comments received on the November 15, 2004, final rule with comment period pertaining to the ambulatory payment classification (APC) group assignment of Healthcare Common Procedure Coding System (HCPCS) codes identified in Addendum B of that rule with the new interim (NI) comment indicator. These changes are applicable to services furnished on or after January 1, 2006.
本带有意见征求期的最终规则修订了医疗保险医院门诊前瞻性支付系统，以实施适用的法定要求以及源于我们在该系统持续经验中产生的变化，并实施2003年《医疗保险处方药、改进和现代化法案》（MMA）的某些相关规定。此外，本带有意见征求期的最终规则描述了用于确定按前瞻性支付系统支付的医疗保险医院门诊服务支付费率的金额和因素的变化。本带有意见征求期的最终规则还改变了对临界接入医院（CAH）中级从业者的医师监督要求。在本带有意见征求期的最终规则中，我们还对在2004年11月15日带有意见征求期的最终规则中收到的公众意见做出回应，该规则涉及带有新临时（NI）意见指示符的该规则附录B中确定的医疗保健通用程序编码系统（HCPCS）代码的门诊支付分类（APC）组分配。这些变化适用于2006年1月1日及以后提供的服务。
