evekhm/cms_iom_500 huggingface dataset:
(Medicare Claims Processing Manual)
10.7 -  Outliers  10.7.1 -  Outlier Adjustments  10.7.2 -  Outlier Reconciliation  10.7.2.1 -  Identifying Hospitals and CMHCs Subject to Outlier Reconciliation  10.7.2.2 -  Reconciling Outlier Payments for Hospitals and CMHCs  10.7.2.3 -  Time Value of Money  10.7.2.4 -  Procedures for Medicare Contractors to Perform and Record Outlier Reconciliation Adjustments  10.8 -  Geographic Adjustments  10.8.1 -  Wage Index Changes  10.9 -  Updates  10.10 -  Biweekly Interim Payments for Certain Hospital Outpatient Items and Services That Are Paid on a Cost Basis, and Direct Medical Education Payments, Not Included in the Hospital Outpatient Prospective Payment System (OPPS)  10.11 -  Calculation of Overall Cost to Charge Ratios (CCRs) for Hospitals Paid Under the Outpatient Prospective Payment System (OPPS) and Community Mental Health Centers (CMHCs) Paid Under the Hospital OPPS  10.11.1 -  Requirement to Calculate CCRs for Hospitals Paid Under OPPS and for CMHCs  10.11.2 -  Circumstances in Which CCRs are Used  10.11.3 -  Selection of the CCR to be Used 10.11.3.1 -  CMS Specification of Alternative CCR  10.11.3.2 -  Hospital or CMHC Request for Use of a Different CCR  10.11.3.3 -  Notification to Hospitals Paid Under the OPPS of a Change in the CCR  10.11.4 -  Use of CCRs in Mergers, Acquisitions, Other Ownership Changes , or Errors Related to CCRs  10.11.5 -  New Providers and Providers with Cost Report Periods Less Than a Full Year  10.11.6 -  Substitution of Statewide CCRs for Extreme OPPS Hospital Specific CCRs  10.11.7 -  Methodology for Calculation of Hospital Overall CCR for Hospitals that Do Not Have Nursing and Paramedical Education Programs  for Cost Reporting Periods Beginning Before  May 1, 2010, Under Cost Report Form 2552- 96 10.11.7.1 -  Methodology for Calculation of Hospital Overall CCR for Hospitals That Do Not Have Nursing and Paramedical Education Programs for Cost Reporting Periods Beginning On or After May 1, 2010, Under Cost Report 2552- 10 10.11.8 -  Methodology for Calculation of Hospital Overall CCR for Hospitals That Have Nursing and Paramedical Education Programs  for Cost Reporting
(Medicare Claims Processing Manual)
Education Programs for Cost Reporting Periods Beginning On or After May 1, 2010, Under Cost Report 2552- 10 10.11.8 -  Methodology for Calculation of Hospital Overall CCR for Hospitals That Have Nursing and Paramedical Education Programs  for Cost Reporting Periods Beginning Before May  1, 2010, Under Cost Report Form 2552- 96 10.11.8.1 -  Methodology for Calculation of Hospital Overall CCR for Hospitals That Have Nursing and Paramedical Education Programs for Cost Reporting Periods Beginning On or After May 1, 2010, Under Cost Report 2552- 10 10.11.9 -  Methodology for Calculation of CCR for CMHCs  10.11.10 -  Location of Statewide CCRs, Tolerances for Use of Statewide CCRs in Lieu of Calculated CCRs and Cost Centers to be Used in the Calculation of CCRs  10.11.11 -  Reporting of CCRs for Hospitals Paid Under OPPS and for CMHCs  10.12 -  Payment Window for Outpatient Services Treated as Inpatient Services  20 - Reporting Hospital Outpatient Services Using Healthcare Common Procedure Coding System (HCPCS)  20.1 -  General  20.1.1 -  Elimination of the 90 -day Grace Period for HCPCS (Level I and Level II)  20.2 -  Applicability of OPPS to Specific HCPCS Codes  20.3 -  Line Item Dates of Service  20.4 -  Reporting of Service Units  20.5 -  Clarification of HCPCS Code to Revenue Code Reporting 20.6 -  Use of Modifiers  20.6.1 -  Where to Report Modifiers on the Hospital Part B Claim  20.6.2 -  Modifiers - 50 20.6.3 -  Modifiers - LT and -RT 20.6.4 -  Modifiers 73 and 74 20.6.5 -  Modifiers 76 and 77 20.6.6 -  Modifiers for Radiology Services  20.6.7 -  Modifier  CA 20.6.8 -  HCPCS Level II Modifiers  20.6.9 -  Modifier  FB 20.6.10 - Modifier FC  20.6.11 -  Modifier PO  20.6.12 - Modifier PN   20.6.13 -  Modifier CT  20.6.14 -  Modifier FX  20.6.15 -  Modifier FY  20.6.16-  Modifier JG  20.6.17-  Modifier TB  20.6.18-  Modifier ER
