FY 2004 Medicare Inpatient
PPS Final Rule
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Related Resources
AAMC Documents
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Current Status
On August 1, 2003 the Centers for Medicare and Medicaid Services
(CMS) published the final rule (68 Fed Reg 45346) updating the Medicare
inpatient prospective payment system for federal fiscal year 2004.
The AAMC will prepare a summary and analysis of the final rule.
Highlights
In the final rule, CMS lowered the outlier threshold for FY 2004
to $31,000. CMS decided to maintain the proposed provision expanding
the number of diagnosis related groups (DRGs) subject to the post-acute
care transfer policy by 19. The base per case payment rate for hospitals
will be increased by the full market basket of 3.4 percent. More>>
The final rule maintains most of the GME community support proposals
that were included in the proposed rule. However, there will be
NO RETROACTIVITY. This means there will be no disallowances until
October 1, 2003 for residents that violate the community support
/ redistribution of costs principles. In addition, residents who
are currently in training and who otherwise would violate the principles
may continue to be counted by the hospital until those residents
complete their training, or for three years, whichever comes first.
More>>
Final Rule
The final rule, published August 1, 2003, in the Federal
Register, is available in text format and Portable Document
Format (PDF)
42 CFR Parts 412 and 413 Medicare Program: Changes to
the Hospital Inpatient Prospective Payment Systems and Fiscal
Year 2004 Rates; Final Rule
Part I [pp. 45345–45672] Text
/ PDF
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Contacts
Karen Fisher, Sr. Director, Health Care Affairs
AAMC Health Care Affairs
kfisher@aamc.org
(202) 862-6140
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