Extension of the Outpatient Hold-Harmless Provision

 

On March 23, 2010, President Obama signed into law the Patient
Protection and Affordable Care Act (PPACA), which extends the Outpatient
Hold Harmless provision, effective for dates of service on and after
January 1, 2010, through December 31, 2010, to rural hospitals with 100
or fewer beds and to all sole community hospitals and Essential Access
Community Hospitals regardless of bed size.  

 

Please be on the alert for more information pertaining to the PPACA and
its impact on past and future claims.

 

Extension of Reasonable Cost Payment for Clinical Lab Tests Performed by
Hospitals with Fewer than 50 Beds in Qualified Rural Areas

 

On March 23, 2010, President Obama signed into law the Patient
Protection and Affordable Care Act (PPACA).  Section 3122 of the PPACA
re-institutes reasonable cost payment for clinical lab tests performed
by hospitals with fewer than 50 beds in qualified rural areas as part of
their outpatient services for cost reporting periods beginning on or
after July 1, 2010, through June 30, 2011. This could affect services
performed as late as June 30, 2012.  

 

If you are a hospital who qualifies under Section 3122, you do not need
to take any action.  You will receive reasonable cost reimbursement for
an entire year, starting with your cost reporting period beginning on or
after July 1, 2010.

 

Please be on the alert for more information pertaining to the PPACA.

 

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