Medicare Claims Processing Manual (Pub. 100-04), Ch. 32 § 60.2.1
Part A Payment Methods
60.2.1 – Part A Payment Methods
(Rev. 216, 06-25-04)
Payment is as follows:
• Hospital outpatient departments - Outpatient Prospective Payment System (OPPS)
• Critical Access Hospital (CAH) - Reasonable cost or Medicare Physician Fee Schedule (MPFS)
Deductible and coinsurance apply.