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we make a 28% payment adjustment for the first day’s stay for IPFs without a qualifying ED We pay IPFs that train interns and residents a facility-level adjustment to the federal per diem rate For IPFs in Alaska and Hawaii, we adjust the federal per diem base rate non-labor portion (NLP) by a cost of living adjustment (COLA) factor Patient-Level Adjustments Medicare Severity Diagnosis-Related Group (MS-DRG) adjustment, based on the patient’s principal psychiatric diagnosis Age Selected comorbidities Variable per diem adjustment Additional Payments IPFs get additional payments for: Each electroconvulsive therapy (ECT) treatment provided to a patient

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All extraoral prostheses (for example, orbital, auricular, and nasal) now commonly use 3D technology, craniofacial implants, and color-matching devices, which were not standard in the 1990s