Page:United States Statutes at Large Volume 100 Part 3.djvu/173

 PUBLIC LAW 99-509—OCT. 21, 1986 Sec. Sec. Sec. Sec. Sec. Sec.

100 STAT. 1981

9313. 9314. 9315. 9316. 9317. 9318.

Provisions relating to improvement of quality of care. Direct costs of graduate medical education. Payments for home health services. Establishment of patient outcome assessment research program. Improvements in civil monetary penalty and exclusion provisions. Hospital protocols for organ procurement and standards for organ procurement agencies. Sec. 9319. Medicare as secondary payer; coverage requirements for certain other payers. Sec. 9320. Payment for services of certified registered nurse anesthetists. Sec. 9321. Technical amendments and miscellaneous provisions relating to parts A andB. PART 3—PROVISIONS RELATING TO MEDICARE PART B

Sec. Sec. Sec. Sec. Sec.

9331. 9332. 9333. 9334. 9335.

Sec. Sec. Sec. Sec. Sec. Sec. Sec. Sec. Sec.

9336. 9337. 9338. 9339. 9340. 9341. 9342. 9343. 9344.

Payment for physicians' services. ,:,•>. Incentives for physician participation. ^• Limits on reasonable charges. Payment for cataract surgical procedures. Payment rates for renal services and improvements in administration of end stage renal disease networks and program. Vision care. Occupational therapy services. Services of a physician assistant. Payment for clinical diagnostic laboratory tests. Payment for parenteral and enteral nutrition supplies and equipment. Changing medicare appeal rights. Alzheimer's disease demonstration projects. Payments for ambulatory surgery. Technical amendments and miscellaneous provisions relating to part B.

PART 4—IMPROVED REVIEW OF QUAUTY BY PEER REVIEW ORGANIZATIONS

Sec. 9351. PRO review of hospital denial notices. Sec. 9352. PRO review of inpatient hospital services and early readmission cases. Sec. 9353. PRO review of quality of care.

PART l—PROVISIONS RELATING TO MEDICARE PART A ONLY SEC. 9301. CHANGES IN INPATIENT HOSPITAL DEDUCTIBLE.

(a) IN GENERAL.—Section 1813(b) of the Social Security Act (42 U.S.C. 1395e(b)) is amended to read as follows: "(b)(1) The inpatient hospital deductible for 1987 shall be $520. The inpatient hospital deductible for any succeeding year shall be an amount equal to the inpatient hospital deductible for the precede ing calendar year, changed by the applicable percentage increase (as defined in section 1886(b)(3)(B)) which is applied under section Ante, p. 153. 1886(d)(3)(A) for discharges in the fiscal year that begins on Octo- Post, p. 1983. ber 1 of such preceding calendar year, and adjusted to reflect changes in real case mix (determined on the basis of the most recent case mix data available). Any amount determined under the preceding sentence which is not a multiple of $4 shall be rounded to the nearest multiple of $4 (or, if it is midway between two multiples of $4, to the next higher multiple of $4). "(2) The Secretary shall promulgate the inpatient hospital deductible and all coinsurance amounts under this section between September 1 and September 15 of the year preceding the year to which they will apply. ' ' "(3) The inpatient hospital deductible for a year shall apply to— "(A) the deduction under the first sentence of subsection (a)(D '* for the year in which the first day of inpatient hospital services occurs in a spell of illness, and

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