(Medicare Claims Processing Manual)
Modifier CT  20.6.14 -  Modifier FX  20.6.15 -  Modifier FY  20.6.16-  Modifier JG  20.6.17-  Modifier TB  20.6.18-  Modifier ER  20.6.19 -  Modifier CG  20.7 -  Billing of C HCPCS Codes by Non- OPPS Providers  30 - OPPS Coinsurance  30.1 -  Coinsurance Election 30.2 -  Calculating the Medicare Payment Amount and Coinsurance  40 - Outpatient Code Editors (OCEs)  40.1 -  Integrated OCE (July 2007 and Later)  40.1.1 -  Patient Status Code and Reason for Patient Visit for the Hospital OPPS  40.2 -  Outpatient Prospective Payment System (OPPS) OCE (Prior to July 1, 2007)  40.2.1 -  Patient Status Code and Reason for Patient Visit for the Hospital OPPS  40.3 -  Non -OPPS OCE (Rejected Items and Processing Requirements) Prior to July 1, 2007 40.4 -  Paying Claims Outside of the IOCE  40.4.1 -  Requesting to Pay Claims Without IOCE Approval  40.4.2 -  Procedures for Paying Claims Without Passing through the IOCE  40.5 -  Transitional Pass -  Throughs for Designated Drugs or Biologicals
(Medicare Claims Processing Manual)
50 - Outpatient PRICER  50.1 -  Outpatient Provider Specific File  50.2 -  Deductible Application  50.3 -  Transitional Pass -Through Payments for Designated Devices  50.4 -  Changes to Pricer Logic Effective April 1, 2002 50.5 -  Changes to the OPPS Pricer Logic Effective January 1, 2003  50.6 -  Changes to the OPPS Pricer Logic Effective January 1, 2003 Through  January 1, 2006  50.7-  Annual Updates to the OPPS Pricer for Calendar Year (CY) 2007 and Later  50.8 -  Annual Updates to the OPPS Pricer for Calendar Year (CY) 2007 and Later  60 - Billing for Devices Eligible for Transitional Pass -Through Payments and Items Classified in New Technology APCs  60.1 -  Categories for Use in Coding Devices Eligible for Transitional Pass -Through Payments Under the Hospital OPPS  60.2 -  Roles of Hospitals, Manufacturers, and CMS in Billing for Transitional Pass-Through Items  60.3 -  Devices Eligible for Transitional Pass -Through Payments  60.4 -   General Coding and Billing Instructions and Explanations                                     60.4.1 -  Explanations of Terms  60.4.2 -  Complete List of Device Pass -through Category Codes  60.4.3. -  Explanations of Certain Terms/Definitions Related to Device Pass -Through Category Codes  60.5 -  Services Eligible for New Technology APC Assignment and Payments  61 - Billing for Devices under the OPPS  61.1 -  Requirements that Hospitals Report Device Codes on Claims on Which They Report Specified Procedures  61.2 -  Edits for Claims on Which Specified Procedures are to be Reported With Device Codes and For Which Specified Devices are to be Reported With Procedure Codes  61.2.1  Bypass Edit Modifier CG for Claims on Which Specified Procedures are to be Reported With Device Codes                          61.2.2  Edit for Level 6 Intraocular Procedures APC
(Medicare Claims Processing Manual)
61.2.2  Edit for Level 6 Intraocular Procedures APC 61.3 -  Billing for Devices Furnished Without Cost to an OPPS Hospital or Beneficiary or for Which the Hospital Receives a Full or Partial Credit and Payment for OPPS Services Required to Furnish the Device  61.3.1 -  Reporting and Charging Requirements When a Device is Furnished Without Cost to the Hospital  Prior to January 1, 2014  61.3.2 -  Reporting and Charging Requirements When the Hospital Receives Full Credit for the Replaced Device against the Cost of a More Expensive Replacement Device Prior to January 1, 2014 61.3.3 -  Reporting Requirements When the Hospital Receives Partial Credit for the Replaced Device Prior to January 1, 2014 61.3.4 -  Medicare Payment Adjustment  Prior to January 1, 2014  61.3.5 -  Reporting and Charging Requirements When a Device is Furnished Without Cost to the Hospital or When the Hospital Receives a Full or Partial Credit for the Replacement Device Beginning January 1, 2014 61.3.6 -  Medicare Payment Adjustment Beginning January 1, 2014  61.4 -  Billing and Payment for Brachytherapy Sources  61.4.1 -  Billing for Brachytherapy Sources -  General  61.4.2 -  Definition of Brachytherapy Source for Separate Payment  61.4.3 -  Billing of Brachytherapy Sources Ordered for a Specific Patient  61.4.4 -  Billing for Brachytherapy Source Supervision, Handling and Loading Costs  61.4.5 -  Payment for New Brachytherapy Sources  61.5 -  Billing for Intracoronary Stent Placement  70 - Transitional Corridor Payments  70.1 -  TOPs Calculation for CY 2000 and CY 2001 70.2 -  TOPs Calculation for CY 2002
