us/statute/42/1395l/t/12/B

(A)#

the development of the classification system under paragraph (2), including the establishment of groups and relative payment weights for covered OPD services, of wage adjustment factors, other adjustments, and methods described in paragraph (2)(F);

(B)#

the calculation of base amounts under paragraph (3);

(C)#

periodic adjustments made under paragraph (6);

(D)#

the establishment of a separate conversion factor under paragraph (8)(B); and

(E)#

the determination of the fixed multiple, or a fixed dollar cutoff amount, the marginal cost of care, or applicable percentage under paragraph (5) or the determination of insignificance of cost, the duration of the additional payments, the determination and deletion of initial and new categories (consistent with subparagraphs (B) and (C) of paragraph (6)), the portion of the medicare OPD fee schedule amount associated with particular devices, drugs, or biologicals, and the application of any pro rata reduction under paragraph (6).

Limitation on review

(A)#

(B)#

(C)#

(D)#

(E)#

Limitation on review

(A)#

(B)#

(C)#

(D)#

(E)#