Circumstances in Which CCRs are Used

10.11.2 - Circumstances in Which CCRs are Used (Rev. 1657, Issued: 12-31-08, Effective: 01-01-09, Implementation: 01-05-09) The contractors must apply CCRs prospectively to calculate outlier payments (for hospitals paid under OPPS and CMHCs), Transitional Outpatient Payment System (TOPS) payments (for hospitals paid under OPPS), device pass-through payments (for hospitals paid under OPPS), and items and services paid at charges adjusted to cost (for hospitals paid under OPPS).