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Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2008 Rates
Part II
Proposed Rules
D09002ee1bddac3df
D09002ee1bddac4c8
United States
Department of Health and Human Services
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org
United States Government Agency or Subagency
United States
Centers for Medicare & Medicaid Services
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org
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, and to implement certain provisions made by the Deficit Reduction Act of 2005 (Pub. L. 109-171), the Medicare Improvements and Extension Act under Division B, Title I of the Tax Relief and Health Care Act of 2006 (Pub. L. 109-432), and the Pandemic and All-Hazards Preparedness Act (Pub. L. 109-417). 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 for certain 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 or that have a portion of a prospective payment system payment based on reasonable cost principles. These proposed changes would be applicable to discharges occurring on or after October 1, 2007. In this proposed rule, we discuss our proposals to further refine the diagnosis-related group (DRG) system under the IPPS to better recognize severity of illness among patients--for FY 2008, we are proposing to adopt a Medicare Severity DRG (MS-DRG) classification system for the IPPS. We are also proposing to use the structure of the proposed MS-DRG system for the LTCH prospective payment system (referred to as MS-LTC-DRGs) for FY 2008. Among the other policy changes that we are proposing to make are changes related to: Limited revisions of the reclassification of cases to proposed MS-DRGs, the proposed relative weights for the proposed MS- LTC-DRGs; the wage data, including the occupational mix data, used to compute the wage index; applications for new technologies and medical services add-on payments; payments to hospitals for the indirect costs of graduate medical education; submission of hospital quality data; provisions governing application of sanctions relating to the Emergency Medical Treatment and Labor Act of 1986 (EMTALA); provisions governing disclosure of physician ownership in hospitals and patient safety measures; and provisions relating to services furnished to beneficiaries in custody of penal authorities.
72 FR 24680
https://www.govinfo.gov/app/details/FR-2007-05-03/07-1920
07-1920
fr03my07-14
RIN 0938-AO70
4120-01-P
CMS-1533-P
https://www.govinfo.gov/app/details/FR-2007-05-03/07-1920
https://www.govinfo.gov/content/pkg/FR-2007-05-03/html/07-1920.htm
https://www.govinfo.gov/content/pkg/FR-2007-05-03/pdf/07-1920.pdf
Kidney Diseases
Medicare
Physician Referral
Reporting and Recordkeeping Requirements
Administrative Practice and Procedure
Health Facilities
Puerto Rico
456 p.
24680
25135
72 FR 24680
Code of Federal Regulations
Title 42 Part 411
42 CFR Part 411
Code of Federal Regulations
Title 42 Part 412
42 CFR Part 412
Code of Federal Regulations
Title 42 Part 413
42 CFR Part 413
Code of Federal Regulations
Title 42 Part 489
42 CFR Part 489
Regulation Identification Number 0938-AO70
RIN 0938-AO70
Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2008 Rates; Federal Register Vol. 72, Issue
PRORULE
07-1920
II
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
2007-06-12
CMS-1533-P
4120-01-P
07-1920
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, and to implement certain provisions made by the Deficit Reduction Act of 2005 (Pub. L. 109-171), the Medicare Improvements and Extension Act under Division B, Title I of the Tax Relief and Health Care Act of 2006 (Pub. L. 109-432), and the Pandemic and All-Hazards Preparedness Act (Pub. L. 109-417). 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 for certain 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 or that have a portion of a prospective payment system payment based on reasonable cost principles. These proposed changes would be applicable to discharges occurring on or after October 1, 2007. In this proposed rule, we discuss our proposals to further refine the diagnosis-related group (DRG) system under the IPPS to better recognize severity of illness among patients--for FY 2008, we are proposing to adopt a Medicare Severity DRG (MS-DRG) classification system for the IPPS. We are also proposing to use the structure of the proposed MS-DRG system for the LTCH prospective payment system (referred to as MS-LTC-DRGs) for FY 2008. Among the other policy changes that we are proposing to make are changes related to: Limited revisions of the reclassification of cases to proposed MS-DRGs, the proposed relative weights for the proposed MS- LTC-DRGs; the wage data, including the occupational mix data, used to compute the wage index; applications for new technologies and medical services add-on payments; payments to hospitals for the indirect costs of graduate medical education; submission of hospital quality data; provisions governing application of sanctions relating to the Emergency Medical Treatment and Labor Act of 1986 (EMTALA); provisions governing disclosure of physician ownership in hospitals and patient safety measures; and provisions relating to services furnished to beneficiaries in custody of penal authorities.
To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on June 12, 2007.
