Title 42

PART 412

Part 412 - Prospective Payment Systems For Inpatient Hospital Services

PART 412 - PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Authority:42 U.S.C. 1302 and 1395hh. Source:50 FR 12741, Mar. 29, 1985, unless otherwise noted.

42:2.0.1.2.12.1SUBPART A
Subpart A - General Provisions
42:2.0.1.2.12.1.47.1SECTION 412.1
   412.1 Scope of part.
42:2.0.1.2.12.1.47.2SECTION 412.2
   412.2 Basis of payment.
42:2.0.1.2.12.1.47.3SECTION 412.3
   412.3 Admissions.
42:2.0.1.2.12.1.47.4SECTION 412.4
   412.4 Discharges and transfers.
42:2.0.1.2.12.1.47.5SECTION 412.6
   412.6 Cost reporting periods subject to the prospective payment systems.
42:2.0.1.2.12.1.47.6SECTION 412.8
   412.8 Publication of schedules for determining prospective payment rates.
42:2.0.1.2.12.1.47.7SECTION 412.10
   412.10 Changes in the DRG classification system.
42:2.0.1.2.12.2SUBPART B
Subpart B - Hospital Services Subject to and Excluded From the Prospective Payment Systems for Inpatient Operating Costs and Inpatient Capital-Related Costs
42:2.0.1.2.12.2.47.1SECTION 412.20
   412.20 Hospital services subject to the prospective payment systems.
42:2.0.1.2.12.2.47.2SECTION 412.22
   412.22 Excluded hospitals and hospital units: General rules.
42:2.0.1.2.12.2.47.3SECTION 412.23
   412.23 Excluded hospitals: Classifications.
42:2.0.1.2.12.2.47.4SECTION 412.25
   412.25 Excluded hospital units: Common requirements.
42:2.0.1.2.12.2.47.5SECTION 412.27
   412.27 Excluded psychiatric units: Additional requirements.
42:2.0.1.2.12.2.47.6SECTION 412.29
   412.29 Classification criteria for payment under the inpatient rehabilitation facility prospective payment system.
42:2.0.1.2.12.2.47.7SECTION 412.30
   412.30 [Reserved]
42:2.0.1.2.12.3SUBPART C
Subpart C - Conditions for Payment Under the Prospective Payment Systems for Inpatient Operating Costs and Inpatient Capital-Related Costs
42:2.0.1.2.12.3.47.1SECTION 412.40
   412.40 General requirements.
42:2.0.1.2.12.3.47.2SECTION 412.42
   412.42 Limitations on charges to beneficiaries.
42:2.0.1.2.12.3.47.3SECTION 412.44
   412.44 Medical review requirements: Admissions and quality review.
42:2.0.1.2.12.3.47.4SECTION 412.46
   412.46 Medical review requirements.
42:2.0.1.2.12.3.47.5SECTION 412.48
   412.48 Denial of payment as a result of admissions and quality review.
42:2.0.1.2.12.3.47.6SECTION 412.50
   412.50 Furnishing of inpatient hospital services directly or under arrangements.
42:2.0.1.2.12.3.47.7SECTION 412.52
   412.52 Reporting and recordkeeping requirements.
42:2.0.1.2.12.4SUBPART D
Subpart D - Basic Methodology for Determining Prospective Payment Federal Rates for Inpatient Operating Costs
42:2.0.1.2.12.4.47.1SECTION 412.60
   412.60 DRG classification and weighting factors.
42:2.0.1.2.12.4.47.2SECTION 412.62
   412.62 Federal rates for inpatient operating costs for fiscal year 1984.
42:2.0.1.2.12.4.47.3SECTION 412.63
   412.63 Federal rates for inpatient operating costs for Federal fiscal years 1984 through 2004.
42:2.0.1.2.12.4.47.4SECTION 412.64
   412.64 Federal rates for inpatient operating costs for Federal fiscal year 2005 and subsequent fiscal years.
42:2.0.1.2.12.5SUBPART E
Subpart E - Determination of Transition Period Payment Rates for the Prospective Payment System for Inpatient Operating Costs
42:2.0.1.2.12.5.47.1SECTION 412.70
   412.70 General description.
42:2.0.1.2.12.5.47.2SECTION 412.71
   412.71 Determination of base-year inpatient operating costs.
42:2.0.1.2.12.5.47.3SECTION 412.72
   412.72 Modification of base-year costs.
42:2.0.1.2.12.5.47.4SECTION 412.73
   412.73 Determination of the hospital-specific rate based on a Federal fiscal year 1982 base period.
42:2.0.1.2.12.5.47.5SECTION 412.75
   412.75 Determination of the hospital-specific rate for inpatient operating costs based on a Federal fiscal year 1987 base period.
