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2010-09-23
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Medicare Program; Prospective Payment System for Long-Term Care Hospitals: Annual Payment Rate Updates and Policy Changes
Part III
Rules and Regulations
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United States
Department of Health and Human Services
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United States Government Agency or Subagency
United States
Centers for Medicare & Medicaid Services
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United States Government Agency or Subagency
This final rule establishes the annual update of the payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs). It also changes the annual period for which the rates are effective. The rates will be effective from July 1 to June 30 instead of from October 1 through September 30, establishing a ``long-term care hospital rate year'' (LTCH PPS rate year). We also change the publication schedule for these updates to allow for an effective date of July 1. The payment amounts and factors used to determine the updated Federal rates that are described in this final rule have been determined based on this revised LTCH PPS rate year. The annual update of the long-term care diagnosis-related groups (LTC-DRG) classifications and relative weights remains linked to the annual adjustments of the acute care hospital inpatient diagnosis-related group system, and will continue to be effective each October 1. The outlier threshold for July 1, 2003, through June 30, 2004, is also derived from the LTCH PPS rate year calculations. In addition, we are making an adjustment to the short-stay outlier policy for certain LTCHs and a policy change eliminating bed-number restrictions for pre-1997 LTCHs that have established satellite facilities and elect to be paid 100 percent of the Federal rate or when the LTCH is fully phased-in to 100 percent of the Federal prospective rate after the transition period.
68 FR 34122
https://www.govinfo.gov/app/details/FR-2003-06-06/03-14078
03-14078
fr06jn03-17
RIN 0938-AL92
4120-01-P
CMS-1472-F
https://www.govinfo.gov/app/details/FR-2003-06-06/03-14078
https://www.govinfo.gov/content/pkg/FR-2003-06-06/html/03-14078.htm
https://www.govinfo.gov/content/pkg/FR-2003-06-06/pdf/03-14078.pdf
Administrative Practice and Procedure
Health Facilities
Medicare
Puerto Rico
Reporting and Recordkeeping Requirements
69 p.
34122
34190
68 FR 34122
Code of Federal Regulations
Title 42 Part 412
42 CFR Part 412
Regulation Identification Number 0938-AL92
RIN 0938-AL92
Medicare Program; Prospective Payment System for Long-Term Care Hospitals: Annual Payment Rate Updates and Policy Changes; Federal Register Vol. 68, Issue
RULE
03-14078
III
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
2003-06-30
CMS-1472-F
4120-01-P
03-14078
Final rule.
This final rule establishes the annual update of the payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs). It also changes the annual period for which the rates are effective. The rates will be effective from July 1 to June 30 instead of from October 1 through September 30, establishing a ``long-term care hospital rate year'' (LTCH PPS rate year). We also change the publication schedule for these updates to allow for an effective date of July 1. The payment amounts and factors used to determine the updated Federal rates that are described in this final rule have been determined based on this revised LTCH PPS rate year. The annual update of the long-term care diagnosis-related groups (LTC-DRG) classifications and relative weights remains linked to the annual adjustments of the acute care hospital inpatient diagnosis-related group system, and will continue to be effective each October 1. The outlier threshold for July 1, 2003, through June 30, 2004, is also derived from the LTCH PPS rate year calculations. In addition, we are making an adjustment to the short-stay outlier policy for certain LTCHs and a policy change eliminating bed-number restrictions for pre-1997 LTCHs that have established satellite facilities and elect to be paid 100 percent of the Federal rate or when the LTCH is fully phased-in to 100 percent of the Federal prospective rate after the transition period.
The provisions of this final rule are effective June 30, 2003.
Tzvi Hefter, (410) 786-4487 (General information); Judy Richter, (410) 786-2590 (General information, transition payments, payment adjustments, and onsite discharges and readmissions, interrupted stays and short-stay outliers); Michele Hudson, (410) 786-5490 (Calculation of the payment rates, relative weights and case-mix index, market basket update, and payment adjustments); Ann Fagan, (410) 786-5662 (Patient classification system); Miechal Lefkowitz, (410) 786-5316 (High-cost outliers and budget neutrality); Linda McKenna, (410) 786-4537 (Payment adjustments, interrupted stay, and transition period); Kathryn McCann, (410) 786-7623 (Medigap); Robert Nakielny, (410) 786-4466 (Medicaid).
Administrative Practice and Procedure
Health Facilities
Medicare
Puerto Rico
Reporting and Recordkeeping Requirements
Medicare:
Long-term care hospitals; prospective payment system; annual payment rate updates and policy changes,
http://www.access.gpo.gov/nara/index.html
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www.cdc.gov/nchs.icd9.htm
Federal Register
Vol. 68, no. 109
Office of the Federal Register, National Archives and Records Administration
2003-06-06
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Table of Contents:
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GS 4.107:
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https://www.govinfo.gov/app/details/FR-2003-06-06
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https://www.govinfo.gov/app/details/FR-2003-06-06
https://www.govinfo.gov/content/pkg/FR-2003-06-06/pdf/FR-2003-06-06.pdf
https://www.govinfo.gov/content/pkg/FR-2003-06-06/xml/FR-2003-06-06.xml
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2010-09-23
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FR-2003-06-06
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