Department of Health and Human Services, Centers for Medicare and Medicaid Services: Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates
GAO-05-179R: Nov 29, 2004
- Full Report:
GAO reviewed the Department of Health and Human Services, Centers for Medicare and Medicaid Service's (CMS) new rule on changes to the hospital outpatient prospective payment system and calendar year 2005 payment rates. GAO found that (1) the 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 and to implement certain related provisions of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 and describes final changes to the amounts and factors used to determine the payment rates for Medicare hospital outpatient services paid underthe prospective payment system; and (2) MMS complied with all applicable requirements in promulgating the rule with the exception of the delay in the effective date.