§ 412.86 - [Reserved]


Latest version.
  • § 412.86 Payment for extraordinarily high-cost day outliers.

    For discharges occurring before October 1, 1997, if a discharge that qualifies for an additional payment under the provisions of § 412.82 has charges adjusted to costs that exceed the cost outlier threshold criteria for an extraordinarily high-cost case as set forth in § 412.80(a)(1)(ii), the additional payment made for the discharge is the greater of -

    (a) The applicable per diem payment computed under § 412.82 (c) or (d); or

    (b) The payment that would be made under § 412.84 (i) or (j) if the case had not met the day outlier criteria threshold set forth in § 412.80(a)(1)(i).

    [53 FR 38529, Sept. 30, 1988, as amended at 62 FR 46028, Aug. 29, 1997

    [Reserved]