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Outpatient PPS Final Rule Describes Criteria For "Pass-Through" Eligibility

This article was originally published in The Gray Sheet

Executive Summary

Certain new technologies are not eligible for the "pass-through" provisions of the hospital outpatient prospective payment system if the cost to obtain the product is not "large enough relative to the fee schedule amount" to deter hospital purchases, the final rule implementing the outpatient PPS states.

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