(Medicare Claims Processing Manual)
70.3 -  TOPs Calculation for CY 2003  70.4 -  TOPs Calculation for CY 2004 and CY 2005  70.5 -  TOPs Calculation for CY 2006 -  CY 2008  70.6 -  Transitional Outpatient Payments (TOPs) for CY 2009 70.7 -  Transitional Outpatient Payments (TOPs) for CY 2010 through CY 2012 70.8 -  TOPs Overpayments  80 - Shared system Requirements to Incorporate Provider -Specific Payment -to-Cost Ratios into the Calculation of Interim Transitional Outpatient Payments Under OPPS  80.1 -  Background -  Payment -to-Cost Ratios  80.2 -  Using the Newly Calculated PCR for Determining Final TOP Amounts  80.3 -  Using the Newly Calculated PCR for Determining Interim TOPs  90 - Discontinuation of Value Code 05 Reporting 100 -  Medicare Summary Notice (MSN)  110 -  Procedures for Submitting Late Charges Under OPPS  120 -  General Rules for Reporting Outpatient Hospital Services  120.1 -  Bill Types Subject to OPPS  120.2 -  Routing of Claims  140 -  All-Inclusive Rate Hospitals  141 -  Maryland Waiver Hospitals  150 -  Hospitals That Do Not Provide Outpatient Services  160 -  Clinic and Emergency Visits  160.1- Critical Care Services  170 -  Hospital and CMHC Reporting Requirements for Services Performed on the Same Day 180 -  Accurate Reporting of Surgical and Medical Procedures  and Services  180.1 -  General Rules  180.2 -  Selecting and Reporting Procedure Codes  180.3 -  Unlisted Service or Procedure  180.4 -  Proper Reporting of Condition Code G0 (Zero)  180.5 -  Proper Reporting of Condition Codes 20 and 21 180.6 -  Emergency Room (ER) Services That Span Multiple Service Dates  180.7 -  Inpatient -only Services  190  Payer Only Codes Utilized by Medicare  200 -  Special Services for OPPS Billing  200.1 -  Billing for Corneal Tissue  200.2 -  Hospital Dialysis Services For Patients with and without End Stage Renal Disease (ESRD)  200.3 -  Billing Codes for Intensity Modulated Radiation Therapy (IMRT) and Stereotactic Radiosurgery (SRS)  200.3.1 -  Billing Instructions for IMRT Planning and Delivery  200.3.2 -  Billing for Multi- Source Photon (Cobalt 60- Based) Stereotactic Radiosurgery (SRS) Planning and Delivery  200.4 -  Billing for Amniotic Membrane  200.5 -  Reserved  200.6 -  Billing and Payment for Alcohol and/or Substance Abuse Assessment and Intervention Services  200.7 -  Billing for Cardiac Echocardiography Services
(Medicare Claims Processing Manual)
Planning and Delivery  200.4 -  Billing for Amniotic Membrane  200.5 -  Reserved  200.6 -  Billing and Payment for Alcohol and/or Substance Abuse Assessment and Intervention Services  200.7 -  Billing for Cardiac Echocardiography Services  200.7.1 -  Cardiac Echocardiography Without Contrast  200.7.2 -  Cardiac Echocardiography With Contrast  200.8 -  Billing for Nuclear Medicine Procedures  200.9 -  Billing for Sometimes Therapy Services that May be Paid as Non -Therapy Services for Hospital Outpatients  200.10 -  Billing for Cost Based Payment for Certified Registered Nurse Anesthetists (CRNA) Services Furnished by Outpatient Prospective Payment System (OPPS) Hospitals  200.11  Billing Advance Care Planning (ACP)  230 -  Billing and Payment for Drugs and Drug Administration  230.1 -  Coding and Payment for Drugs and Biologicals  and Radiopharmaceuticals  230.2 -  Coding and Payment for Drug Administration 231 -  Billing and Payment for Blood, Blood Products, and Stem Cells and Related Services Under the Hospital