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[482] This is validated by an Office of the Assistant Secretary for Planning and Evaluation (ASPE) report that found that the vast majority of hospitals only have one NPI and a very small number of hospitals have multiple NPIs

We proposed to continue our outlier policy that if a CMHC's cost for PHP and IOP services exceeds 3.40 times the APC payment rate, the outlier payment would be calculated as 50 percent of the amount ( by which the cost exceeds 3.40 times the proposed APC payment rate

In addition, for CY 2024, we updated the format of the OPPS Addenda A, B, and C by adding another column for IRA Coinsurance Percentage to identify the percentage for the inflation-adjusted copayment of a Part B rebatable drug per section 1833(t)(8)(F) and section 1833(i)(9) of the Act, as added by section 11101 of the Inflation Reduction Act (IRA)