42 C.F.R. 412.87 - Additional payment for new medical services and technologies: General provisions

Cite as42 C.F.R. 412.87
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32 practice notes
4 firm's commentaries
  • CMS Proposes Several Changes to Reimbursement for Transformative Medical Technologies
    • United States
    • JD Supra United States
    • May 2, 2019
    ...1 https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY2020-IPPS-Proposed-Rule-Home-Page.html. 2 42 C.F.R. § 412.87(b); 42 C.F.R. § 419.66(b). 42 C.F.R. § 412.87(b)(1); see also 42 C.F.R. § 3 See id. 4 For a more in-depth discussion of the Breakthrough Device Pr......
  • CMS Issues CY 2020 End-Stage Renal Disease / Durable Medical Equipment Final Rule
    • United States
    • JD Supra United States
    • November 12, 2019
    ...submitted by September 1 of the payment adjustment year, (5) meet the substantial clinical improvement criteria specified at 42 C.F.R. § 412.87(b)(1), and (6) are not capital-related Erythropoiesis-stimulating agent monitoring policy. The erythropoiesis-stimulating agent monitoring policy i......
  • CMS Proposes Several Changes To Reimbursement For Transformative Medical Technologies
    • United States
    • Mondaq United States
    • May 15, 2019
    ...1 https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY2020-IPPS-Proposed-Rule-Home-Page.html. 2 42 C.F.R. § 412.87(b); 42 C.F.R. § 419.66(b). 42 C.F.R. § 412.87(b)(1); see also 42 C.F.R. § 419.66(c). 3 See id. 4 For a more in-depth discussion of the Breakthroug......
  • CMS Issues FY 2020 Inpatient PPS and Long-Term Care Hospital PPS Final Rule
    • United States
    • JD Supra United States
    • August 9, 2019
    ...submitting to the CMS Central Office a “Section 5506 Application Form,” which is available here. New Technology Add-On Payments Under 42 C.F.R. § 412.87, medical services or technology can receive an additional add-on payment if new, costly (such that the DRG payment is inadequate) and a su......
27 provisions

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