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Outlier Reconciliation and Cost-to-Charge Ratio (CCR) Updates for the Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS

The purpose of this Change Request (CR) is to add new criteria for determining which hospitals shall have their outlier payments reconciled under the IPPS and LTCH PPS. We also are crosswalking the calculation of the IPPS operating and capital CCR and the LTCH CCR from Form CMS-2552-1996 cost report to the Form 2552-2010 cost report.

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: March 28, 2024

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.