tci Medicare Compliance & Reimbursement - 2003 Issue 44

Reimbursement: GOOD NEWS FOR HOSPITALS, BAD NEWS FOR REHAB

Hospitals will get an average 4.5 percent reimbursement increase for outpatient services under the Centers for Medicare & Medicaid Services' 2004 outpatient prospective payment system final rule, published in the Nov. 7 Federal Register. CMS projects that nearly 4,400 hospitals will receive about $22.8 billion through the 2004 OPPS. The agency also projects that temporary additional "pass-through" payments for new devices, drugs and biologicals will remain within the statutory cap of 2 percent of total OPPS payments. Therefore, there will be no across-the-board reduction in pass-through payments, which aim to avoid discouraging the use of effective...

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