Medicare Claims Processing Manual (Pub. 100-04), Ch. 4 § 10.6.1

Payment Adjustment for Rural Sole Community Hospitals

Last amended: 2023Year: 2023Length: 100 wordsOfficial source
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.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 4 § 10.6.1: Payment Adjustment for Rural Sole Community Hospitals | Justis AI