Payment

Medicare Hospital Payment

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• Hospital Inpatient Payment
• Hospital Outpatient Payment

Hospital Inpatient Payment

Medicare inpatient payment rates are effective October 1 - September 30 of each year. Below is information related to Hospital DRG payment rates.

Medicare Releases 2010 IPPS Final Rule

For complete information, please refer to the Display Copy.

Medicare Inpatient Payment Reference Guides

Payment System Fact Sheet 6 pages.

English

Reimbursement Guide for ICD Implants This guide has been developed to assist you in seeking coverage and payment for ICD and CRT-D therapies. This guide also incorporates information regarding the use of ICDs for patients with the expanded coverage indications reflected in the SCD-HeFT and MADIT-II studies. Updated coding information and answers to Frequently Asked Questions (FAQs) about coverage, coding and payment are also in this guide. 26 pages.

English

Hospital Outpatient Payment

Medicare pays for outpatient services using the Medicare Outpatient Prospective Payment System. This system uses Ambulatory Payment Classifications (APCs) to establish payment rates for each procedure or service performed in the outpatient setting.

Medicare outpatient payment rates are updated annually and effective January 1 – December 31 of each year.

Medicare Releases 2010 OPPS Final Rule
For complete information, please refer to the Display Copy.

FAQ on PT Financial Resp. for Device Follow-Up Services Medicare patients may have a financial responsibility for device follow-up services. The following document outlines the potential financial responsibility a patient may have during calendar year 2009. 2 pages.

English

2009 Medicare OPPS Final Rule
View highlights of the OPPS final rule

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