CMS TransmittalHospital Outpatient (OPPS)

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

FR-2023-12308

Document details

Document type
CMS Transmittal
Issuing body
Centers for Medicare & Medicaid Services
Document ID
FR-2023-12308
Published
June 5, 2026
Effective date
August 8, 2023
MAC region
National

Summary

The new policy mandates the inclusion of Medicare Part C days in calculating a hospital's disproportionate patient percentage. This change could potentially influence reimbursement rates for hospitals

Changes in Medicare Advantage days affect hospital reimbursements.

Affected specialty

Hospital Outpatient (OPPS) alerts →

Source document

https://www.federalregister.gov/documents/2023/06/09/2023-12308/medicare-program-treatment-of-medicare-part-c-days-in-the-calculation-of-a-hospitals-medicare

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