Alert detail

Federal Register Final Rule: Medicare Program; Treatment of Medicare Part C Days in the Calculation of a Hospital's Medicare Disproportionate Patient Percentage

Policy ID: FR-2023-12308Specialty: Hospital Outpatient (OPPS)Added: 6/5/2026Effective: August 8, 2023final rule
High

What changed

Changes in Medicare Advantage days affect hospital reimbursements.

Who’s affected: Hospital Outpatient (OPPS) billing teams · Effective: August 8, 2023

Primary source: View the official CMS/MAC document ↗

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Federal Register Final Rule: Medicare Program; Treatment of Medicare Part C Days in the Calculation of a Hospital's Medicare Disproportionate Patient Percentage