Medicare Claims Processing Manual (Pub. 100-04), Ch. 4 § 10.6.2

Payment Adjustment for Failure to Meet the Hospital

Last amended: 2008Year: 2008Length: 99 wordsOfficial source
10.6.2 - Payment Adjustment for Failure to Meet the Hospital Outpatient Quality Reporting Requirements (Rev. 1657, Issued: 12-31-08, Effective: 01-01-09, Implementation: 01-05-09) Effective for services furnished on or after January 1, 2009, Section 1833(t)(17)(A) of the Act requires that “Subsection (d) hospitals” that have failed to meet the specified hospital outpatient quality reporting requirements for the relevant calendar year will receive payment under the OPPS that reflects a 2 percentage point reduction of the annual OPPS update factor. See www.qualitynet.org for information on complying with the reporting requirements and standards that must be met to receive the full update.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 4 § 10.6.2: Payment Adjustment for Failure to Meet the Hospital | Justis AI