42:2.0.1.2.12.5.47.6SECTION 412.76
   412.76 Recovery of excess transition period payment amounts resulting from unlawful claims.
42:2.0.1.2.12.5.47.7SECTION 412.77
   412.77 Determination of the hospital-specific rate for inpatient operating costs for sole community hospitals based on a Federal fiscal year 1996 base period.
42:2.0.1.2.12.5.47.8SECTION 412.78
   412.78 Determination of the hospital-specific rate for inpatient operating costs for sole community hospitals based on a Federal fiscal year 2006 base period.
42:2.0.1.2.12.5.47.9SECTION 412.79
   412.79 Determination of the hospital-specific rate for inpatient operating costs for Medicare-dependent, small rural hospitals based on a Federal fiscal year 2002 base period.
42:2.0.1.2.12.6SUBPART F
Subpart F - Payments for Outlier Cases, Special Treatment Payment for New Technology, and Payment Adjustment for Certain Replaced Devices
42:2.0.1.2.12.6.47SUBJGRP 47
   Payment for Outlier Cases
42:2.0.1.2.12.6.47.1SECTION 412.80
   412.80 Outlier cases: General provisions.
42:2.0.1.2.12.6.47.2SECTION 412.82
   412.82 Payment for extended length-of-stay cases (day outliers).
42:2.0.1.2.12.6.47.3SECTION 412.84
   412.84 Payment for extraordinarily high-cost cases (cost outliers).
42:2.0.1.2.12.6.47.4SECTION 412.86
   412.86 Payment for extraordinarily high-cost day outliers.
42:2.0.1.2.12.6.48SUBJGRP 48
   Additional Special Payment for Certain New Technology
42:2.0.1.2.12.6.48.5SECTION 412.87
   412.87 Additional payment for new medical services and technologies: General provisions.
42:2.0.1.2.12.6.48.6SECTION 412.88
   412.88 Additional payment for new medical service or technology.
42:2.0.1.2.12.6.49SUBJGRP 49
   Payment Adjustment for Certain Replaced Devices
42:2.0.1.2.12.6.49.7SECTION 412.89
   412.89 Payment adjustment for certain replaced devices.
42:2.0.1.2.12.7SUBPART G
Subpart G - Special Treatment of Certain Facilities Under the Prospective Payment System for Inpatient Operating Costs
42:2.0.1.2.12.7.50.1SECTION 412.90
   412.90 General rules.
42:2.0.1.2.12.7.50.2SECTION 412.92
   412.92 Special treatment: Sole community hospitals.
42:2.0.1.2.12.7.50.3SECTION 412.96
   412.96 Special treatment: Referral centers.
42:2.0.1.2.12.7.50.4SECTION 412.98
   412.98 [Reserved]
42:2.0.1.2.12.7.50.5SECTION 412.100
   412.100 Special treatment: Renal transplantation centers.
42:2.0.1.2.12.7.50.6SECTION 412.101
   412.101 Special treatment: Inpatient hospital payment adjustment for low-volume hospitals.
42:2.0.1.2.12.7.50.7SECTION 412.102
   412.102 Special treatment: Hospitals located in areas that are changing from urban to rural as a result of a geographic redesignation.
