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 2011_register executive 2011-08-18 article Part II Rules and Regulations D09002ee1c7ff72c7 D09002ee1c7ff7447 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 of acute care hospitals to implement changes arising from our continuing experience with these systems and to implement certain statutory provisions contained in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable Care Act) and other legislation. We also are setting forth the update to the rate-of-increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis subject to these limits. We are updating the payment policy and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs) and implementing certain statutory changes made by the Affordable Care Act. In addition, we are finalizing an interim final rule with comment period that implements section 203 of the Medicare and Medicaid Extenders Act of 2010 relating to the treatment of teaching hospitals that are members of the same Medicare graduate medical education affiliated groups for the purpose of determining possible full-time equivalent (FTE) resident cap reductions. 76 FR 51476 https://www.govinfo.gov/app/details/FR-2011-08-18/2011-19719 2011-19719 fr18au11-8 RIN 0938-AQ24 RIN 0938-AQ92 4120-01-P CMS-1518-F CMS-1430-F https://www.govinfo.gov/app/details/FR-2011-08-18/2011-19719 https://www.govinfo.gov/content/pkg/FR-2011-08-18/html/2011-19719.htm https://www.govinfo.gov/content/pkg/FR-2011-08-18/pdf/2011-19719.pdf Administrative Practice and Procedure Health Facilities Medicare Puerto Rico Reporting and Recordkeeping Requirements Kidney Diseases Health Care Health Professional Health Record Peer Review Organization (Pro) Penalties Privacy 371 p. 51476 51846 76 FR 51476 Title 42 Part 412 42 CFR Part 412 Title 42 Part 413 42 CFR Part 413 Title 42 Part 476 42 CFR Part 476 RIN 0938-AQ24 RIN 0938-AQ92 Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and FY 2012 Rates; Hospitals' FTE Resident Caps for Graduate Medical Education Payment; Federal Register Vol. 76, Issue RULE 2011-19719 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2011-10-01 CMS-1518-F CMS-1430-F 4120-01-P 2011-19719 Final rules.

We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems and to implement certain statutory provisions contained in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable Care Act) and other legislation. We also are setting forth the update to the rate-of-increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis subject to these limits. We are updating the payment policy and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs) and implementing certain statutory changes made by the Affordable Care Act. In addition, we are finalizing an interim final rule with comment period that implements section 203 of the Medicare and Medicaid Extenders Act of 2010 relating to the treatment of teaching hospitals that are members of the same Medicare graduate medical education affiliated groups for the purpose of determining possible full-time equivalent (FTE) resident cap reductions.

Effective dates: These final rules are effective on October 1, 2011, except for the provisions of Sec. 412.230(d)(5), which are effective September 1, 2011. Effective July 29, 2011, the interim rule published March 14, 2011, at 76 FR 13515, is confirmed as final without change. Tzvi Hefter, (410) 786-4487, and Ing-Jye Cheng, (410) 786-4548, Operating Prospective Payment, MS-DRGs, Hospital Acquired Conditions (HAC), Wage Index, New Medical Service and Technology Add-On Payments, Hospital Geographic Reclassifications, Graduate Medical Education, Capital Prospective Payment, Excluded Hospitals, Medicare Disproportionate Share Hospital (DSH), and Postacute Care Transfer Issues. Michele Hudson, (410) 786-4487, and Judith Richter, (410) 786-2590, Long-Term Care Hospital Prospective Payment System and MS-LTC-DRG Relative Weights Issues. Bridget Dickensheets, (410) 786-8670, Rebasing and Revising of the Market Basket for LTCHs Issues. Siddhartha Mazumdar, (410) 786-6673, Rural Community Hospital Demonstration Program Issues. James Poyer, (410) 786-2261, Inpatient Quality Reporting--Program Administration, Validation, and Reconsideration Issues. Shaheen Halim, (410) 786-0641, Inpatient Quality Reporting--Measures Issues Except Hospital Consumer Assessment of Healthcare Providers and Systems Issues; and Readmission Measures for Hospitals Issues. Elizabeth Goldstein, (410) 786-6665, Inpatient Quality Reporting-- Hospital Consumer Assessment of Healthcare Providers and Systems Measures Issues. Mary Pratt, (410) 786-6867, LTCH Quality Data Reporting Issues. Kim Spaulding Bush, (410) 786-3232, Hospital Value-Based Purchasing Efficiency Measures Issues. Administrative Practice and Procedure Health Facilities Medicare Puerto Rico Reporting and Recordkeeping Requirements Kidney Diseases Health Care Health Professional Health Record Peer Review Organization (Pro) Penalties Privacy Medicare Program: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Fiscal Year 2012 Rates, etc. , CTI@cms.hhs.gov dfp4@cdc.gov LTCH-IRF-Hospice-Quality-ReportingComments@cms.hhs.gov nisha.bhat@cms.hhs.gov patricia.brooks2@cms.hhs.gov http://cms.hhs.gov/ICD9ProviderDiagnosticCodes/03_meetings.asp http://cms.hhs.gov/MGCRB/02_instructions_and_applications.asp http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&sid=2465b064ba6965cc1fbd2eae60854b11&rgn=div8&view=text&node=13:1.0.1.1.16.1.266.9&idno=13 http://iom.edu/Reports/2011/Geographic-Adjustment-in-Medicare-Payment-Phase-I-Improving-Accuracy.aspx http://qualitynet.org http://www.3MHIS.com 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http://www.hcup-us.ahrq.gov/reports/statbriefs/sb64.pdf http://www.hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp http://www.healthcare.gov/center/reports/nationalqualitystrategy032011.pdf http://www.healthcare.gov/center/reports/quality03212011a.html http://www.healthcare.gov/center/reports/quality03212011a.html#es http://www.hhs.gov/ash/initiatives/hai/actionplan/ http://www.hhs.gov/ash/initiatives/hai/actionplan/index.html http://www.hhs.gov/ash/initiatives/hai/appendices.html http://www.hhs.gov/secretary/about/priorities/priorities.html http://www.hospitalcompare.hhs.gov http://www.idsociety.org/HCWimmunization/ http://www.ihi.org/IHI/Topics/PatientSafety/SafetyGeneral/ImprovementStories/FSRelievethePressureandReduceHarm.htm http://www.immunize.org/honor%2Droll/ http://www.medpac.gov http://www.medpac.gov/documents/Jun07_EntireReport.pdf http://www.nationalprioritiespartnership.org/ http://www.ncvhs.hhs.gov/ncvhsr1.htm http://www.npsf.org/pr/pressrel/2009-11-18.php 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Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2011-08-18 P0b002ee180dd4502 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr18au11 https://www.govinfo.gov/app/details/FR-2011-08-18 https://www.govinfo.gov/content/pkg/FR-2011-08-18/pdf/FR-2011-08-18.pdf https://www.govinfo.gov/content/pkg/FR-2011-08-18/xml/FR-2011-08-18.xml fdlp 51245 51868 DGPO 2011-08-18 2024-06-04 FR-2011-08-18 machine generated eng FR FR-2011-08-18 76 160