98-12805. Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 1999 Rates; Corrections  

  • [Federal Register Volume 63, Number 92 (Wednesday, May 13, 1998)]
    [Proposed Rules]
    [Pages 26565-26566]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 98-12805]
    
    
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    DEPARTMENT OF HEALTH AND HUMAN SERVICES
    
    Health Care Financing Administration
    
    42 CFR Parts 405, 412, and 413
    
    [HCFA-1003-CN]
    RIN 0938-AI22
    
    
    Medicare Program; Changes to the Hospital Inpatient Prospective 
    Payment Systems and Fiscal Year 1999 Rates; Corrections
    
    AGENCY: Health Care Financing Administration (HCFA), HHS.
    
    ACTION: Proposed rule; correction.
    
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    SUMMARY: In the May 8, 1998 issue of the Federal Register (63 FR 
    25575), we published a proposed rule to revise the Medicare hospital 
    inpatient prospective payment systems for operating costs and capital-
    related costs to implement necessary changes arising from our 
    continuing experience with the system. This document corrects technical 
    errors made in that document.
    
    FOR FURTHER INFORMATION CONTACT:
    Nancy Edwards, (410) 786-4531, Operating Prospective Payment, DRG, and 
    Wage Index Issues.
    Tzvi Hefter, (410) 786-4487, Capital Prospective Payment, Excluded 
    Hospitals, and Graduate Medical Education Issues.
    
    SUPPLEMENTARY INFORMATION: In the May 8, 1998 proposed rule, we 
    addressed caps on the target amounts for cost reporting periods 
    beginning in FY 1999 for hospitals excluded from the hospital inpatient 
    prospective payment systems. The caps that we published inadvertently 
    reflect updates to the amounts published in the August 29, 1997 final 
    rule with comment period (62 FR 46019), rather than updates to the 
    corrected amounts published in the March 6, 1998 correction notice for 
    the final rule with comment period (63 FR 11148). This document 
    corrects that error. Also incorrect amounts were listed in Tables 1A, 
    1C, 1D, 1E, and 1F. We inadvertently published the amounts from the 
    August 29, 1997 final rule with comment period. Therefore, we are 
    making the following corrections to the proposed rule:
        1. On page 25601, end of the third column, the table is replaced 
    with the following:
        (1) Psychiatric hospitals and units: $10,797
        (2) Rehabilitation hospitals and units: $19,582
        (3) Long-term care hospitals: $38,630
        2. On pages 25620 through 26521, Tables 1A, 1C, 1D, 1E, and 1F are 
    corrected to read as follows:
    
    [[Page 26566]]
    
    
    
                       Table 1A.--National Adjusted Operating Standardized Amounts, Labor/Nonlabor                  
    ----------------------------------------------------------------------------------------------------------------
                        Large urban areas                                           Other areas                     
    ----------------------------------------------------------------------------------------------------------------
           Labor-related               Nonlabor-related              Labor-related             Nonlabor-related     
    ----------------------------------------------------------------------------------------------------------------
    2,791.45...................                   1,134.64                    2,747.26                    1,116.68  
    ----------------------------------------------------------------------------------------------------------------
    
    
                   Table 1C.--Adjusted Operating Standardized Amounts for Puerto Rico, Labor/Nonlabor               
    ----------------------------------------------------------------------------------------------------------------
                                                                      Large urban areas            Other areas      
                                                                 ---------------------------------------------------
                                                                     Labor       Nonlabor      Labor       Nonlabor 
    ----------------------------------------------------------------------------------------------------------------
    National....................................................     2,767.78     1,125.02     2,767.78     1,125.02
    Puerto Rico.................................................     1,331.29       535.88     1,310.21       527.40
    ----------------------------------------------------------------------------------------------------------------
    
    
                Table 1D.--Capital Standard Federal Payment Rate            
    ------------------------------------------------------------------------
                                                                     Rate   
    ------------------------------------------------------------------------
    National...................................................       377.25
    Puerto Rico................................................       180.73
    ------------------------------------------------------------------------
    
    
     Table 1E.--National Adjusted Operating Standardized Amounts For ``Temporary Relief'' Hospitals, Labor/Nonlabor 
    ----------------------------------------------------------------------------------------------------------------
                        Large urban areas                                           Other areas                     
    ----------------------------------------------------------------------------------------------------------------
           Labor-related               Nonlabor-related              Labor-related             Nonlabor-related     
    ----------------------------------------------------------------------------------------------------------------
    2,799.77...................                   1,138.02                    2,755.44                    1,120.01  
    ----------------------------------------------------------------------------------------------------------------
    
    
      Table 1F.--Adjusted Operating Standardized Amounts For ``Temporary Relief'' Hospitals in Puerto Rico, Labor/  
                                                        Nonlabor                                                    
    ----------------------------------------------------------------------------------------------------------------
                                                                      Large urban areas            Other areas      
                                                                 ---------------------------------------------------
                                                                     Labor       Nonlabor      Labor       Nonlabor 
    ----------------------------------------------------------------------------------------------------------------
    National....................................................     2,776.03     1,128.37     2,776.03     1,128.37
    Puerto Rico.................................................     1,335.26       537.48     1,314.11       528.97
    ----------------------------------------------------------------------------------------------------------------
    
    (Catalog of Federal Domestic Assistance Program No. 93.778, Medical 
    Assistance Program; No. 93.773 Medicare--Hospital Insurance; and No. 
    93.774, Medicare--Supplementary Medical Insurance)
    
        Dated: May 8, 1998.
    Neil J. Stillman,
    Deputy Assistant Secretary for Information Resource Management.
    [FR Doc. 98-12805 Filed 5-8-98; 4:26 pm]
    BILLING CODE 4120-01-P
    
    
    

Document Information

Published:
05/13/1998
Department:
Health Care Finance Administration
Entry Type:
Proposed Rule
Action:
Proposed rule; correction.
Document Number:
98-12805
Pages:
26565-26566 (2 pages)
Docket Numbers:
HCFA-1003-CN
RINs:
0938-AI22: Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 1999 Rates (HCFA-1003-P)
RIN Links:
https://www.federalregister.gov/regulations/0938-AI22/changes-to-the-hospital-inpatient-prospective-payment-systems-and-fiscal-year-1999-rates-hcfa-1003-p
PDF File:
98-12805.pdf
CFR: (3)
42 CFR 405
42 CFR 412
42 CFR 413