Medicare Program--Prospective Payment System and Consolidated Billing for Skilled Nursing--Update

OGC-99-57: Published: Aug 5, 1999. Publicly Released: Aug 5, 1999.


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Pursuant to a legislative requirement, GAO reviewed the Health Care Financing Administration's (HCFA) new rule on Medicare's prospective payment system and consolidated billing for skilled nursing facilities. GAO held that: (1) the new rule updates the required section 1888(e) of the Social Security Act, as added by section 4432 of the Balanced Budget Act of 1997 related to Medicare payments and consolidated billing for skilled nursing facilities; and (2) HCFA complied with applicable requirements in promulgating the rule.

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