42:2.0.1.2.12.7.50.8SECTION 412.103
   412.103 Special treatment: Hospitals located in urban areas and that apply for reclassification as rural.
42:2.0.1.2.12.7.50.9SECTION 412.104
   412.104 Special treatment: Hospitals with high percentage of ESRD discharges.
42:2.0.1.2.12.7.50.10SECTION 412.105
   412.105 Special treatment: Hospitals that incur indirect costs for graduate medical education programs.
42:2.0.1.2.12.7.50.11SECTION 412.106
   412.106 Special treatment: Hospitals that serve a disproportionate share of low-income patients.
42:2.0.1.2.12.7.50.12SECTION 412.107
   412.107 Special treatment: Hospitals that receive an additional update for FYs 1998 and 1999.
42:2.0.1.2.12.7.50.13SECTION 412.108
   412.108 Special treatment: Medicare-dependent, small rural hospitals.
42:2.0.1.2.12.7.50.14SECTION 412.109
   412.109 Special treatment: Essential access community hospitals (EACHs).
42:2.0.1.2.12.8SUBPART H
Subpart H - Payments to Hospitals Under the Prospective Payment Systems
42:2.0.1.2.12.8.50.1SECTION 412.110
   412.110 Total Medicare payment.
42:2.0.1.2.12.8.50.2SECTION 412.112
   412.112 Payments determined on a per case basis.
42:2.0.1.2.12.8.50.3SECTION 412.113
   412.113 Other payments.
42:2.0.1.2.12.8.50.4SECTION 412.115
   412.115 Additional payments.
42:2.0.1.2.12.8.50.5SECTION 412.116
   412.116 Method of payment.
42:2.0.1.2.12.8.50.6SECTION 412.120
   412.120 Reductions to total payments.
42:2.0.1.2.12.8.50.7SECTION 412.125
   412.125 Effect of change of ownership on payments under the prospective payment systems.
42:2.0.1.2.12.8.50.8SECTION 412.130
   412.130 Retroactive adjustments for incorrectly excluded hospitals and units.
42:2.0.1.2.12.8.50.9SECTION 412.140
   412.140 Participation, data submission, and validation requirements under the Hospital Inpatient Quality Reporting (IQR) Program.
42:2.0.1.2.12.9SUBPART I
Subpart I - Adjustments to the Base Operating DRG Payment Amounts Under the Prospective Payment Systems for Inpatient Operating Costs
42:2.0.1.2.12.9.50SUBJGRP 50
   Payment Adjustments Under the Hospital Readmissions Reduction Program
42:2.0.1.2.12.9.50.1SECTION 412.150
   412.150 Basis and scope of subpart.
42:2.0.1.2.12.9.50.2SECTION 412.152
   412.152 Definitions for the Hospital Readmissions Reduction Program.
42:2.0.1.2.12.9.50.3SECTION 412.154
   412.154 Payment adjustments under the Hospital Readmissions Reduction Program.
42:2.0.1.2.12.9.50.4SECTION 412.155-412.159
   412.155-412.159 [Reserved]
42:2.0.1.2.12.9.51SUBJGRP 51
   Incentive Payments Under the Hospital Value-Based Purchasing Program
42:2.0.1.2.12.9.51.5SECTION 412.160
   412.160 Definitions for the Hospital Value-Based Purchasing (VBP) Program.
42:2.0.1.2.12.9.51.6SECTION 412.161
   412.161 Applicability of the Hospital Value-Based Purchasing (VBP) Program
42:2.0.1.2.12.9.51.7SECTION 412.162
   412.162 Process for reducing the base operating DRG payment amount and applying the value-based incentive payment amount adjustment under the Hospital Value-Based Purchasing (VBP) Program.
42:2.0.1.2.12.9.51.8SECTION 412.163
   412.163 Process for making hospital-specific performance information under the Hospital Value-Based Purchasing (VBP) Program available to the public.
42:2.0.1.2.12.9.51.9SECTION 412.164
   412.164 Measure selection under the Hospital Value-Based Purchasing (VBP) Program.
42:2.0.1.2.12.9.51.10SECTION 412.165
   412.165 Performance scoring under the Hospital Value-Based Purchasing (VBP) Program.
42:2.0.1.2.12.9.51.11SECTION 412.167
   412.167 Appeal under the Hospital Value-Based Purchasing (VBP) Program.
42:2.0.1.2.12.9.51.12SECTION 412.168-412.169
   412.168-412.169 [Reserved]
42:2.0.1.2.12.9.52SUBJGRP 52
   Payment Adjustments Under the Hospital-Acquired Condition Reduction Program
42:2.0.1.2.12.9.52.13SECTION 412.170
   412.170 Definitions for the Hospital-Acquired Condition Reduction Program.
42:2.0.1.2.12.9.52.14SECTION 412.172
   412.172 Payment adjustments under the Hospital-Acquired Condition Reduction Program.
42:2.0.1.2.12.10SUBPART J
Subpart J [Reserved]
42:2.0.1.2.12.11SUBPART K
Subpart K - Prospective Payment System for Inpatient Operating Costs for Hospitals Located in Puerto Rico
