Section 127.118. RCCs—generally

Payments for services listed in § 127.117 (relating to outpatient acute care providers, specialty hospitals and other cost reimbursed providers not subject to the Medicare fee schedule) shall be based on the provider’s specific Medicare departmental RCC for the specific services or procedures performed. For treatment rendered on and before December 31, 1994, the provider’s latest audited Medicare cost report, with an NPR date preceding the date of service, shall provide the basis for the RCC.

Notation

Cross References

This section cited in 34 Pa. Code § 127.101 (relating to medical fee caps—Medicare); 34 Pa. Code § 127.107 (relating to outpatient providers subject to Medicare fee schedule—physical therapy centers and independent physical therapists).