CMS issues final outlier rule. (Medicare Outlier Payments).(Centers for Medicare and Medicaid Services)

Publication: Medicine & Health

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Hospitals will have until Oct. 1, 2003, before their most up-to-date cost data is used to calculate "outlier" payments under the final rule issued June 5 by the Centers for Medicare and Medicaid Services.

Outlier payments are designed to ensure that hospitals will not stint on care in extraordinarily complex, high-cost cases; they provide higher reimbursement than that associated with the relevant diagnostic-related group under the inpatient prospective payment system. However, some hospital operators, notably...

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