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This Interactive Cost Outlier Tool is provided to assist you in determining the proper billing of your inpatient prospective payment (IPPS) outlier claims.

This form is used by Medicare Part A providers for accelerated payments.

Please review this article from the durable medical equipment Medicare administrative contractors (DME MACs) about ordering nebulizers and inhalation medication for your Medicare patients.

This form is used by Medicare Part A providers who change the default or other contact who receives their interim rate, tentative settlement, NPR & NOC-PR determinations.

Avoid negative impacts to your claims by providing medical records with your initial claim submission for the other codes provided in this spreadsheet. Please consult the list frequently as it may be updated quarterly.

View this HRSA COVID-19 attestation.

Avoid negative impacts to your claims by providing medical records with your initial claim submission for the pathology and laboratory codes provided in this spreadsheet. Please consult the list frequently as it may be updated quarterly.…

The preliminary 2026 portable X-ray transportation payment rates have been posted for notice. Comments will be accepted through October 30, 2025.