42:2.0.1.2.12.11.53.1SECTION 412.200
   412.200 General provisions.
42:2.0.1.2.12.11.53.2SECTION 412.204
   412.204 Payment to hospitals located in Puerto Rico.
42:2.0.1.2.12.11.53.3SECTION 412.208
   412.208 Puerto Rico rates for Federal fiscal year 1988.
42:2.0.1.2.12.11.53.4SECTION 412.210
   412.210 Puerto Rico rates for Federal fiscal years 1989 through 2003.
42:2.0.1.2.12.11.53.5SECTION 412.211
   412.211 Puerto Rico rates for Federal fiscal year 2004 and subsequent fiscal years.
42:2.0.1.2.12.11.53.6SECTION 412.212
   412.212 National rate.
42:2.0.1.2.12.11.53.7SECTION 412.220
   412.220 Special treatment of certain hospitals located in Puerto Rico.
42:2.0.1.2.12.12SUBPART L
Subpart L - The Medicare Geographic Classification Review Board
42:2.0.1.2.12.12.53SUBJGRP 53
   Criteria and Conditions for Redesignation
42:2.0.1.2.12.12.53.1SECTION 412.230
   412.230 Criteria for an individual hospital seeking redesignation to another rural area or an urban area.
42:2.0.1.2.12.12.53.2SECTION 412.232
   412.232 Criteria for all hospitals in a rural county seeking urban redesignation.
42:2.0.1.2.12.12.53.3SECTION 412.234
   412.234 Criteria for all hospitals in an urban county seeking redesignation to another urban area.
42:2.0.1.2.12.12.53.4SECTION 412.235
   412.235 Criteria for all hospitals in a State seeking a statewide wage index redesignation.
42:2.0.1.2.12.12.54SUBJGRP 54
   Composition and Procedures
42:2.0.1.2.12.12.54.5SECTION 412.246
   412.246 MGCRB members.
42:2.0.1.2.12.12.54.6SECTION 412.248
   412.248 Number of members needed for a decision or a hearing.
42:2.0.1.2.12.12.54.7SECTION 412.250
   412.250 Sources of MGCRB's authority.
42:2.0.1.2.12.12.54.8SECTION 412.252
   412.252 Applications.
42:2.0.1.2.12.12.54.9SECTION 412.254
   412.254 Proceedings before MGCRB.
42:2.0.1.2.12.12.54.10SECTION 412.256
   412.256 Application requirements.
42:2.0.1.2.12.12.54.11SECTION 412.258
   412.258 Parties to MGCRB proceeding.
42:2.0.1.2.12.12.54.12SECTION 412.260
   412.260 Time and place of the oral hearing.
42:2.0.1.2.12.12.54.13SECTION 412.262
   412.262 Disqualification of an MGCRB member.
42:2.0.1.2.12.12.54.14SECTION 412.264
   412.264 Evidence and comments in MGCRB proceeding.
42:2.0.1.2.12.12.54.15SECTION 412.266
   412.266 Availability of wage data.
42:2.0.1.2.12.12.54.16SECTION 412.268
   412.268 Subpoenas.
42:2.0.1.2.12.12.54.17SECTION 412.270
   412.270 Witnesses.
42:2.0.1.2.12.12.54.18SECTION 412.272
   412.272 Record of proceedings before the MGCRB.
42:2.0.1.2.12.12.54.19SECTION 412.273
   412.273 Withdrawing an application, terminating an approved 3-year reclassification, or canceling a previous withdrawal or termination.
