2000 CFR Title 42, Volume 3

Title 42--Public Health CHAPTER IV--HEALTH CARE FINANCING ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES PART 419--PROSPECTIVE PAYMENT SYSTEM FOR HOSPITAL OUTPATIENT DEPARTMENT SERVICES
	419.1	Basis and scope.
	419.2	Basis of payment.
	419.20	Hospitals subject to the hospital outpatient prospective payment system.
	419.21	Hospital outpatient services subject to the outpatient prospective payment system.
	419.22	Hospital outpatient services excluded from payment under the hospital outpatient prospective payment system.
	419.30	Base expenditure target for calendar year 1999.
	419.31	Ambulatory payment classification (APC) system and payment weights.
	419.32	Calculation of prospective payment rates for hospital outpatient services.
	419.40	Payment concepts.
	419.41	Calculation of national beneficiary coinsurance amounts and national Medicare program payment amounts.
	419.42	Hospital election to reduce coinsurance.
	419.43	Adjustments to national program payment and beneficiary coinsurance amounts.
	419.44	Payment reductions for surgical procedures.
	419.50	Annual review.
	419.60	Limitations on administrative and judicial review.
	419.70	Transitional adjustment to limit decline in payment.