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Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...
CMS-1403-FC of the Act that are for the diagnosis and treatment of speech, language, and cognitive disorders that include swallowing and other oral-motor dysfunctions. * * * * * PART 413—PRINCIPLES OF REASONABLE COST REIMBURSEMENT FOR END-STAGE RENAL DISEASE SERVICES; PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES 19. The authority citation for part 413 continues to read as follows: Authority: Secs. 1102, 1812(d), 1814(b), 1815, 1833(a), (i), and (n), 1861(v), 1871, 1881, 1883, and 1886 of the Social Security Act (42 U.S.C. 1302, 1395d(d), 1395f(b), 1395g, 1395l(a), (i), and (n), 1395x(v), 1395hh, 1395rr, 1395tt, and 1395ww); and sec. 124 of Public Law 106–133 (113 Stat. 1501A–332). Subpart H--Payment for End-Stage Renal Disease (ESRD) Services and Organ Procurement Costs and (c). 20. Section 413.174 is amended by-- A. Revising the introductory text of paragraphs (a) B. Revising paragraph (a)(1). C. Redesignating)(2). paragraphs (a)(2) and (a)(3) as paragraphs (a)(3) and (a)(4), respectively. D. Adding new paragraph (a 1112
CMS-1403-FC The revisions and addition read as follows: §413.174 Prospective rates for hospital-based and independent ESRD facilities. (a) Establishment of rates. CMS establishes prospective payment rates for ESRD facilities using the following methodology: (1) For dialysis services furnished prior to January 1, 2009, the methodology differentiates between hospital- based and independent ESRD facilities; (2) For dialysis services furnished on or after January 1, 2009-- (i) The composite rate paid to hospital-based facilities for dialysis services shall be the same as the composite rate paid for such services furnished by independent renal dialysis facilities. (ii) When applying the geographic index to hospital- based facilities, the labor share shall be based on the labor share otherwise applied for renal dialysis facilities. * * * * * (c) Determination of hospital-based facility. A determination under this paragraph (c) is an initial determination under §498.3 of this chapter. CMS determines that a facility is hospital-based if the -– 1113
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<strong>CMS</strong>-1403-FC<br />
of the Act that are for the diagnosis and treatment of<br />
speech, language, and cognitive disorders that include<br />
swallowing and other oral-motor dysfunctions.<br />
* * * * *<br />
PART 413—PRINCIPLES OF REASONABLE COST REIMBURSEMENT FOR<br />
END-STAGE RENAL DISEASE SERVICES; PROSPECTIVELY DETERMINED<br />
PAYMENT RATES FOR SKILLED NURSING FACILITIES<br />
19. The authority citation for part 413 continues to<br />
read as follows:<br />
Authority: Secs. 1102, 1812(d), 1814(b), 1815,<br />
1833(a), (i), and (n), 1861(v), 1871, 1881, 1883, and 1886<br />
of the Social Security Act (42 U.S.C. 1302, 1395d(d),<br />
1395f(b), 1395g, 1395l(a), (i), and (n), 1395x(v), 1395hh,<br />
1395rr, 1395tt, and 1395ww); and sec. 124 of Public Law<br />
106–133 (113 Stat. 1501A–332).<br />
Subpart H--Payment for End-Stage Renal Disease (ESRD)<br />
Services and Organ Procurement Costs<br />
and (c).<br />
20. Section 413.174 is amended by--<br />
A. Revising the introductory text of paragraphs (a)<br />
B. Revising paragraph (a)(1).<br />
C. Redesignating)(2). paragraphs (a)(2) and (a)(3) as<br />
paragraphs (a)(3) and (a)(4), respectively.<br />
D. Adding new paragraph (a<br />
1112