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        <title>Medicare Program; Prospective Payment System for Long-Term Care Hospitals: Implementation and FY 2003 Rates</title>
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    <abstract>This final rule establishes a prospective payment system for Medicare payment of inpatient hospital services furnished by long-term care hospitals (LTCHs) described in section 1886(d)(1)(B)(iv) of the Social Security Act (the Act). This final rule implements section 123 of the Medicare, Medicaid, and SCHIP [State Children's Health Insurance Program] Balanced Budget Refinement Act of 1999 (BBRA) and section 307(b) of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA). Section 123 of the BBRA directs the Secretary to develop and implement a prospective payment system for LTCHs. The prospective payment system described in this final rule replaces the reasonable cost-based payment system under which LTCHs are currently paid.</abstract>
    <identifier type="FR citation">67 FR 55954</identifier>
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        <topic>Administrative Practice and Procedure</topic>
        <topic>Health Facilities</topic>
        <topic>Medicare</topic>
        <topic>Puerto Rico</topic>
        <topic>Reporting and Recordkeeping Requirements</topic>
        <topic>Kidney Diseases</topic>
        <topic>Health Care</topic>
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        <summary>This final rule establishes a prospective payment system for Medicare payment of inpatient hospital services furnished by long-term care hospitals (LTCHs) described in section 1886(d)(1)(B)(iv) of the Social Security Act (the Act). This final rule implements section 123 of the Medicare, Medicaid, and SCHIP [State Children's Health Insurance Program] Balanced Budget Refinement Act of 1999 (BBRA) and section 307(b) of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA). Section 123 of the BBRA directs the Secretary to develop and implement a prospective payment system for LTCHs. The prospective payment system described in this final rule replaces the reasonable cost-based payment system under which LTCHs are currently paid.</summary>
        <dates>The provisions of this final rule are effective on October 1, 2002.</dates>
        <contact>Tzvi Hefter, (410) 786-4487 (General information) Judy Richter, (410) 786-2590 (General information, transition payments, payment adjustments, and onsite discharges and readmissions) Michele Hudson, (410) 786-5490 (Calculation of the payment rates, relative weights and case-mix index, update factors, and payment adjustments) Tiffany Eggers, (410) 786-0400 (Short-stay outliers, interrupted stays) Ann Fagan, (410) 786-5662 (Patient classification system) Miechal Lefkowitz, (410) 786-5316 (High-cost outliers, capital payments, budget neutrality, market basket, and data sources) Linda McKenna, (410) 786-4537 (Payment adjustments and transition period)</contact>
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