Section 419.1
|
Basis of payment |
Section 419.2
|
Hospitals subject to the hospital outpatient prospective payment system |
Section 419.20
|
Hospital services subject to the outpatient prospective payment system |
Section 419.21
|
Hospital services excluded from payment under the hospital outpatient prospective payment system |
Section 419.22
|
Base expenditure target for calendar year 1999 |
Section 419.30
|
Ambulatory payment classification (APC) system and payment weights |
Section 419.31
|
Calculation of prospective payment rates for hospital outpatient services |
Section 419.32
|
Payment concepts |
Section 419.40
|
Calculation of national beneficiary copayment amounts and national Medicare program payment amounts |
Section 419.41
|
Hospital election to reduce coinsurance |
Section 419.42
|
Adjustments to national program payment and beneficiary copayment amounts |
Section 419.43
|
Payment reductions for procedures |
Section 419.44
|
Payment and copayment reduction for devices replaced without cost or when full or partial credit is received |
Section 419.45
|
Participation, data submission, and validation requirements under the Hospital Outpatient Quality Reporting (OQR) Program |
Section 419.46
|
Annual review |
Section 419.50
|
Limitations on administrative and judicial review |
Section 419.60
|
Transitional pass-through payments: General rules |
Section 419.62
|
Transitional pass-through payments: Drugs and biologicals |
Section 419.64
|
Transitional pass-through payments: Medical devices |
Section 419.66
|
Transitional adjustments to limit decline in payments |
Section 419.70
|
Scope and purpose |