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医疗保险计划;2007日历年家庭健康预期支付系统费率更新以及2005年《减赤法案》对氧气设备和限额租赁耐用医疗设备的医疗保险支付的变更;最终规则。

Medicare program; home health prospective payment system rate update for calendar year 2007 and Deficit Reduction Act of 2005 changes to Medicare payment for oxygen equipment and capped rental durable medical equipment; final rule.

出版信息

Fed Regist. 2006 Nov 9;71(217):65883-66006.

PMID:17096499
Abstract

This final rule sets forth an update to the 60-day national episode rates and the national per-visit amounts under the Medicare prospective payment system for home health services. In addition, this final rule sets forth policy changes related to Medicare payment for certain durable medical equipment for the purpose of implementing sections 1834(a)(5) and 1834(a)(7) of the Social Security Act, as amended by section 5101 of the Deficit Reduction Act of 2005. This final rule also responds to public comments on the August 3, 2006, proposed rule that pertain to a number of issues including the requirement that home health payments are based on the reporting of specific quality data by home health agencies.

摘要

本最终规则阐述了医疗保险家庭健康服务前瞻性支付系统下60天全国发病率和每次就诊全国金额的更新情况。此外,本最终规则还阐述了与医疗保险为某些耐用医疗设备支付费用相关的政策变化,以实施经2005年《减赤法案》第5101条修订的《社会保障法》第1834(a)(5)和1834(a)(7)条。本最终规则还回应了针对2006年8月3日拟议规则的公众意见,这些意见涉及包括家庭健康机构报告特定质量数据作为家庭健康支付依据的要求在内的若干问题。

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