Marc Hartstein, (410) 786-4548, Operating Prospective Payment, Diagnosis-Related Groups (DRGs), Wage Index, New Medical Services and Technology Add-On Payments, and Hospital Geographic Reclassifications Issues Tzvi Hefter, (410) 786-4487, Capital Prospective Payment, Excluded Hospitals, Graduate Medical Education, Critical Access Hospitals, and Long-Term Care (LTC)-DRG Issues Siddhartha Mazumdar, (410) 786-6673, Rural Community Hospital Demonstration Issues Sheila Blackstock, (410) 786-3502, Quality Data for Annual Payment Update Issues Thomas Valuck, (410) 786-7479, Hospital Value-Based Purchasing Issues Jacqueline Proctor, (410) 786-8852, Disclosure of Physician Ownership in Hospitals and Patient Safety Measures Issues Fred Grabau, (410) 786-0206, Services to Beneficiaries in Custody of Penal Authorities Issues
Kidney Diseases
Medicare
Physician Referral
Reporting and Recordkeeping Requirements
Administrative Practice and Procedure
Health Facilities
Puerto Rico
Medicare:
Hospital inpatient prospective payment systems and 2008 FY rates,
carolyn_lovett@omb.eop.gov
dfp4@cdc.gov
patricia.brooks2@cms.hhs.gov
http://cms.hhs.gov/AcuteInpatientPPS/
http://cms.hhs.gov/ICD9ProviderDiagnosticCodes/03_meetings.asp
http://cms.hhs.gov/providers/prrb/mgcinfo.asp
http://cms.hhs.gov/reports/downloads/Dalton.pdf
http://sba.gov/idc/groups/pubic/documents/sba_homepage/serv_sstd_tablepdf.pdf
http://www.cdc.gov/nchs/datawh/ftpserv/ftpicd9/ftpicd9.htm
http://www.cdc.gov/nchs/icd9.htm
http://www.cdc.gov/ncidod/dhqp/
http://www.cdc.gov/ncidod/dhqp/gl_catheter_assoc.html
http://www.cdc.gov/ncidod/dhqp/gl_intravascular.html
http://www.cdc.gov/ncidod/dhqp/gl_surgicalsite.html
http://www.cdc.gov/ncidod/dhqp/pdf/ar/mdroGuideline2006.pdf
http://www.cms.hhs.gov/AcuteInpatientPPS
http://www.cms.hhs.gov/AcuteInpatientPPS/
http://www.cms.hhs.gov/AcuteInpatientPPS/04_outlier.asp#TopOfPage
http://www.cms.hhs.gov/AcuteInpatientPPS/08_newtech.asp
http://www.cms.hhs.gov/AcuteInpatientPPS/FFD/list.asp#TopOfPage
http://www.cms.hhs.gov/AcuteInpatientPPS/HIF/list.asp#TopOfPage
http://www.cms.hhs.gov/AcuteInpatientPPS/WIFN/list.asp#TopOfPage
http://www.cms.hhs.gov/center/hospital.asp
http://www.cms.hhs.gov/Emergency/02_Hurricanes.asp
http://www.cms.hhs.gov/eRulemaking
http://www.cms.hhs.gov/icd9ProviderDiagnosticCodes/01_overview.asp#TopofPage
http://www.cms.hhs.gov/manuals/downloads/clm104c03.pdf
http://www.cms.hhs.gov/Manuals/IOM/itemdetail.asp
http://www.cms.hhs.gov/mcd/viewncd.asp:ncd-id
http://www.cms.hhs.gov/PhysicianSelfReferral/06a_DRA_Reports.asp
http://www.cms.hhs.gov/ProspMedicareFeeSvcPmtGen/Downloads/INP_psf0107.zip
http://www.cms.hhs.gov/providers/hipps
http://www.cms.hhs.gov/Reports/downloads/Wynn0307.pdf
http://www.cms.hhs.gov/Transmittals/downloads/R741CP.pdf
http://www.docket.access.gpo.gov/2004/04-4249.htm
http://www.gpoaccess.gov/
http://www.hcahpsonline.org
http://www.hospitalcompare.hhs.gov
http://www.iom.edu/CMS/3809/19805/31310.aspx
http://www.medpac.gov
http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat2.chapter.4409
http://www.npuap.org/positn1.html
http://www.qnetexchange.org
http://www.qualityindicators.ahrq.gov/psi_download.htm
http://www.qualitynet.org
http://www.qualitynet.org/dcs/ContentServer?cid=1163010398556&pagename=QnetPublic%2FPage%2FQnetTier2&c=Page
http://www.whitehouse.gov/OMB-
http://www.whitehousegov/omb/circulars/a004/a-4.pdf
QualityNet.org
swais.access.gpo.gov
www.cms.hhs.gov/AcuteInpatientPPS/
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Vol. 72, no. 85
Office of the Federal Register, National Archives and Records Administration
2007-05-03
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https://www.govinfo.gov/app/details/FR-2007-05-03
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0042-1219
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https://www.govinfo.gov/content/pkg/FR-2007-05-03/pdf/FR-2007-05-03.pdf
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