Attachment_17_Research_Patient_Care_Costs.pdf
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- Attached to
- Clinical Support Services for NINDS, Stroke Branch Federal contract opportunity
- Solicitation number
- 75N95024R00106
About this file
This document is an attachment titled "Research Patient Care Costs" that provides guidance on determining patient care costs for research programs under a federal contract.
The key details are:
- Patient care costs are to be computed consistent with Medicare reasonable cost principles, rather than the Diagnostic Related Group (DRG) prospective reimbursement method.
- The contractor must make every reasonable effort to obtain third-party payment for patient care costs before invoicing the government.
- Only those patient care charges not recoverable from third-party payors or patients, and consistent with the contract terms, are chargeable to the government.
This attachment appears to provide supplementary guidance relevant to a federal contract opportunity for "Clinical Support Services for the NINDS, Stroke Branch" issued by the Department of Health and Human Services, National Institutes of Health.
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Text version
RESEARCH PATIENT CARE COSTS -- NIH(RC)-11
(a) Research patient care costs are the costs of routine and ancillary services provided to patients participating in research programs described in this contract.
(b) Patient care costs shall be computed in a manner consistent with the principles and procedures used by the Medicare Program for determining the part of Medicare reimbursement based on reasonable costs. The Diagnostic Related Group (DRG) prospective reimbursement method used to determine the remaining portion of Medicare reimbursement shall not be used to determine patient care costs. Patient care rates or amounts shall be established by the Secretary of HHS or his duly authorized representative.
(c) Prior to submitting an invoice for patient care costs under this contract, the contractor must make every reasonable effort to obtain third party payment, where third party payors (including Government agencies) are authorized or are under a legal obligation to pay all or a portion of the charges incurred under this contract for patient care.
(d) The contractor must maintain adequate procedures to identify those research patients participating in this contract who are eligible for third party reimbursement.
(e) Only those charges not recoverable from third party payors or patients and which are consistent with the terms and conditions of the contract are chargeable to this contract.
NIH(RC)-11, Research Patient Care Costs Page 1 of 1 4/1/84
File details come from the government source that posted it. Updated .