42:2.0.1.2.12.12.54.20SECTION 412.274
   412.274 Scope and effect of an MGCRB decision.
42:2.0.1.2.12.12.54.21SECTION 412.276
   412.276 Timing of MGCRB decision and its appeal.
42:2.0.1.2.12.12.54.22SECTION 412.278
   412.278 Administrator's review.
42:2.0.1.2.12.12.54.23SECTION 412.280
   412.280 Representation.
42:2.0.1.2.12.13SUBPART M
Subpart M - Prospective Payment System for Inpatient Hospital Capital Costs
42:2.0.1.2.12.13.55SUBJGRP 55
   General Provisions
42:2.0.1.2.12.13.55.1SECTION 412.300
   412.300 Scope of subpart and definition.
42:2.0.1.2.12.13.55.2SECTION 412.302
   412.302 Introduction to capital costs.
42:2.0.1.2.12.13.55.3SECTION 412.304
   412.304 Implementation of the capital prospective payment system.
42:2.0.1.2.12.13.56SUBJGRP 56
   Basic Methodology for Determining the Federal Rate for Capital-Related Costs
42:2.0.1.2.12.13.56.4SECTION 412.308
   412.308 Determining and updating the Federal rate.
42:2.0.1.2.12.13.56.5SECTION 412.312
   412.312 Payment based on the Federal rate.
42:2.0.1.2.12.13.56.6SECTION 412.316
   412.316 Geographic adjustment factors.
42:2.0.1.2.12.13.56.7SECTION 412.320
   412.320 Disproportionate share adjustment factor.
42:2.0.1.2.12.13.56.8SECTION 412.322
   412.322 Indirect medical education adjustment factor.
42:2.0.1.2.12.13.57SUBJGRP 57
   Determination of Transition Period Payment Rates for Capital-Related Costs
42:2.0.1.2.12.13.57.9SECTION 412.324
   412.324 General description.
42:2.0.1.2.12.13.57.10SECTION 412.328
   412.328 Determining and updating the hospital-specific rate.
42:2.0.1.2.12.13.57.11SECTION 412.331
   412.331 Determining hospital-specific rates in cases of hospital merger, consolidation, or dissolution.
42:2.0.1.2.12.13.57.12SECTION 412.332
   412.332 Payment based on the hospital-specific rate.
42:2.0.1.2.12.13.57.13SECTION 412.336
   412.336 Transition period payment methodologies.
42:2.0.1.2.12.13.57.14SECTION 412.340
   412.340 Fully prospective payment methodology.
42:2.0.1.2.12.13.57.15SECTION 412.344
   412.344 Hold-harmless payment methodology.
42:2.0.1.2.12.13.57.16SECTION 412.348
   412.348 Exception payments.
42:2.0.1.2.12.13.57.17SECTION 412.352
   412.352 Budget neutrality adjustment.
42:2.0.1.2.12.13.58SUBJGRP 58
   Special Rules for Puerto Rico Hospitals
42:2.0.1.2.12.13.58.18SECTION 412.370
   412.370 General provisions for hospitals located in Puerto Rico.
42:2.0.1.2.12.13.58.19SECTION 412.374
   412.374 Payments to hospitals located in Puerto Rico.
42:2.0.1.2.12.14SUBPART N
Subpart N - Prospective Payment System for Inpatient Hospital Services of Inpatient Psychiatric Facilities
42:2.0.1.2.12.14.59.1SECTION 412.400
   412.400 Basis and scope of subpart.
42:2.0.1.2.12.14.59.2SECTION 412.402
   412.402 Definitions.
42:2.0.1.2.12.14.59.3SECTION 412.404
   412.404 Conditions for payment under the prospective payment system for inpatient hospital services of psychiatric facilities.
42:2.0.1.2.12.14.59.4SECTION 412.405
   412.405 Preadmission services as inpatient operating costs under the inpatient psychiatric facility prospective payment system.
42:2.0.1.2.12.14.59.5SECTION 412.422
   412.422 Basis of payment.
42:2.0.1.2.12.14.59.6SECTION 412.424
   412.424 Methodology for calculating the Federal per diem payment amount.
42:2.0.1.2.12.14.59.7SECTION 412.426
   412.426 Transition period.
42:2.0.1.2.12.14.59.8SECTION 412.428
   412.428 Publication of changes to the inpatient psychiatric facility prospective payment system.
42:2.0.1.2.12.14.59.9SECTION 412.432
   412.432 Method of payment under the inpatient psychiatric facility prospective payment system.
42:2.0.1.2.12.14.59.10SECTION 412.434
   412.434 Reconsideration and appeals procedures of Inpatient Psychiatric Facilities Quality Reporting (IPFQR) Program decisions.
