The nationwide prevailing charge level referred to in paragraph of this section is the level that doesn’t exceed the amount equivalent to the 80th percentile of billed expenses made for related services through the base period. The 80th percentile of charges shall be decided on the basis of statistical data and methodology acceptable to the Director, OCHAMPUS . Changes in Federal Law affecting Medicare. For inpatient respite care, the cost-share for each respite care day is the identical as 5 p.c of the quantity CHAMPUS has estimated to be the price of respite care, after adjusting the nationwide price for native wage differences. Total reimbursement obtained and receivable for basic inpatient care and inpatient respite care furnished to CHAMPUS beneficiaries in the course of the cap period. Total reimbursement received and receivable for companies furnished CHAMPUS beneficiaries through the cap interval, including doctor’s services not of an administrative or general supervisory nature.
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