Outpatient Prospective Payment System (OPPS)  231.1 -  When a Provider Paid Under the OPPS Does Not Purchase the Blood or Blood Products That It Procures from a Community Blood Bank, or When a Provider Paid Under the OPPS Does Not Assess a Charge for Blood or Blood Products Supplied by the Providers O wn Blood Bank Other Than Blood Processing and Storage  231.2 -  When a Provider Paid Under the OPPS Purchases Blood or Blood Products from a Community Blood Bank or When a Provider Paid Under the OPPS Assesses a Charge for Blood or Blood Products Collected By Its Own Blood Bank That Reflects More Than Blood Processing and Storage  231.3 -  Billing for Autologous Blood (Including Salvaged Blood) and Directed Donor Blood 231.4 -  Billing for Split Unit of Blood  231.5 -  Billing for Irradiation of Blood Products  231.6 -  Billing for Frozen and Thawed Blood and Blood Products  231.7 -  Billing for Unused Blood 231.8 -  Billing for Transfusion Services  231.9 -  Billing for Pheresis and Apheresis Services  231.10 -  Billing for Autologous Stem Cell Transplants  231.11 -  Billing for Allogeneic Stem Cell Transplants  231.12 -  Correct Coding Initiative (CCI) Edits  240 -  Inpatient Part B Hospital Services  240.1 -  Editing of Hospital Part B Inpatient Services : Reasonable and Necessary Part A Hospital Inpatient Denials
(Medicare Claims Processing Manual)
Stem Cell Transplants  231.12 -  Correct Coding Initiative (CCI) Edits  240 -  Inpatient Part B Hospital Services  240.1 -  Editing of Hospital Part B Inpatient Services : Reasonable and Necessary Part A Hospital Inpatient Denials  240.2 -  Editing Of Hospital Part B Inpatient Services: Other Circumstances in Which Payment Cannot Be Made under Part A  240.3 -  Implantable Prosthetic Devices  240.4 -  Indian Health Service/Tribal Hospital Inpatient Social Admits  240.5 -  Payment of Part B Services in the Payment Window for Outpatient Services Treated as Inpatient Services when Part A Payment Cannot Be Made  240.6 -  Submitting Provider -Liable No -Pay Part A Claims and Beneficiary Liability  250 -  Special Rules for Critical Access Hospital Outpatient Billing  250.1 -  Standard Method -  Cost -Based Facility Services, With Billing of A/B MAC (B) for Professional Services  250.1.1 -  Special Instructions for Non- covered Time Increments in Standard Method Critical Access Hospitals (CAHs)  250.2 -  Optional Method for Outpatient Services: Cost -Based Facility Services Plus 115 percent Fee Schedule Payment for Professional Services  250.2.1 -  Billing and Payment in a Physician Scarcity Area (PSA)  250.2.2 -  Zip Code Files  250.3 -  Payment for Anesthesia in a Critical Access Hospital 250.3.1 -  Anesthesia File  250.3.2 -  Physician Rendering Anesthesia in a Hospital Outpatient Setting  250.3.3 -  Anesthesia and CRNA Services in a Critical Access Hospital (CAH)  250.3.3.1 -  Payment for CRNA Pass -Through Services  250.3.3.2 -  Payment for Anesthesia Services by a CRNA (Method II CAH only)  250.4 -  CAH Outpatient Services Part B Deductible and Coinsurance  250.5 -  Medicare Payment for Ambulance Services Furnished by Certain CAHs  250.6 -  Clinical Diagnostic Laboratory Tests Furnished by CAHs  250.7 -  Payment for Outpatient Services Furnished by an Indian Health Service (IHS) or Tribal CAH  250.8 -  Coding for Administering Drugs in a Method II CAH  250.8.1 -  Coding for Low Osmolar Contrast Material (LOCM)  250.8.2 -  Coding for the Administration of Other Drugs and Biologicals  250.9 -  Coding Assistant at Surgery Services Rendered in a Method II CAH  250.9.1 -
(Medicare Claims Processing Manual)
