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[5] [10] [11] The Supreme Court declined invitations to reconsider or overrule the enrolled bill rule. [12] [13] The difference between the two versions is the provision regarding the length of time that Medicare would be required to pay for durable medical equipment such as wheelchairs and oxygen equipment like CPAP machines.
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CMS sets fee schedules for medical services through Prospective Payment Systems (PPS) for inpatient care, outpatient care, and other services. [34] As the largest single purchaser of medical services in the U.S., Medicare's fixed pricing schedules have a significant impact on the market.
Chargemasters include thousands of hospital services, medical procedures, equipment fees, drugs, supplies, and diagnostic evaluations such as imaging and blood tests. [6] Each item in the chargemaster is assigned a unique identifier code and a set price that are used to generate patient bills. [6]
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