Department of Health and Human Services, Centers for Medicare and Medicaid Services: Medicare Program; Hospital Outpatient Prospective Payment System and CY 2007 Payment Rates; CY 2007 Update to the Ambulatory Surgical Center Covered Procedures List; Medicare Administrative Contractors; and Reporting Hospital Quality Data for FY 2008 Inpatient Prospective Payment System Annual Payment Update Program--HCAHPS Survey, SCIP, and Mortality
GAO-07-249R: Dec 6, 2006
- Full Report:
GAO reviewed the Department of Health and Human Services, Centers for Medicare and Medicaid Service's (CMS) new rule on Medicare Program; hospital outpatient prospective payment system and CY 2007 payment rates; CY 2007 update to the Ambulatory Surgical Center covered procedures list; Medicare administrative contractors; and reporting hospital quality data for FY 2008 Inpatient Prospective Payment System Annual Payment Update Program--HCAHPS Survey, SCIP, and Mortality. GAO found that (1) the final rule revises the Medicare hospital outpatient prospective payment system to implement applicable statutory requirements and changes arising from CMS's continuing experience with the system, including changes to the amounts and factors used to determine Medicare's payments and also revises the current list of procedures that are covered when furnished in a Medicare-approved ambulatory surgical center and the emergency medical screening requirements for critical access hospitals; and (2) with the exception of the delay in the rule's effective date, CMS complied with applicable requirements in promulgating the rule.