Coding for Low Osmolar Contrast Material (LOCM)  250.8.2 -  Coding for the Administration of Other Drugs and Biologicals  250.9 -  Coding Assistant at Surgery Services Rendered in a Method II CAH  250.9.1 -  Use of Payment Policy Indicators for Determining Procedures Eligible for Payment of Assistants at Surgery  250.9.2 -  Payment of Assistant at Surgery Services Rendered in a Method II CAH  250.9.3 -  Assistant at Surgery Medicare Summary Notice (MSN) and Remittance Advice (RA) Messages  250.9.4 -  Assistant at Surgery Services in a Method II CAH Teaching Hospital  250.9.5 -  Review of Supporting Documentation for Assistants at Surgery Services in a Method II CAH  250.10 -  Coding Co- surgeon Services Rendered in a Method II CAH  250.10.1 -  Use of Payment Policy Indicators for Determining Procedures Eligible for Payment of Co- surgeons  250.10.2 -  Payment of Co- surgeon Services Rendered in a Method II CAH  250.10.3 -  Co-surgeon Medicare Summary Notice (MSN) and Remittance Advice (RA) Messages  250.10.4 -  Review of Supporting Documentation for Co- surgeon Services in a Method II CAH  250.11 -  Coding Bilateral Procedures Performed in a Method II CAH  250.11.1 -  Use of Payment Policy Indicators for Determining Bilateral Procedures Eligible for 150 Percent Payment Adjustment  250.11.2 -  Payment of Bilateral Procedures Rendered in a Method II CAH  250.12 -  Primary Care Incentive Payment Program (PCIP) Payments to Critical Access Hospitals (CAHs) Paid Under the Optional Method 250.12.1 -  Definition of Primary Care Practitioners and Primary Care Services  250.12.2 -  Identifying Services Eligible for the PCIP  250.12.3 -  Coordination with Other Payments  250.12.4 -  Claims Processing and Payment for CAHs Paid Under the Optional Method 250.13 -  Health Professional Shortage Areas (HPSA) Surgical Incentive Payment Program (HSIP) for Surgical Services Rendered in Critical Access Hospitals (CAHs) Paid under the Optional Method 250.13.1 Overview of the HSIP  250.13.2  - HPSA Identification  250.13.3 -  Coordination with Other Payments  250.13.4 -  General Surgeon and Surgical Procedure Identification for Professional Services Paid under the Physician Fee Schedule (PFS)  250.13.5 -  Claims Processing and Payment  250.14 -  Payment of Licensed Clinical Social Workers
(Medicare Claims Processing Manual)
-  Coordination with Other Payments  250.13.4 -  General Surgeon and Surgical Procedure Identification for Professional Services Paid under the Physician Fee Schedule (PFS)  250.13.5 -  Claims Processing and Payment  250.14 -  Payment of Licensed Clinical Social Workers (LCSWs), Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs)  in a Method II CAH 250.15 -  Coding and Payment of Multiple Surgeries Performed in a Method II CAH 250.16 -  Multiple Procedure Payment Reduction (MPPR) on Certain Diagnostic Imaging Procedures Rendered by Physicians  250.17 -  Payment of Global Surgical Split Care in a Method II CAH Submitted with Modifier 54 and/or 55 260 -  Outpatient Partial Hospitalization Services  260.1 -  Special Partial Hospitalization Billing Requirements for Hospitals, Community Mental Health Centers, and Critical Access Hospitals  260.1.1 -  Bill Review for Partial Hospitalization Services Received in Community Mental Health Centers (CMHC)  260.2 -  Professional Services Related to Partial Hospitalization  260.3 -  Outpatient Mental Health Treatment Limitation for Partial Hospitalization Services  260.4 -  Reporting Service Units for Partial Hospitalization  260.5 -  Line Item Date of Service Reporting for Partial Hospitalization  260.6 -  Payment for Partial Hospitalization Services                                                          261 -  Intensive Outpatient Program Services  261.1 -  Special Intensive Outpatient Program Billing Requirements for Hospitals, Community Mental Health Centers, and Critical Access Hospitals  261.1.1 -  Bill Review for Intensive Outpatient Program Services Received in Community Mental Health Centers (CMHC)  261.2 -  Professional Services Related to Intensive Outpatient Program  261.3 -  Outpatient Mental Health Treatment Limitation for Intensive Outpatient Program Services  261.4 -  Reporting Service Units for Intensive Outpatient Program  261.5 -  Line Item Date of Service Reporting for Intensive Outpatient Program  261.6 -  Payment for Intensive Outpatient Program Services
(Medicare Claims Processing Manual)
