Medicare Claims Processing Manual (Pub. 100-04), Ch. 32 § 50.3.1

Part A Payment Methods

Last amended: 2004Year: 2004Length: 50 wordsOfficial source
50.3.1 – Part A Payment Methods (Rev. 128, 03-26-04) Payment for the inpatient procedure is under Diagnostic Related Group (DRG). The outpatient procedure is outpatient prospective payment system. For critical access hospitals (CAH), the inpatient stay is on reasonable cost and the outpatient procedures are also based on reasonable cost.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 32 § 50.3.1: Part A Payment Methods | Justis AI