US · guidance
CMS Pub. 100-04, ch. 4, § 10.11.2
Circumstances in Which CCRs are Used
The contractors must apply CCRs prospectively to calculate outlier payments (for
hospitals paid under OPPS and CMHCs), Transitional Outpatient Payment System
(TOPS) payments (for hospitals paid under OPPS), device pass-through payments (for
hospitals paid under OPPS), and items and services paid at charges adjusted to cost (for
hospitals paid under OPPS).
History
(Rev. 1657, Issued: 12-31-08, Effective: 01-01-09, Implementation: 01-05-09)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
929f050edb19e184b29dee820fde59a89beec8850c81f55e665744d2647ef2b0
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