- Regulation No.
- CMS-1427-FC
- Title
- Changes to the Hospital Outpatient PPS for Calendar Year 2005
- Year
- 2005
Downloads
- CMS-1427-FC - Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates, published at the Federal Register November 15, 2004 [ZIP, 35MB]
- 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 2005. The data are based on claims for hospital outpatient services provided January 1, 2003 through December 31, 2003. [ZIP, 21KB]
- Addendum A - This Excel file lists, in APC order, the name, payment status indicator, relative weight, payment rate, and copayment amount(s) for the 2005 APC groups. [ZIP, 42KB]
- Addendum D1 - This table lists the 2005 OPPS payment status indicators and what they signify. [PDF, 72KB]
- Addendum D2 - This table describes comment indicators assigned to new and deleted HCPCS codes in Addendum B. [PDF, 12KB]
- Addendum H1 - Wage Index For Urban Areas By MSA [PDF, 60KB]
- Addendum H2 - Wage Index For Urban Areas By CBSA [PDF, 82KB]
- Addendum I1 - Wage Index For Rural Areas By MSA [PDF, 14KB]
- Addendum I2 - Wage Index For Rural Areas By CBSA [PDF, 11KB]
- Addendum J1 - Wage Index For Hospitals That Are Reclassified By MSA [PDF, 21KB]
- Addendum J2 - Wage Index For Hospitals That Are Reclassified By CBSA [PDF, 24KB]
- Addendum L - Pre-Reclassified Wage Index for Urban Areas [PDF, 80KB]
- Addendum M - Pre-Reclassified Wage Index for Rural Areas [PDF, 12KB]
- Addendum N - Hospital Reclassifications and Redesignations by Individual Hospital Under Section 508 of Pub.L. 108-173 [PDF, 18KB]
- Hospital-Specific Impacts - Provider-specific data [ZIP, 338KB]
- Hospital-Specific Impacts - File layout [PDF, 32KB]
- 2005 OPPS Claims Accounting - [PDF, 20KB]
- Table 20 - This Excel file displays the Device Codes and Descriptors. [ZIP, 2KB]
- Background - Device Related Portions of Ambulatory Payment Classification Costs for 2005 [PDF, 9KB]
- Device Related Portions of APC Costs [ZIP, 4KB]
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Median Costs for Hospital Outpatient Services, by HCPCS code - This Excel file displays median costs, by HCPCS code, for services payable under the hospital outpatient prospective payment system (OPPS) in calendar year 2005. The data are based on claims for hospital outpatient services provided January 1, 2003 through December 31, 2003. - Opens in a new window
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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 2005. The data are based on claims for hospital outpatient services provided January 1, 2003 through December 31, 2003. - Opens in a new window
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Revised List of Device Codes Required for Procedure Codes in Selected Device Dependent APCs - Effective April 1, 2005 (This revised list, in response to public comment, updates Table 19 that appeared in the final rule with comment period published in the November 15, 2004 Federal Register (69 FR 65763).) - Opens in a new window