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 2010-09-22 article Part III Rules and Regulations D09002ee1c809dbec D09002ee1c809dccc 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 This final rule with comment period revises the Medicare hospital outpatient prospective payment system to implement applicable statutory requirements and changes arising from our continuing experience with this system. We describe the changes to the amounts and factors used to determine the payment rates for Medicare hospital outpatient services paid under the prospective payment system. These changes are applicable to services furnished on or after January 1, 2008. In addition, the rule sets forth the applicable relative payment weights and amounts for services furnished in ASCs, specific HCPCS codes to which the final policies of the ASC payment system apply, and other pertinent rate setting information for the CY 2008 ASC payment system. Furthermore, this final rule with comment period will make changes to the policies relating to the necessary provider designations of critical access hospitals and changes to several of the current conditions of participation requirements. The attached document also incorporates the changes to the FY 2008 hospital inpatient prospective payment system (IPPS) payment rates made as a result of the enactment of the TMA, Abstinence Education, and QI Programs Extension Act of 2007, Public Law 110-90. In addition, we are changing the provisions in our previously issued FY 2008 IPPS final rule and are establishing a new policy, retroactive to October 1, 2007, of not applying the documentation and coding adjustment to the FY 2008 hospital-specific rates for Medicare-dependent, small rural hospitals (MDHs) and sole community hospitals (SCHs). In the interim final rule with comment period in this document, we are modifying our regulations relating to graduate medical education (GME) payments made to teaching hospitals that have Medicare affiliation agreements for certain emergency situations. 72 FR 66580 https://www.govinfo.gov/app/details/FR-2007-11-27/07-5507 07-5507 fr27no07-16 RIN 0938-AO71 RIN 0938-AO70 RIN 0938-AO35 4120-01-P CMS-1392-FC https://www.govinfo.gov/app/details/FR-2007-11-27/07-5507 https://www.govinfo.gov/content/pkg/FR-2007-11-27/html/07-5507.htm https://www.govinfo.gov/content/pkg/FR-2007-11-27/pdf/07-5507.pdf Health Facilities Health Professions Laboratories Medicare Rural Areas X Rays Kidney Diseases Physician Referral Reporting and Recordkeeping Requirements Puerto Rico Administrative Practice and Procedure Hospitals Grant Program-Health Medicaid 646 p. 66580 67225 72 FR 66580 Title 42 Part 410 42 CFR Part 410 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 414 42 CFR Part 414 Title 42 Part 416 42 CFR Part 416 Title 42 Part 419 42 CFR Part 419 Title 42 Part 482 42 CFR Part 482 Title 42 Part 485 42 CFR Part 485 RIN 0938-AO71 RIN 0938-AO70 RIN 0938-AO35 Medicare Program: Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates, the Ambulatory Surgical Center Payment System and CY 2008 Payment Rates, the Hospital Inpatient Prospective Payment System and FY 2008 Payment Rates; and Payments for Graduate Medical Education for Affiliated Teaching Hospitals in Certain Emergency Situations Medicare and Medicaid Programs: Hospital Conditions of Participation; Necessary Provider Designations of Critical Access Hospitals; Federal Register Vol. 72, Issue RULE 07-5507 III DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2008-01-01 CMS-1392-FC 4120-01-P 07-5507 Interim and final rule with comment period.

This final rule with comment period revises the Medicare hospital outpatient prospective payment system to implement applicable statutory requirements and changes arising from our continuing experience with this system. We describe the changes to the amounts and factors used to determine the payment rates for Medicare hospital outpatient services paid under the prospective payment system. These changes are applicable to services furnished on or after January 1, 2008. In addition, the rule sets forth the applicable relative payment weights and amounts for services furnished in ASCs, specific HCPCS codes to which the final policies of the ASC payment system apply, and other pertinent rate setting information for the CY 2008 ASC payment system. Furthermore, this final rule with comment period will make changes to the policies relating to the necessary provider designations of critical access hospitals and changes to several of the current conditions of participation requirements. The attached document also incorporates the changes to the FY 2008 hospital inpatient prospective payment system (IPPS) payment rates made as a result of the enactment of the TMA, Abstinence Education, and QI Programs Extension Act of 2007, Public Law 110-90. In addition, we are changing the provisions in our previously issued FY 2008 IPPS final rule and are establishing a new policy, retroactive to October 1, 2007, of not applying the documentation and coding adjustment to the FY 2008 hospital-specific rates for Medicare-dependent, small rural hospitals (MDHs) and sole community hospitals (SCHs). In the interim final rule with comment period in this document, we are modifying our regulations relating to graduate medical education (GME) payments made to teaching hospitals that have Medicare affiliation agreements for certain emergency situations.

