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2006 proposed fee schedule - American Society of Clinical Oncology

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their intermediaries. Current paragraph (f), entitled,<br />

227<br />

“Documentation for a payment rate exception request”, would<br />

be redesignated as <strong>proposed</strong> paragraph (e). We are proposing<br />

to clarify existing regulations by indicating that the<br />

applicant must include in its documentation a copy <strong>of</strong> the<br />

most recent cost report filed in accordance with §413.198.<br />

As a result <strong>of</strong> these <strong>proposed</strong> changes to this section, we<br />

propose to revise the remaining paragraphs as follows:<br />

● Current paragraph (g) would be redesignated as<br />

<strong>proposed</strong> paragraph (f).<br />

● Current paragraph (h) would be redesignated as<br />

<strong>proposed</strong> paragraph (g).<br />

● Current paragraph (i) would be redesignated as<br />

<strong>proposed</strong> paragraph (h).<br />

● Current paragraph (j) provides the period <strong>of</strong> an<br />

exception approval. We would redesignate paragraph (j) as<br />

<strong>proposed</strong> paragraph (i). We propose to revise the<br />

redesignated paragraph to state that an approved exception<br />

payment rate applies for the period from the date the<br />

complete exception request was filed with the facility’s<br />

fiscal intermediary until thirty days after the<br />

intermediary’s receipt <strong>of</strong> the facility’s letter notifying<br />

the intermediary <strong>of</strong> the facility’s request to give up its<br />

exception rate and become subject to the current composite<br />

payment rate methodology. Once a facility decides not to

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