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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
1 While Medicare home health payments totaled $15.7 billion, payments under the outlier provision were $996 million, or 6.3% of expenditures. 2  This is a significant increase over the 3% level of outlier claims paid in the early years of the program (2000 through 2002.).