10A N.C. Admin. Code 22R .0104 - ELIGIBLE OUTPATIENT COSTS
(a) An eligible
hospital's eligible outpatient costs for uninsured patients will be determined
by multiplying the hospital's outpatient cost-to-charge ratio in Rule
.0103(3)(c) of this Section by the hospital's outpatient charges for uninsured
patients from Rule .0103(3)(b) of this Section.
(b) From the product calculated in Paragraph
(a) of this Rule, the Department will then subtract payments that the hospital
received from uninsured patients for outpatient services from Rule .0103(3)(b)
of this Section.
(c) The Department
will bring the uncompensated care cost data forward to the end of the payment
period by applying the applicable Centers for Medicare and Medicaid Services'
Prospective Payment System Hospital Input Price Indices, which are incorporated
by reference, including subsequent amendments and editions and available at no
cost at
https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MedicareProgramRatesStats/MarketBasketData.
Notes
Temporary Adoption Eff. December 29, 2021;
Eff. August 1, 2022.
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