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Photocopying Reimbursement Methodology

Medicare Program; Photocopying Reimbursement Methodology

Final

Proposed rule published November 22, 2002. Comments closed January 21, 2003. Final rule published December 5, 2003, effective January 5, 2004.

Docket
CMS-3055
RIN
0938-AK68
Documents
2 documents, November 22, 2002 to December 5, 2003
Amends
42 CFR parts 412, 413, 476, 484

Documents

Oldest first

  1. November 22, 2002

    Comments closed

    Proposed rule, CMS-3055-P, 67 FR 70358, 6 pages

    Comments closed January 21, 2003.

    CMS's summary

    “This proposed rule would increase the rate of reimbursement for expenses incurred by prospective payment system (PPS) hospitals for photocopying medical records requested by Quality Improvement Organizations (QIOs), formerly known as Utilization and Quality Control Peer Review Organizations (PROs). We would increase the rate from 7 cents per page to 12 cents per page, in accordance with the formula for calculating this rate to reflect inflationary changes in the labor and supply cost components of the formula. This proposed rule would also provide for the periodic review and adjustment of the per-page reimbursement rate to account for inflation and changes in technology. The methodology for calculating the per-page reimbursement rate would remain unchanged. We also propose to provide for the payment of the expenses of furnishing photocopies to QIOs, to other providers subject to a PPS (for example, skilled nursing facilities and home health agencies), in accordance with the rules established for reimbursing PPS hospitals for these expenses.”

    Dates

    “We will consider comments if we receive them at the appropriate address, as provided below, no later than 5 p.m. on January 21, 2003.”
    Federal Register 02-29076PDF

  2. December 5, 2003

    Final rule

    Final rule, CMS-3055-F, 68 FR 67955, 6 pages

    Effective January 5, 2004.

    CMS's summary

    “This final rule increases the rate of reimbursement for expenses incurred by prospective payment system (PPS) hospitals for photocopying medical records requested by Quality Improvement Organizations (QIOs), formerly known as Utilization and Quality Control Peer Review Organizations (PROs). We are increasing the rate from 7 cents per page to 12 cents per page to reflect inflationary changes in the labor and supply cost components of the formula. This final rule also provides for the periodic review and adjustment of the per-page reimbursement rate to account for inflation and changes in technology. The methodology for calculating the per-page reimbursement rate will remain unchanged. We are also providing for the payment of the expenses of furnishing photocopies to QIOs, to other providers subject to a PPS (for example, skilled nursing facilities and home health agencies), in accordance with the rules established for reimbursing PPS hospitals for these expenses.”

    Dates

    “These regulations are effective on January 5, 2004.”
    Federal Register 03-30096PDF

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