Effective Date: The provisions of this rule are effective on January 1, 2008. Alberta Dwivedi, (410) 786-0378, Hospital outpatient prospective payment issues. Health Facilities Health Professions Laboratories Medicare Rural Areas X Rays Kidney Diseases Physician Referral Reporting and Recordkeeping Requirements Puerto Rico Administrative Practice and Procedure Hospitals Grant Program-Health Medicaid Medicare: Hospital Outpatient Prospective Payment System and CY 2008 payment rates, etc., APCPanel@cms.hhs.gov http://cms.hhs.gov/ASCPayment/05_NTIOLs.asp#TopOfPage http://questions.cms.hhs.gov http://www.cms.hhs http://www.cms.hhs.gov http://www.cms.hhs.gov/AcuteInpatientPPS/WIFN/list.asp#TopOfPage http://www.cms.hhs.gov/ASCPayment http://www.cms.hhs.gov/ASCPayment/ http://www.cms.hhs.gov/ASCPayment/05_NTIOLs.asp http://www.cms.hhs.gov/CompetitiveAcquisforBios http://www.cms.hhs.gov/eRulemaking http://www.cms.hhs.gov/FACA/05_AdvisoryPanelonAmbulatoryPaymentClassificationGroups.asp http://www.cms.hhs.gov/FACA/05_AdvisoryPanelonAmbulatoryPaymentClassificationGroups.asp#TopOfPage http://www.cms.hhs.gov/HospitalOutpatientPPS http://www.cms.hhs.gov/HospitalOutpatientPPS/ http://www.cms.hhs.gov/HospitalOutpatientPPS/03_crosswalk.asp#TopOfPage http://www.cms.hhs.gov/HospitalOutpatientPPS/04_passthrough_payment.asp http://www.cms.hhs.gov/HospitalOutpatientPPS/HORD/ http://www.cms.hhs.gov/HospitalOutpatientPPS/HORD/list.asp#TopOfPage http://www.cms.hhs.gov/McrPartBDrugAvgSalesPrice/01_overview.asp#TopOfPage http://www.cms.hhs.gov/MedHCPCSGenInfo/01_Overview.asp#TopOfPage http://www.cms.hhs.gov/MedHCPCSGenInfo/20_HCPCS_Coding_Questions.asp http://www.cms.hhs.gov/PhysicianFeeSched/ http://www.cms.hhs.gov/providers/hopps http://www.cms.hhs.gov/QualityInitiativesGenInfo/01_overview.asp http://www.cms.hhs.gov/reports/downloads/Dalton.pdf http://www.fda.gov/cdrh/news http://www.gpoaccess.gov/index.html http://www.medpac.gov http://www.medpac.gov/document/Jun07_EntireReport.pdf http://www.qualitynet.org http://www.sba.gov/idc/groups/public/documents/serv_sstd_tablepdf.pdf http://www.sba.gov/services/contractingopportunities/sizestandardstopics/tableofsize/index.html http://www.whitehouse.gov/omb/circulars/a004/a-4.pdf http://www.whitehousegov/omb/circulars/a004/a-4.pdf https://www.qnetexchange.org omb.eop.gov swais.access.gpo.gov www.HospitalCompare.hhs.gov Vol. 72, no. 227 Office of the Federal Register, National Archives and Records Administration 2007-11-27 continuing daily deposited born digital 1196 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2007-11-27 P0b002ee180962d63 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr27no07 https://www.govinfo.gov/app/details/FR-2007-11-27 https://www.govinfo.gov/content/pkg/FR-2007-11-27/pdf/FR-2007-11-27.pdf https://www.govinfo.gov/content/pkg/FR-2007-11-27/xml/FR-2007-11-27.xml fdlp 66041 67225 DGPO 2010-09-22 2024-06-05 FR-2007-11-27 machine generated eng FR FR-2007-11-27 72 227