Medicare Claims Processing Manual (Pub. 100-04), Ch. 4 § 10.6.1
Payment Adjustment for Rural Sole Community Hospitals
10.6.1 - Payment Adjustment for Rural Sole Community Hospitals
(Rev. 12369, Issued: 11-17-23; Effective: 01-01-2023; Implementation: 01-03-2023)
Beginning January 1, 2006, rural sole community hospitals (SCHs), including essential
access community hospitals (EACHs), receive a 7.1 percent increase in payments for
most services, with certain exceptions. Services which are excepted from the increase in
payments include, but are not limited to, separately paid drugs and biologicals and items
paid at charges adjusted to cost. This adjustment is authorized under Section
1833(t)(13)(B) of the Act, and implemented in accordance with Section 419.43(g) of the
regulations. The adjustment is automatically applied in Pricer.