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amount ($10,000) and the outlier payment amount ($29,540). IPPS Outlier Payment Policy Changes In the 2003 IPPS Final Rule, CMS made changes to its outlier payment
Because you will receive the full MS-LTC-DRG payment, the patient is not liable until the first day the stay qualifies as a high cost outlier. Note: Medicare provides 90 covered benefit days for an episode of care under the inpatient hospital benefit.