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        <title>Medicare Program; Prospective Payment System for Long-Term Care Hospitals RY 2008: Annual Payment Rate Updates, and Policy Changes; and Hospital Direct and Indirect Graduate Medical Education Policy Changes</title>
        <partNumber>Part II</partNumber>
        <partName>Rules and Regulations</partName>
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    <abstract>This final rule updates the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs). The final payment amounts and factors used to determine the updated Federal rates that are described in this final rule were determined based on the LTCH PPS rate year July 1, 2007 through June 30, 2008. The annual update of the long-term care diagnosis-related group (LTC-DRG) classifications and relative weights remains linked to the annual adjustments of the acute care hospital inpatient diagnosis-related group system, and continue to be effective each October 1. The final outlier threshold for July 1, 2007, through June 30, 2008, is derived from the LTCH PPS rate year calculations. We are also finalizing policy changes which include revisions to the GME and IME policies. In addition, we are adding a technical amendment correcting the regulations text at Sec. 412.22.</abstract>
    <identifier type="FR citation">72 FR 26870</identifier>
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    <subject>
        <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>
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            <partNumber>Title 42 Part 412</partNumber>
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        <identifier type="CFR citation">42 CFR Part  412</identifier>
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        <searchTitle>Medicare Program; Prospective Payment System for Long-Term Care Hospitals RY 2008: Annual Payment Rate Updates, and Policy Changes; and Hospital Direct and Indirect Graduate Medical Education Policy Changes; Federal Register Vol. 72, Issue </searchTitle>
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        <summary>This final rule updates the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs). The final payment amounts and factors used to determine the updated Federal rates that are described in this final rule were determined based on the LTCH PPS rate year July 1, 2007 through June 30, 2008. The annual update of the long-term care diagnosis-related group (LTC-DRG) classifications and relative weights remains linked to the annual adjustments of the acute care hospital inpatient diagnosis-related group system, and continue to be effective each October 1. The final outlier threshold for July 1, 2007, through June 30, 2008, is derived from the LTCH PPS rate year calculations. We are also finalizing policy changes which include revisions to the GME and IME policies. In addition, we are adding a technical amendment correcting the regulations text at Sec. 412.22.</summary>
        <dates>These regulations are effective on July 1, 2007.</dates>
        <contact>Tzvi Hefter, (410) 786-4487 (General information). Judy Richter, (410) 786-2590 (General information, payment adjustments for special cases, and onsite discharges and readmissions, interrupted stays, co-located providers, and short-stay outliers). Michele Hudson, (410) 786-5490 (Calculation of the payment rates, LTC- DRGs, relative weights and case-mix index, market basket, wage index, budget neutrality, and other payment adjustments). Ann Fagan, (410) 786-5662 (Patient classification system). Miechal Lefkowitz, (410) 786-5316 (Graduate Medical Education payments). Linda McKenna, (410) 786-4537 (Payment adjustments, interrupted stay, and transition period). Renate Rockwell, (410) 786-4645 (Graduate Medical Education payments). Elizabeth Truong, (410) 786-6005 (Federal rate update, budget neutrality, other adjustments, and calculation of the payment rates). Michael Treitel, (410) 786-4552 (High cost outliers and cost-to-charge ratios).</contact>
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            <subject>Administrative Practice and Procedure</subject>
                                    
            <subject>Health Facilities</subject>
                                    
            <subject>Medicare</subject>
                                    
            <subject>Puerto Rico</subject>
                                    
            <subject>Reporting and Recordkeeping Requirements</subject>
                                
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