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Hospital Outpatient Regulations and Notices


  Details for CMS-1501-FC
  

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Regulation No. CMS-1501-FC
Title Changes to the Hospital Outpatient PPS for Calendar Year 2006
Year 2006

 


 
Downloads

Median Costs for Hospital Outpatient Services, by HCPCS code - This Excel file displays median costs, by HCPCS code, for services payable under the hospital outpatient prospective payment system (OPPS) in calendar year 2006. The data are based on claims for hospital outpatient services provided January 1, 2004 through December 31, 2004. [ZIP, 227KB] - Updated 1/20/06

Median Costs for Hospital Outpatient Services, by ambulatory payment classification (APC) group - This Excel file displays median costs, by APC group, for services payable under the OPPS in calendar year 2006. The data are based on claims for hospital outpatient services provided January 1, 2004 through December 31, 2004. [ZIP, 25KB] - Updated 3/01/06

Median Costs for Drugs, Biologicals, and Radiopharmaceuticals - This Excel file displays cost data, in HCPCS code order, for drugs, biologicals, and radiopharmaceuticals that are packaged or separately payable under the OPPS in calendar year 2006. The data are based on claims for hospital outpatient services provided January 1, 2004 through December 31, 2004. [ZIP, 49KB]

Addendum A - This Excel file lists, in APC order, the name, payment status indicator, relative weight, payment rate, and copayment amount(s) for the 2006 APC groups. [ZIP, 45KB]

Addendum B - This Excel file lists payment information by HCPCS code for the 2006 OPPS. [ZIP, 417KB]

Addendum C - This Excel file groups HCPCS codes payable under the 2006 OPPS by APC. [ZIP, 163KB]

Addendum D1 - This table lists the 2006 OPPS payment status indicators and what they signify. [PDF, 69KB]

Addendum D2 - This table describes comment indicators assigned to new and deleted HCPCS codes in Addendum B. [PDF, 8KB]

Addendum E - This Excel file lists HCPCS codes that would only be payable as inpatient procedures (inpatient list). [ZIP, 269KB]

Addendum H is discontinued. Refer to FY2006 IPPS Wage Index, Table 4A [ZIP, 50KB]

Addendum I is discontinued. Refer to FY2006 IPPS Wage Index, Table 4B [ZIP, 4KB]

Addendum J is discontinued. Refer to FY2006 IPPS Wage Index, Table 4C [ZIP, 13KB]

Addendum K is discontinued. Refer to FY2006 IPPS Wage Index, Table 4F [ZIP, 3KB]

Addendum L - Out-Migration Wage Adjustment for CY 2006 [ZIP, 23KB]

Addendum M is discontinued. Refer to FY2006 IPPS Wage Index, Table 9A [ZIP, 16KB]

Addendum N is discontinued. Refer to FY2006 IPPS Wage Index, Table 9B [ZIP, 6KB]

Addendum O is discontinued. Refer to FY2006 IPPS Wage Index, Table 9C [ZIP, 3KB]

2006 OPPS Hospital-Specific Impacts - Provider-specific data [ZIP, 352KB]

2006 OPPS Hospital-Specific Impacts - File layout [PDF, 44KB]

2006 OPPS Claims Accounting [PDF, 21KB]

Final 2006 OPPS Rural Regression Analysis Files - Rural Regression Data [ZIP, 222KB]

Final 2006 OPPS Rural Regression Analysis Files - Rural Regression Analysis Layout [PDF, 11KB]

Final 2006 OPPS Preamble Tables (excel zip 55KB) [ZIP, 55KB]


Related Links Inside CMS

CMS-1501-FC - Medicare: Hospital outpatient prospective payment system and 2006 CY payment rates, 68516 "68980 [05 "22136]. The Federal Register published this rule on Friday, November 11, 2005. [PDF, 39MB]
Related Links Outside CMSExternal Linking Policy

There are no Related Links Outside CMS

 

Last Modified Date : 09/30/2008
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