Subpart I. Subpart I—Adjustments to the Base Operating DRG Payment Amounts Under the Prospective Payment Systems for Inpatient Operating Costs

• § 412.150 - Basis and scope of subpart.

• Payment Adjustments Under the Hospital Readmissions Reduction Program

  • SECTION § 412.152 - Definitions for the Hospital Readmissions Reduction Program.
  • SECTION § 412.154 - Payment adjustments under the Hospital Readmissions Reduction Program.
  • SECTION §§ 412.155-412.159 - §[Reserved]

• Incentive Payments Under the Hospital Value-Based Purchasing Program

  • SECTION § 412.160 - Definitions for the Hospital Value-Based Purchasing (VBP) Program.
  • SECTION § 412.161 - Applicability of the Hospital Value-Based Purchasing (VBP) Program.
  • SECTION § 412.162 - Process for reducing the base operating DRG payment amount and applying the value-based incentive payment amount adjustment under the Hospital Value-Based Purchasing (VBP) Program.
  • SECTION § 412.163 - Process for making hospital-specific performance information under the Hospital Value-Based Purchasing (VBP) Program available to the public.
  • SECTION § 412.164 - Measure selection under the Hospital Value-Based Purchasing (VBP) Program.
  • SECTION § 412.165 - Performance scoring under the Hospital Value-Based Purchasing (VBP) Program.
  • SECTION § 412.167 - Appeal under the Hospital Value-Based Purchasing (VBP) Program.
  • SECTION § 412.168 - Special rules for FY 2022 and FY 2023.
  • SECTION § 412.169 - [Reserved]

• Payment Adjustments Under the Hospital-Acquired Condition Reduction Program

  • SECTION § 412.170 - Definitions for the Hospital-Acquired Condition Reduction Program.
  • SECTION § 412.172 - Payment adjustments under the Hospital-Acquired Condition Reduction Program.
  • SECTION § 412.190 - Overall Hospital Quality Star Rating.