Fed Regist. 2009 Nov 20;74(223):60315-983.
This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) to implement applicable statutory requirements and changes arising from our continuing experience with this system. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare hospital outpatient services paid under the prospective payment system. These changes are applicable to services furnished on or after January 1, 2010. In addition, this final rule with comment period updates the revised Medicare ambulatory surgical center (ASC) payment system to implement applicable statutory requirements and changes arising from our continuing experience with this system. In this final rule with comment period, we set forth the applicable relative payment weights and amounts for services furnished in ASCs, specific HCPCS codes to which these changes will apply, and other pertinent ratesetting information for the CY 2010 ASC payment system. These changes are applicable to services furnished on or after January 1, 2010.
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（OPPS），以实施适用的法定要求以及因我们在该系统中的持续经验而产生的变化。在本带有意见征求期的最终规则中，我们描述了用于确定前瞻性支付系统下医疗保险医院门诊服务支付费率的金额和因素的变化。这些变化适用于2010年1月1日及之后提供的服务。此外，本带有意见征求期的最终规则更新了修订后的医疗保险门诊手术中心（ASC）支付系统，以实施适用的法定要求以及因我们在该系统中的持续经验而产生的变化。在本带有意见征求期的最终规则中，我们列出了ASC中提供服务的适用相对支付权重和金额、这些变化将适用的特定HCPCS代码以及2010财年ASC支付系统的其他相关费率设定信息。这些变化适用于2010年1月1日及之后提供的服务。