270 -  Billing for Hospital Outpatient Services Furnished by Clinical Social Workers (CSW)  270.1 -  Fee Schedule to be Used for Payment for CSW Services  270.2 -  Outpatient Mental Health Payment Limitation for CSW Services  270.3 -  Coinsurance and Deductible for CSW Services  280 -  Hospital -Based Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Billing for Non RHC/FQHC Services  290 -  Outpatient Observation Services  290.1 -  Observation Services Overview  290.2 -  General Billing Requirements for Observation Services  290.2.1 -  Revenue Code Reporting 290.2.2 -  Reporting Hours of Observation  290.4 -  Billing and Payment for Observation Services Furnished Between January 1, 2006 and December 31, 2007 290.4.1 -  Billing and Payment for All Hospital Observation Services Furnished Between January 1, 2006 and December 31, 2007  290.4.2 -  Separate and Packaged Payment for Direct Referral for Observation Services Furnished Between January 1, 2006 and December 31, 2007 290.4.3 -  Separate and Packaged Payment for Observation Services Furnished Between January 1, 2006 and December 31, 2007  290.5 -  Billing and Payment for Observation Services Furnished on or After January 1, 2008  290.5.1 -  Billing and Payment for Observation Services Furnished Between January 1, 2008 and December 31, 2015  290.5.2 -  Billing and Payment for Direct Referral for Observation Care Furnished Beginning January 1, 2008  290.5.3 -  Billing and Payment for Observation Services Furnished Beginning January 1, 2016 290.6 -  Services Not Covered as Observation Services  300 -  Medical Nutrition Therapy (MNT) Services  300.1 -  General Conditions and Limitations on Coverage  300.2 -  Referrals for MNT Services  300.3 -  Dietitians and Nutritionists Performing MNT Services  300.4 -  Payment for MNT Services  300.5 -  General Claims Processing Information
(Medicare Claims Processing Manual)
300.5.1 -  Rural Health Centers (RHCs)/Federally Qualified Health Centers (FQHCs) Special Billing Instructions  300.6 -  Common Working File (CWF) Edits  310 -  Lung Volume Reduction Surgery  320 -  Outpatient Intravenous Insulin Treatment (OIVIT)  320.1 -  HCPCS Coding for OIVIT  320.2 -  Medicare Summary Notices (MSN), Reason Codes, and Remark Codes  10 - Hospital Outpatient Prospective Payment System (OPPS)  (Rev. 1, 10- 03-03) A-01-93  10.1 - Background  (Rev. 12423; Issued: 12- 20-23; Effective: 01 -01-24; Implementation: 01 -02-24)    Section  1833(t)  of the Social Security Act (the Act) as amended by 4533 of the  Balanced Budget Act (BBA) of 1997, authorizes CMS to implement a Medicare PPS for:    Hospital outpatient services, including partial hospitalization and intensive outpatient services;     Certain Part B services furnished to hospital inpatients who have no Part A coverage;     Partial hospitalization and intensive outpatient services furnished by CMHCs;     Hepatitis B vaccines and their administration, splints, cast, and antigens provided by HHAs that provide medical and other health services;     Hepatitis B vaccines and their administration provided by CORFs; and     Splints, casts, and antigens provided to hospice patients for treatment of nonterminal illness.    The Balanced Budget Refinement Act of 1999 (BBRA) contains a number of major provisions that affect the development of the OPPS.  These are:     Establish payments under OPPS in a budget neutral manner based on estimates of amounts payable in 1999 from the Part B Trust Fund and as beneficiary coinsurance under the system in effect prior to OPPS (Although the base rates were calculated using the 1999 amounts, these amounts are increased by the hospital inpatient market basket, minus one percent, to arrive at the amounts payable in the year 2000.  See 10.3 for Benefits and Improvement Protection Act (BIPA) changes in market basket updates.);     Extend the 5.8 percent reduction in operating costs and 10 percent reduction in capital costs (which had been due to sunset on December 31, 1999) through the first date the OPPS is implemented;