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 2006 Payment Rates
GAO-06-260R: Nov 18, 2005
- Full Report:
GAO reviewed the Department of Health and Human Service, Centers for Medicare and Medicaid Services' (CMS) new rule on the Hospital Outpatient Prospective Payment System. 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 and to implement certain related provisions of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, and the final rule describes final changes to the amounts and factors used to determine the payment rates for Medicare hospital outpatient services paid under the prospective payment system; and (2) with the exception of the delay in the effective date, CMS complied with the applicable requirements in promulgating the rule.