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Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2006 Rates
Part II
Proposed Rules
D09002ee1bde3d023
D09002ee1bde3d517
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
We are proposing to revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs to implement changes arising from our continuing experience with these systems. In addition, in the Addendum to this proposed rule, we describe the proposed changes to the amounts and factors used to determine the rates for Medicare hospital inpatient services for operating costs and capital-related costs. We also are setting forth proposed rate-of-increase limits as well as proposed policy changes for hospitals and hospital units excluded from the IPPS that are paid in full or in part on a reasonable cost basis subject to these limits. These proposed changes would be applicable to discharges occurring on or after October 1, 2005, with one exception: The proposed changes relating to submittal of hospital wage data by a campus or campuses of a multicampus hospital system (that is, the proposed changes to Sec. 412.230(d)(2) of the regulations) would be effective upon publication of the final rule. Among the policy changes that we are proposing to make are changes relating to: the classification of cases to the diagnosis-related groups (DRGs); the long-term care (LTC)-DRGs and relative weights; the wage data, including the occupational mix data, used to compute the wage index; rebasing and revision of the hospital market basket; applications for new technologies and medical services add-on payments; policies governing postacute care transfers, payments to hospitals for the direct and indirect costs of graduate medical education, submission of hospital quality data, payment adjustment for low-volume hospitals, changes in the requirements for provider-based facilities; and changes in the requirements for critical access hospitals (CAHs).
70 FR 23306
https://www.govinfo.gov/app/details/FR-2005-05-04/05-8507
05-8507
fr04my05-18
RIN 0938-AN57
4120-01-P
CMS-1500-P
https://www.govinfo.gov/app/details/FR-2005-05-04/05-8507
https://www.govinfo.gov/content/pkg/FR-2005-05-04/html/05-8507.htm
https://www.govinfo.gov/content/pkg/FR-2005-05-04/pdf/05-8507.pdf
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70 FR 23306
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Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2006 Rates; Federal Register Vol. 70, Issue
PRORULE
05-8507
II
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
2005-06-24
CMS-1500-P
4120-01-P
05-8507
Proposed rule.
We are proposing to revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs to implement changes arising from our continuing experience with these systems. In addition, in the Addendum to this proposed rule, we describe the proposed changes to the amounts and factors used to determine the rates for Medicare hospital inpatient services for operating costs and capital-related costs. We also are setting forth proposed rate-of-increase limits as well as proposed policy changes for hospitals and hospital units excluded from the IPPS that are paid in full or in part on a reasonable cost basis subject to these limits. These proposed changes would be applicable to discharges occurring on or after October 1, 2005, with one exception: The proposed changes relating to submittal of hospital wage data by a campus or campuses of a multicampus hospital system (that is, the proposed changes to Sec. 412.230(d)(2) of the regulations) would be effective upon publication of the final rule. Among the policy changes that we are proposing to make are changes relating to: the classification of cases to the diagnosis-related groups (DRGs); the long-term care (LTC)-DRGs and relative weights; the wage data, including the occupational mix data, used to compute the wage index; rebasing and revision of the hospital market basket; applications for new technologies and medical services add-on payments; policies governing postacute care transfers, payments to hospitals for the direct and indirect costs of graduate medical education, submission of hospital quality data, payment adjustment for low-volume hospitals, changes in the requirements for provider-based facilities; and changes in the requirements for critical access hospitals (CAHs).
Comments will be considered if received at the appropriate address, as provided in the ADDRESSES section, no later than 5 p.m. on June 24, 2005.
Marc Harstein, (410) 786-4539, Operating Prospective Payment, Diagnosis-Related Groups (DRGs), Wage Index, New Medical Services and Technology Add-On Payments, Hospital Geographic Reclassifications, Postacute Care Transfers, and Disproportionate Share Hospital Issues. Tzvi Hefter, (410) 786-4487, Capital Prospective Payment, Excluded Hospitals, Graduate Medical Education, Critical Access Hospitals, and Long-Term Care (LTC)-DRGs, and Provider-Based Facilities Issues. Steve Heffler, (410) 786-1211, Hospital Market Basket Revision and Rebasing. Siddhartha Mazumdar, (410) 786-6673, Rural Hospital Community Demonstration Project Issues. Mary Collins, (410) 786-3189, Critical Access Hospitals (CAHs) Issues. Dr. Mark Krushat, (410) 786-6809, Quality Data for Annual Payment Update Issues. Martha Kuespert, (410) 786-4605 Specialty Hospitals Definition Issues.
Administrative Practice and Procedure
Health Facilities
Health Professions
Kidney Diseases
Medicare
Reporting and Recordkeeping Requirements
Rural Area
X-Rays
Puerto Rico
Reporting and Recordkeeping Requirements
Hospitals
Health Maintenance Organizations (Hmo)
Medicare+choice
Provider Sponsored Organizations (Pso)
Grant Programs-Health
Medicaid
Medicare:
Hospital inpatient prospective payment systems and 2006 FY rates,
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http://www.cms.hhs.gov
http://www.cms.hhs.gov/coverage/
http://www.cms.hhs.gov/medlearn/icd9code.asp
http://www.cms.hhs.gov/paymentsystem/icd9
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http://www.cms.hhs.gov/providers/hipps/ippswage.asp
http://www.cms.hhs.gov/providers/hipps/newtech.asp
http://www.cms.hhs.gov/quality/hospitals
http://www.cms.hhs.gov/regulations/ecomments
http://www.medpac.gov
http://www.qnetexchange.org
http://www.ruralhealth.hrsa.gov
http://www.whitehouse.gov/omb/bulletins/fy04/b04-03.html
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