Medicare Claims Processing Manual (Pub. 100-04), Ch. 3 § 20.4.3

Blended Payments

Last amended: 2003Year: 2003Length: 142 wordsOfficial source
20.4.3 - Blended Payments (Rev. 1, 10-01-03) A3-3611.3 Hospitals with a FY 1990 hospital-specific rate for capital below the Federal rate are paid a fully prospective capital rate based on a blend of their hospital-specific rate and the Federal rate. The payment for discharges occurring during a cost-reporting period that began in FY 1992 is based on a blend of 90 percent of the hospital-specific rate and 10 percent of the Federal rate. The payment for discharges occurring during a cost-reporting period that began in FY 1993 is based on a blend of 80 percent of the hospital-specific rate and 20 percent of the Federal rate. The Federal portion of the payment increases by 10 percent each year and the hospital-specific portions decreases by 10 percent each year, culminating in payment at 100 percent of the Federal rate in the tenth year.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 3 § 20.4.3: Blended Payments | Justis AI