Determining Payment Amounts – Institutional Claims

40.1 - Determining Payment Amounts – Institutional Claims (Rev. 3367 Issued: 10-07-15, Effective: 01-01-16, Implementation: 01-04-16) Institutional outpatient rehabilitation claims are paid under the Medicare Physician Fee Schedule (MPFS), except for claims from CAHs and hospitals in Maryland. Medicare contractors should see §100.2 for details on obtaining the correct fee amounts.