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 2007_register executive 2015-03-16 article Part II Rules and Regulations D09002ee1c80a5f0b D09002ee1c80a6054 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, 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 final rule with comment period, 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 the rate of increase limits for certain hospitals and hospital units excluded from the IPPS that are paid 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 changes are applicable to discharges occurring on or after October 1, 2007. In this final rule with comment period, as part of our efforts 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 adopting a Medicare Severity DRG (MS DRG) classification system for the IPPS. We are also adopting the structure of the MS-DRG system for the LTCH prospective payment system (referred to as MS-LTC-DRGs) for FY 2008. Among the other policy decisions and changes that we are making, we are making changes related to: limited revisions of the reclassification of cases to MS-DRGs, the relative weights for the MS- LTC-DRGs; applications for new technologies and medical services add-on payments; the wage data, including the occupational mix data, used to compute the FY 2008 wage indices; payments to hospitals for the indirect costs of graduate medical education; submission of hospital quality data; provisions governing the application of sanctions relating to the Emergency Medical Treatment and Labor Act of 1986 (EMTALA); provisions governing the 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 47130 https://www.govinfo.gov/app/details/FR-2007-08-22/07-3820 07-3820 fr22au07-11 RIN 0938-AO70 4120-01-P CMS-1533-FC https://www.govinfo.gov/app/details/FR-2007-08-22/07-3820 https://www.govinfo.gov/content/pkg/FR-2007-08-22/html/07-3820.htm https://www.govinfo.gov/content/pkg/FR-2007-08-22/pdf/07-3820.pdf Kidney Diseases Medicare Physician Referral Reporting and Recordkeeping Requirements Administrative Practice and Procedure Health Facilities Puerto Rico 1046 p. 47130 48175 72 FR 47130 Title 42 Part 411 42 CFR Part 411 Title 42 Part 412 42 CFR Part 412 Title 42 Part 413 42 CFR Part 413 Title 42 Part 489 42 CFR Part 489 RIN 0938-AO70 Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2008 Rates; Federal Register Vol. 72, Issue RULE 07-3820 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services CMS-1533-FC 4120-01-P 07-3820 Final rule with comment period.

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, 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 final rule with comment period, 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 the rate of increase limits for certain hospitals and hospital units excluded from the IPPS that are paid 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 changes are applicable to discharges occurring on or after October 1, 2007. In this final rule with comment period, as part of our efforts 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 adopting a Medicare Severity DRG (MS DRG) classification system for the IPPS. We are also adopting the structure of the MS-DRG system for the LTCH prospective payment system (referred to as MS-LTC-DRGs) for FY 2008. Among the other policy decisions and changes that we are making, we are making changes related to: limited revisions of the reclassification of cases to MS-DRGs, the relative weights for the MS- LTC-DRGs; applications for new technologies and medical services add-on payments; the wage data, including the occupational mix data, used to compute the FY 2008 wage indices; payments to hospitals for the indirect costs of graduate medical education; submission of hospital quality data; provisions governing the application of sanctions relating to the Emergency Medical Treatment and Labor Act of 1986 (EMTALA); provisions governing the disclosure of physician ownership in hospitals and patient safety measures; and provisions relating to services furnished to beneficiaries in custody of penal authorities.

Effective Date: This final rule with comment period is effective October 1, 2007 and applies to discharges occurring on or after that date. 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. 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 hcahps@azqio.sdps.org patricia.brooks2@cms.hhs.gov http://cms.hhs.gov/ICD9ProviderDiagnosticCodes/03_meetings.asp http://cms.hhs.gov/providers/prrb/mgcinfo.asp http://www.ahrq.gov/clinic/ptsafety/ http://www.cdc.gov/nchs/datawh/ftpserv/ftpicd9/ftpicd9.htm http://www.cdc.gov/nchs/icd9.htm http://www.cdc.gov/ncidod/dhqp/gl_catheter_assoc.html http://www.cdc.gov/ncidod/dhqp/gl_hcpneumonia.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 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/WIFN/list.asp#TopOfPage http://www.cms.hhs.gov/Emergency/02_Hurricanes.asp http://www.cms.hhs.gov/eRulemaking http://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes/Downloads/new_diagnosis_codes_2007.pdf http://www.cms.hhs.gov/manuals/downloads/clm104c01.pdf http://www.cms.hhs.gov/manuals/downloads/clm104c03.pdf http://www.cms.hhs.gov/Manuals/IOM/itemdetail.asp http://www.cms.hhs.gov/mcd/ http://www.cms.hhs.gov/mcd/viewncd.asp:ncd_id-150.10&ncd_version1&basket=ncd%3A150%2E10%3A1%3ALumbar+Artificial+Disc+Replacement%280ADR%29 http://www.cms.hhs.gov/OpenDoorForums/ http://www.cms.hhs.gov/PhysicianSelfReferral/06a_DRA_Reports.asp http://www.cms.hhs.gov/providers/hipps http://www.cms.hhs.gov/Reports/downloads/ http://www.cms.hhs.gov/Reports/Reports/itemdetail.asp?itemID=CMS1197292 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.iom.edu/CMS/3809/19805/31310.aspx http://www.medpac.gov http://www.medpac.gov/documents/Jun07_EntireReport.pdf http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat2.chapter.4409 http://www.npuap.org/positn1.html http://www.qualityindicators.ahrq.gov/psi_download.htm http://www.qualitynet.org/dcs/ContentServer?cid=1163010398556&pagename=QnetPublic%2FPage%2FQnetTier2&c=Page http://www.rand.org/pubs/online/health http://www.rcjournal.com/cpgs/09.03.0869.html http://www.sba.gov/services/contractingopportunities/sizestandardstopics/tableofsize/index.html http://www.whitehouse.gov/OMB http://www.whitehousegov/omb/circulars/a004/a-4.pdf QualityNet.org swais.access.gpo.gov www.cdc.gov/nchs/icd9.htm www.cms.hhs.gov/AcuteInpatientPPS www.cms.hhs.gov/AcuteInpatientPPS/WIFN/list.asp#TopOfPage www.cms.hhs.gov/icd9ProviderDiagnosticCodes/01_overview.asp#TopofPage www.hcahpsonline.org www.hospitalcompare.hhs.gov www.medpac.gov www.qnetexchange.org www.qualitynet.org Vol. 72, no. 162 Office of the Federal Register, National Archives and Records Administration 2007-08-22 continuing daily deposited born digital 1335 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2007-08-22 P0b002ee18bb4cfad 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr22au07 https://www.govinfo.gov/app/details/FR-2007-08-22 https://www.govinfo.gov/content/pkg/FR-2007-08-22/pdf/FR-2007-08-22.pdf https://www.govinfo.gov/content/pkg/FR-2007-08-22/xml/FR-2007-08-22.xml fdlp 46895 48218 DGPO 2015-03-16 2024-06-05 FR-2007-08-22 machine generated eng FR FR-2007-08-22 72 162