Department of Health and Human Services, Centers for Medicare and Medicaid Services: Medicare Program; Change in Methodology for Determining Payment for Extraordinarily High-Cost Cases (Cost Outliers) Under the Acute Care Hospital Inpatient and Long-Term Care Hospital Prospective Payment Systems, GAO-03-886R, B-292405, June 23, 2003
B-292405, Jun 23, 2003
This is our report on a major rule promulgated by the Department of Health and Human Services. It was published in the Federal Register as a final rule on June 9. A similar revision in methodology for the payment for high-cost outlier and short-stay outlier cases that are made to Medicare-participating long-term care hospital prospective payment system (LTCH PPS) is included in the rule. Enclosed is our assessment of the CMS's compliance with the procedural steps required by section 801(a)(1)(B)(i) through (iv) of title 5 with respect to the rule. If you have any questions about this report. The official responsible for GAO evaluation work relating to the subject matter of the rule is William Scanlon.