- Regulation No.
- CMS-1471-FC
- Title
- Changes to the Hospital Outpatient PPS for Calendar Year 2004
- Year
- 2004
Downloads
- CMS-1471-FC - Final Rule: Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2004 Payment Rates. (Published at the Federal Register on November 7, 2003) [PDF, 1MB]
- Background - Device Related Portions of Ambulatory Payment Classification Costs for 2004 [ZIP, 3KB]
- Excel Spreadsheet - Device Related Portions of Ambulatory Payment Classification Costs for 2004 [ZIP, 4KB]
- Median Costs for Hospital Outpatient Services, by ambulatory payment classification (APC) group - This Excel file displays median costs, by APC group, for services payable under the OPPS in calendar year 2004. The data are based on claims for hospital outpatient services provided April 1, 2002 through December 31, 2002. [ZIP, 22KB]
- Median Costs for Drugs, Biologicals, and Radiopharmaceuticals - This Excel file displays median costs, in HCPCS code order, for drugs, biologicals, and radiopharmaceuticals that are packaged or separately payable under the OPPS in calendar year 2004. The data are based on claims for hospital outpatient services provided April 1, 2002 through December 31, 2002. [ZIP, 32KB]
- Addendum A - This Excel file lists, in APC order, the name, payment status indicator, relative weight, payment rate, and copayment amount(s) for the 2004 APC groups. [ZIP, 40KB]
- Addendum D: Addendum D1 - This table lists the 2004 OPPS payment status indicators and what they signify; Addendum D2 - This table describes condition codes assigned to new and deleted HCPCS codes in Addendum B. [ZIP, 5KB]
- Addendum H - Wage index for urban areas [ZIP, 31KB]
- Addendum I - Wage index for rural areas [ZIP, 4KB]
- Addendum J - Wage index for hospitals that are reclassified [ZIP, 11KB]
- 2004 OPPS Hospital-Specific Impacts - Provider-specific data [ZIP, 307KB]
- 2004 OPPS Hospital-Specific Impacts - File layout [ZIP, 6KB]
- 2004 OPPS Claims Accounting [ZIP, 14KB]
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