United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2005_register executive 2010-09-23 article Part II Rules and Regulations D09002ee1c810edc2 D09002ee1c810eec9 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency We are revising 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 final rule, we describe the 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 rate-of-increase limits as well as 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 changes are applicable to discharges occurring on or after October 1, 2005, with one exception: The changes relating to submittal of hospital wage data by a campus or campuses of a multicampus hospital system (that is, the changes to Sec. 412.230(d)(2) of the regulations) are effective on August 12, 2005. Among the policy changes that we are making 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 47278 https://www.govinfo.gov/app/details/FR-2005-08-12/05-15406 05-15406 fr12au05-18 RIN 0938-AN57 4120-01-P CMS-1500-F https://www.govinfo.gov/app/details/FR-2005-08-12/05-15406 https://www.govinfo.gov/content/pkg/FR-2005-08-12/html/05-15406.htm https://www.govinfo.gov/content/pkg/FR-2005-08-12/pdf/05-15406.pdf Administrative Practice and Procedure Health Facilities Health Professions Kidney Diseases Medicare Reporting and Recordkeeping Requirements Rural Area X-Rays Puerto Rico Hospitals Health Maintenance Organizations (Hmo) Medicare+choice Provider Sponsored Organizations (Pso) Grant Programs-Health Medicaid 430 p. 47278 47707 70 FR 47278 Title 42 Part 405 42 CFR Part 405 Title 42 Part 412 42 CFR Part 412 Title 42 Part 413 42 CFR Part 413 Title 42 Part 415 42 CFR Part 415 Title 42 Part 419 42 CFR Part 419 Title 42 Part 422 42 CFR Part 422 Title 42 Part 485 42 CFR Part 485 RIN 0938-AN57 Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2006 Rates; Federal Register Vol. 70, Issue RULE 05-15406 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2005-10-01 2005-08-01 CMS-1500-F 4120-01-P 05-15406 Final rule.

We are revising 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 final rule, we describe the 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 rate-of-increase limits as well as 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 changes are applicable to discharges occurring on or after October 1, 2005, with one exception: The changes relating to submittal of hospital wage data by a campus or campuses of a multicampus hospital system (that is, the changes to Sec. 412.230(d)(2) of the regulations) are effective on August 12, 2005. Among the policy changes that we are making 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).

Effective Dates: The provisions of this final rule, except the provisions of Sec. 412.230(d)(2), are effective on October 1, 2005. The provisions of Sec. 412.230(d)(2) are effective on August 12, 2005. This rule is a major rule as defined in 5 U.S.C. 804(2). Pursuant to 5 U.S.C. 801(a)(1)(A), we are submitting a report to Congress on this rule on August 1, 2005. Marc Hartstein, (410) 786-4548, 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. Administrative Practice and Procedure Health Facilities Health Professions Kidney Diseases Medicare Reporting and Recordkeeping Requirements Rural Area X-Rays Puerto Rico 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, Christopher_Martin@omb.eop.gov dfp4@cdc.gov Patricia.Brooks1@cms.hhs.gov http://cms.hhs.gov/providers/hipps/ippswage.asp http://cms.hhs.gov/providers/prrb/mgcinfo.asp http://postcalc.usps.gov/ http://qionet.sdps.org http://qnetexchange.org/public/hdc.do?hdcPage=rltd-rsrcs http://www.access.gpo.gov/nara_docs/ http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfHDE/HDEInformation.cfm http://www.cdc.gov/nchs/icd9.htm http://www.cdc.gov/nchs/icd9cm http://www.cms.gov http://www.cms.hhs.gov http://www.cms.hhs.gov/coverage/ http://www.cms.hhs.gov/data/order/default.asp http://www.cms.hhs.gov/media/press/files/052005/RTC-StudyofPhysOwnedSpecHosp.pdf http://www.cms.hhs.gov/medlearn/icd9code.asp http://www.cms.hhs.gov/medlearn/icd9code.asp#top http://www.cms.hhs.gov/opendoor/hospitals.asp http://www.cms.hhs.gov/opendoor/schedule.asp http://www.cms.hhs.gov/paymentsystem/icd9 http://www.cms.hhs.gov/paymentsystems/icd9 http://www.cms.hhs.gov/paymentsystems/icd9/ http://www.cms.hhs.gov/providers/hipps http://www.cms.hhs.gov/providers/hipps/default.asp http://www.cms.hhs.gov/providers/hipps/ippsotlr.asp http://www.cms.hhs.gov/providers/hipps/ippswage.asp http://www.cms.hhs.gov/providers/hipps/newtech.asp http://www.cms.hhs.gov/quality/hospital/ http://www.HospitalCompare.hhs.gov http://www.medpac.gov http://www.qnetexchange.org http://www.ribbs.usps.gov/files/Zone_Charts/ZCTECHNICAL_GUIDE.PDF http://www.ruralhealth.hrsa.gov http://www.whitehouse.gov/omb/bulletins/fy04/b04-03.html https://qnetexchange.org/public/hdc.do https://qnetexchange.org/public/hdc.do?hdcPage=rltd-rsrcs https://qnetexchange.org/public/home.do swais.access.gpo.gov www.cms.hhs.gov/providers/hipps/ippswage.asp www.cms.hhs.gov/quality/hospitals Vol. 70, no. 155 Office of the Federal Register, National Archives and Records Administration 2005-08-12 continuing daily deposited born digital 645 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2005-08-12 P0b002ee18098e2ac 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr12au05 https://www.govinfo.gov/app/details/FR-2005-08-12 https://www.govinfo.gov/content/pkg/FR-2005-08-12/pdf/FR-2005-08-12.pdf https://www.govinfo.gov/content/pkg/FR-2005-08-12/xml/FR-2005-08-12.xml fdlp 47077 47710 DGPO 2010-09-23 2024-06-06 FR-2005-08-12 machine generated eng FR FR-2005-08-12 70 155