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The Regulation of Outpatient Services: An Analysis of the Interaction Between HCFA and Medicare Providers

Published in JHHSA, Vol. 24 No. 1

The Federal Register is used as a historical record documenting the
interaction between the Health Care Financing Administration (HCFA)
and health care providers in the regulation of outpatient surgery services
to Medicare patients. A content analysis of the Federal Register reveals
that HBFA is more likely to accommodate requests for clarification, for
shifting services among payment levels, and for adding or deleting
services from coverage than for altering payment methods. These
findings ca be used by health care providers to develop strategies for
coping with the expansion of prospective payment to all outpatient

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