C.F.R. » Title 42 » CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES › SUBCHAPTER B—MEDICARE PROGRAM › PART 412—PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES › Subpart P—Prospective Payment for Inpatient Rehabilitation Hospitals and Rehabilitation Units

42 C.F.R. § 412.630

Limitation on review

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Administrative or judicial review under sections 1869 or 1878 of the Act, or otherwise, is prohibited with regard to the establishment of the methodology to classify a patient into the case-mix groups and the associated weighting factors, the Federal per discharge payment rates, additional payments for outliers and special payments, and the area wage index.

[78 FR 47934, Aug. 6, 2013]
Notes of Decisions
Cited in 1 case, 2016–2016 · leading case: Mercy Hosp., Inc. v. Burwell (D.D.C. 2016).
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Mercy Hosp., Inc. v. Burwell (D.D.C. 2016). “at 41,393 (emphasis added) (codified at 42 C.F.R. § 412.630 (2002)). Only in 2013 did the Secretary delete the word “unadjusted” from its regulation describing the limitation on review and adopt its current view.”
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