US · guidance

CMS Pub. 100-04, ch. 32, § 50.3.1

Part A Payment Methods

activein force · 2026-08-25 – presentas-observed

Payment for the inpatient procedure is under Diagnostic Related Group (DRG). The outpatient procedure is

outpatient prospective payment system. For critical access hospitals (CAH), the inpatient stay is on reasonable cost

and the outpatient procedures are also based on reasonable cost.

History

(Rev. 128, 03-26-04)

Provenance

Source: cms.gov
Retrieved: 2026-08-25
Edition: iom-2026-08-25
Content hash: 23671c77a07a3c9f6556c2d32511d17a80d287e92ad40d6802487ce575b099e3

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