42:2.0.1.2.12.15SUBPART O
Subpart O - Prospective Payment System for Long-Term Care Hospitals
42:2.0.1.2.12.15.59.1SECTION 412.500
   412.500 Basis and scope of subpart.
42:2.0.1.2.12.15.59.2SECTION 412.503
   412.503 Definitions.
42:2.0.1.2.12.15.59.3SECTION 412.505
   412.505 Conditions for payment under the prospective payment system for long-term care hospitals.
42:2.0.1.2.12.15.59.4SECTION 412.507
   412.507 Limitation on charges to beneficiaries.
42:2.0.1.2.12.15.59.5SECTION 412.508
   412.508 Medical review requirements.
42:2.0.1.2.12.15.59.6SECTION 412.509
   412.509 Furnishing of inpatient hospital services directly or under arrangement.
42:2.0.1.2.12.15.59.7SECTION 412.511
   412.511 Reporting and recordkeeping requirements.
42:2.0.1.2.12.15.59.8SECTION 412.513
   412.513 Patient classification system.
42:2.0.1.2.12.15.59.9SECTION 412.515
   412.515 LTC-DRG weighting factors.
42:2.0.1.2.12.15.59.10SECTION 412.517
   412.517 Revision of LTC-DRG group classifications and weighting factors.
42:2.0.1.2.12.15.59.11SECTION 412.521
   412.521 Basis of payment.
42:2.0.1.2.12.15.59.12SECTION 412.522
   412.522 Application of site neutral payment rate.
42:2.0.1.2.12.15.59.13SECTION 412.523
   412.523 Methodology for calculating the Federal prospective payment rates.
42:2.0.1.2.12.15.59.14SECTION 412.525
   412.525 Adjustments to the Federal prospective payment.
42:2.0.1.2.12.15.59.15SECTION 412.526
   412.526 Payment provisions for a “subclause (II)” long-term care hospital.
42:2.0.1.2.12.15.59.16SECTION 412.529
   412.529 Special payment provision for short-stay outliers.
42:2.0.1.2.12.15.59.17SECTION 412.531
   412.531 Special payment provisions when an interruption of a stay occurs in a long-term care hospital.
42:2.0.1.2.12.15.59.18SECTION 412.533
   412.533 Transition payments.
42:2.0.1.2.12.15.59.19SECTION 412.534
   412.534 Special payment provisions for long-term care hospitals-within-hospitals and satellites of long-term care hospitals, effective for discharges occurring in cost reporting periods beginning on or before September 30, 2016.
42:2.0.1.2.12.15.59.20SECTION 412.535
   412.535 Publication of the Federal prospective payment rates.
42:2.0.1.2.12.15.59.21SECTION 412.536
   412.536 Special payment provisions for long-term care hospitals and satellites of long-term care hospitals that discharge Medicare patients admitted from a hospital not located in the same building or on the same campus as the long-term care hospital or sa
42:2.0.1.2.12.15.59.22SECTION 412.538
   412.538 [Reserved]
42:2.0.1.2.12.15.59.23SECTION 412.540
   412.540 Method of payment for preadmission services under the long-term care hospital prospective payment system.
42:2.0.1.2.12.15.59.24SECTION 412.541
   412.541 Method of payment under the long-term care hospital prospective payment system.
42:2.0.1.2.12.15.59.25SECTION 412.560
   412.560 Requirements under the Long-Term Care Hospital Quality Reporting Program (LTCH QRP).
42:2.0.1.2.12.16SUBPART P
Subpart P - Prospective Payment for Inpatient Rehabilitation Hospitals and Rehabilitation Units
42:2.0.1.2.12.16.59.1SECTION 412.600
   412.600 Basis and scope of subpart.
42:2.0.1.2.12.16.59.2SECTION 412.602
   412.602 Definitions.
42:2.0.1.2.12.16.59.3SECTION 412.604
   412.604 Conditions for payment under the prospective payment system for inpatient rehabilitation facilities.
42:2.0.1.2.12.16.59.4SECTION 412.606
   412.606 Patient assessments.
42:2.0.1.2.12.16.59.5SECTION 412.608
   412.608 Patients' rights regarding the collection of patient assessment data.
42:2.0.1.2.12.16.59.6SECTION 412.610
   412.610 Assessment schedule.
42:2.0.1.2.12.16.59.7SECTION 412.612
   412.612 Coordination of the collection of patient assessment data.
42:2.0.1.2.12.16.59.8SECTION 412.614
   412.614 Transmission of patient assessment data.
42:2.0.1.2.12.16.59.9SECTION 412.616
   412.616 Release of information collected using the patient assessment instrument.
42:2.0.1.2.12.16.59.10SECTION 412.618
   412.618 Assessment process for interrupted stays.
42:2.0.1.2.12.16.59.11SECTION 412.620
   412.620 Patient classification system.
42:2.0.1.2.12.16.59.12SECTION 412.622
   412.622 Basis of payment.
42:2.0.1.2.12.16.59.13SECTION 412.624
   412.624 Methodology for calculating the Federal prospective payment rates.
42:2.0.1.2.12.16.59.14SECTION 412.626
   412.626 Transition period.
42:2.0.1.2.12.16.59.15SECTION 412.628
   412.628 Publication of the Federal prospective payment rates.
42:2.0.1.2.12.16.59.16SECTION 412.630
   412.630 Limitation on review.
42:2.0.1.2.12.16.59.17SECTION 412.632
   412.632 Method of payment under the inpatient rehabilitation facility prospective payment system.
42:2.0.1.2.12.16.59.18SECTION 412.634
   412.634 Requirements under the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP).