Cost-Based and Inter-Agency Billing Rates for Medical Care or Services Provided by the Department of Veterans Affairs, 65479-65480 [2014-26148]
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65479
Federal Register / Vol. 79, No. 213 / Tuesday, November 4, 2014 / Notices
each January 1. Quarterly revisions will
be made if the annual average, on a
moving basis, changes by 2 percentage
points. The rate for calendar year 2015
reflects the average investment rates for
the 12-month period that ended
September 30, 2014.
DEPARTMENT OF THE TREASURY
Fiscal Service
Rate for Federal Debt Collection,
Discount and Rate Evaluation
Bureau of the Fiscal Service,
Treasury.
ACTION: Notice of rate to be used for
Federal debt collection, and discount
and rebate evaluation.
AGENCY:
Dated: October 29, 2014.
John B. Hill,
Assistant Commissioner Payment
Management and Chief Disbursing Officer.
The Secretary of the Treasury
is responsible for computing and
publishing the percentage rate that is to
be used in assessing interest charges for
outstanding debts owed to the
Government (The Debt Collection Act of
1982, as amended (codified at 31 U.S.C.
Section 3717)). This rate is also to be
used by agencies as a comparison point
in evaluating the cost-effectiveness of a
cash discount. In addition, this rate is to
be used in determining when agencies
should pay purchase card invoices
when the card issuer offers a rebate (5
CFR 1315.8). Notice is hereby given that
the applicable rate for calendar year
2015 is 1.00 percent.
DATES: January 1, 2015 through
December 31, 2015.
FOR FURTHER INFORMATION CONTACT: ECommerce Division, Bureau of the
Fiscal Service, Department of the
Treasury, 401 14th Street SW.,
Washington, DC 20227 (Telephone:
202–874–9428).
SUPPLEMENTARY INFORMATION: The rate
reflects the current value of funds to the
Treasury for use in connection with
Federal Cash Management systems and
is based on investment rates set for
purposes of Public Law 95–147, 91 Stat.
1227. Computed each year by averaging
Treasury Tax and Loan (TT&L)
investment rates for the 12-month
period ending every September 30,
rounded to the nearest whole
percentage, for applicability effective
SUMMARY:
[FR Doc. 2014–26171 Filed 11–3–14; 8:45 am]
BILLING CODE 4810–35–P
DEPARTMENT OF VETERANS
AFFAIRS
Cost-Based and Inter-Agency Billing
Rates for Medical Care or Services
Provided by the Department of
Veterans Affairs
Department of Veterans Affairs.
Notice.
AGENCY:
ACTION:
This document updates the
Cost-Based and Inter-Agency billing
rates for medical care or services
provided by the U.S. Department of
Veterans Affairs (VA).
DATES: Effective Date: The rates set forth
in this notice are effective November 4,
2014 and until further notice.
FOR FURTHER INFORMATION CONTACT:
Romona Greene, Chief Business Office
(10NB), Veterans Health
Administration, Department of Veterans
Affairs, 810 Vermont Avenue NW.,
Washington, DC 20420, (202) 382–2521.
(This is not a toll free number.)
SUPPLEMENTARY INFORMATION: VA’s
methodology for computing Cost-Based
and Inter-Agency billing rates for
medical care or services provided by VA
is set forth in 38 CFR 17.102(h). Two
sets of rates are obtained by applying
this methodology, Cost-Based rates and
Inter-Agency rates. Cost-Based rates
SUMMARY:
apply to medical care and services that
are provided by VA:
(a) In error or based on tentative
eligibility;
(b) In a medical emergency;
(c) To pensioners of allied nations; or
(d) For research purposes in
circumstances under which VA medical
care appropriation is to be reimbursed
by VA research appropriation.
Inter-Agency rates apply to medical
care and services that are provided by
VA to beneficiaries of the Department of
Defense (DoD) or other Federal agencies,
when the care or services provided is
not covered by an applicable sharing
agreement. The Inter-Agency rates
contained in this notice do not apply to
sharing agreements between VA and
DoD unless otherwise stated.
The calculations for the Cost-Based
and Inter-Agency rates are the same
with two exceptions. Inter-Agency rates
are all inclusive and are not broken
down into three components (Physician;
Ancillary; and Nursing, Room and
Board), and Inter-Agency rates do not
include standard fringe benefit costs
that cover government employee
retirement, disability costs, and return
on fixed assets. When VA pays for
medical care or services from a non-VA
source under circumstances in which
the Cost-Based or Inter-Agency Rates
would apply if the care or services had
been provided by VA, the charge for
such care or services will be the actual
amount paid by VA for the care or
services. Inpatient charges will be at the
per diem rates shown for the type of bed
section or discrete treatment unit
providing the care.
The following table depicts the Cost
Based and Inter-Agency Rates which are
effective upon publication of this notice.
These rates supersede those established
by the Federal Register notice
published on July 11, 2011 at 76 FR
40749.
rmajette on DSK3VPTVN1PROD with NOTICES
Cost-based
rates
A. Hospital Care per inpatient day
General Medicine:
All Inclusive Rate .......................................................................................................................................
Physician ...................................................................................................................................................
Ancillary .....................................................................................................................................................
Nursing Room and Board .........................................................................................................................
Neurology:
All Inclusive Rate .......................................................................................................................................
Physician ...................................................................................................................................................
Ancillary .....................................................................................................................................................
Nursing Room and Board .........................................................................................................................
Rehabilitation Medicine:
All Inclusive Rate .......................................................................................................................................
Physician ...................................................................................................................................................
Ancillary .....................................................................................................................................................
Nursing Room and Board .........................................................................................................................
Blind Rehabilitation:
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Inter-agency
rates
$3,313
397
863
2,053
$3,142
........................
........................
........................
3,152
461
832
1,859
2,993
........................
........................
........................
2,480
282
758
1,440
2,353
........................
........................
........................
65480
Federal Register / Vol. 79, No. 213 / Tuesday, November 4, 2014 / Notices
Cost-based
rates
All Inclusive Rate .......................................................................................................................................
Physician ...................................................................................................................................................
Ancillary .....................................................................................................................................................
Nursing Room and Board .........................................................................................................................
Spinal Cord Injury:
All Inclusive Rate .......................................................................................................................................
Physician ..........................................................................................................................................................
Ancillary .....................................................................................................................................................
Nursing Room and Board .........................................................................................................................
Surgery:
All Inclusive Rate .......................................................................................................................................
Physician ...................................................................................................................................................
Ancillary .....................................................................................................................................................
Nursing Room and Board .........................................................................................................................
General Psychiatry:
All Inclusive Rate .......................................................................................................................................
Physician ...................................................................................................................................................
Ancillary .....................................................................................................................................................
Nursing Room and Board .........................................................................................................................
Substance Abuse (Alcohol and Drug Treatment):
All Inclusive Rate .......................................................................................................................................
Physician ...................................................................................................................................................
Ancillary .....................................................................................................................................................
Nursing Room and Board .........................................................................................................................
Psychosocial Residential Rehabilitation Program:
All Inclusive Rate .......................................................................................................................................
Physician ...................................................................................................................................................
Ancillary .....................................................................................................................................................
Nursing Room and Board .........................................................................................................................
Intermediate Medicine:
All Inclusive Rate .......................................................................................................................................
Physician ...................................................................................................................................................
Ancillary .....................................................................................................................................................
Nursing Room and Board .........................................................................................................................
Polytrauma Inpatient:
All Inclusive Rate .......................................................................................................................................
Physician ...................................................................................................................................................
Ancillary .....................................................................................................................................................
Nursing Room and Board .........................................................................................................................
B. Nursing Home Care, Per Day
All Inclusive Rate ..............................................................................................................................................
Physician ..........................................................................................................................................................
Ancillary ............................................................................................................................................................
Nursing Room and Board .................................................................................................................................
C. Outpatient Medical Treatments
Outpatient Visit (to include Ineligible Dental Care) ..........................................................................................
Physical Medicine & Rehabilitation Service Outpatient Visit ...........................................................................
Outpatient Polytrauma/Traumatic Brain Injury .................................................................................................
Dated: October 30, 2014.
By Direction of the Secretary.
William F. Russo,
Acting Director, Office of Regulation Policy
and Management, Office of the General
Counsel, U.S. Department of Veterans Affairs.
[FR Doc. 2014–26148 Filed 11–3–14; 8:45 am]
rmajette on DSK3VPTVN1PROD with NOTICES
BILLING CODE 8320–01–P
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PO 00000
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Inter-agency
rates
1,641
132
815
694
1,557
........................
........................
........................
2,201
273
554
1,374
2,089
........................
........................
........................
5,165
569
1,567
3,029
4,899
........................
........................
........................
1,611
152
254
1,205
1,527
........................
........................
........................
1,363
130
315
918
1,294
........................
........................
........................
650
41
68
541
616
........................
........................
........................
2,249
111
330
1,808
2,135
........................
........................
........................
3,217
365
983
1,869
3,058
........................
........................
........................
1,082
34
146
902
1,025
236
443
586
222
419
561
]]>Agencies
[Federal Register Volume 79, Number 213 (Tuesday, November 4, 2014)]
[Notices]
[Pages 65479-65480]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-26148]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
Cost-Based and Inter-Agency Billing Rates for Medical Care or
Services Provided by the Department of Veterans Affairs
AGENCY: Department of Veterans Affairs.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This document updates the Cost-Based and Inter-Agency billing
rates for medical care or services provided by the U.S. Department of
Veterans Affairs (VA).
DATES: Effective Date: The rates set forth in this notice are effective
November 4, 2014 and until further notice.
FOR FURTHER INFORMATION CONTACT: Romona Greene, Chief Business Office
(10NB), Veterans Health Administration, Department of Veterans Affairs,
810 Vermont Avenue NW., Washington, DC 20420, (202) 382-2521. (This is
not a toll free number.)
SUPPLEMENTARY INFORMATION: VA's methodology for computing Cost-Based
and Inter-Agency billing rates for medical care or services provided by
VA is set forth in 38 CFR 17.102(h). Two sets of rates are obtained by
applying this methodology, Cost-Based rates and Inter-Agency rates.
Cost-Based rates apply to medical care and services that are provided
by VA:
(a) In error or based on tentative eligibility;
(b) In a medical emergency;
(c) To pensioners of allied nations; or
(d) For research purposes in circumstances under which VA medical
care appropriation is to be reimbursed by VA research appropriation.
Inter-Agency rates apply to medical care and services that are
provided by VA to beneficiaries of the Department of Defense (DoD) or
other Federal agencies, when the care or services provided is not
covered by an applicable sharing agreement. The Inter-Agency rates
contained in this notice do not apply to sharing agreements between VA
and DoD unless otherwise stated.
The calculations for the Cost-Based and Inter-Agency rates are the
same with two exceptions. Inter-Agency rates are all inclusive and are
not broken down into three components (Physician; Ancillary; and
Nursing, Room and Board), and Inter-Agency rates do not include
standard fringe benefit costs that cover government employee
retirement, disability costs, and return on fixed assets. When VA pays
for medical care or services from a non-VA source under circumstances
in which the Cost-Based or Inter-Agency Rates would apply if the care
or services had been provided by VA, the charge for such care or
services will be the actual amount paid by VA for the care or services.
Inpatient charges will be at the per diem rates shown for the type of
bed section or discrete treatment unit providing the care.
The following table depicts the Cost Based and Inter-Agency Rates
which are effective upon publication of this notice. These rates
supersede those established by the Federal Register notice published on
July 11, 2011 at 76 FR 40749.
------------------------------------------------------------------------
Cost-based Inter-agency
rates rates
------------------------------------------------------------------------
A. Hospital Care per inpatient day
General Medicine:
All Inclusive Rate.............. $3,313 $3,142
Physician....................... 397 ..............
Ancillary....................... 863 ..............
Nursing Room and Board.......... 2,053 ..............
Neurology:
All Inclusive Rate.............. 3,152 2,993
Physician....................... 461 ..............
Ancillary....................... 832 ..............
Nursing Room and Board.......... 1,859 ..............
Rehabilitation Medicine:
All Inclusive Rate.............. 2,480 2,353
Physician....................... 282 ..............
Ancillary....................... 758 ..............
Nursing Room and Board.......... 1,440 ..............
Blind Rehabilitation:
[[Page 65480]]
All Inclusive Rate.............. 1,641 1,557
Physician....................... 132 ..............
Ancillary....................... 815 ..............
Nursing Room and Board.......... 694 ..............
Spinal Cord Injury:
All Inclusive Rate.............. 2,201 2,089
Physician........................... 273 ..............
Ancillary....................... 554 ..............
Nursing Room and Board.......... 1,374 ..............
Surgery:
All Inclusive Rate.............. 5,165 4,899
Physician....................... 569 ..............
Ancillary....................... 1,567 ..............
Nursing Room and Board.......... 3,029 ..............
General Psychiatry:
All Inclusive Rate.............. 1,611 1,527
Physician....................... 152 ..............
Ancillary....................... 254 ..............
Nursing Room and Board.......... 1,205 ..............
Substance Abuse (Alcohol and Drug
Treatment):
All Inclusive Rate.............. 1,363 1,294
Physician....................... 130 ..............
Ancillary....................... 315 ..............
Nursing Room and Board.......... 918 ..............
Psychosocial Residential
Rehabilitation Program:
All Inclusive Rate.............. 650 616
Physician....................... 41 ..............
Ancillary....................... 68 ..............
Nursing Room and Board.......... 541 ..............
Intermediate Medicine:
All Inclusive Rate.............. 2,249 2,135
Physician....................... 111 ..............
Ancillary....................... 330 ..............
Nursing Room and Board.......... 1,808 ..............
Polytrauma Inpatient:
All Inclusive Rate.............. 3,217 3,058
Physician....................... 365 ..............
Ancillary....................... 983 ..............
Nursing Room and Board.......... 1,869 ..............
B. Nursing Home Care, Per Day
All Inclusive Rate.................. 1,082 1,025
Physician........................... 34 ..............
Ancillary........................... 146 ..............
Nursing Room and Board.............. 902 ..............
C. Outpatient Medical Treatments
Outpatient Visit (to include 236 222
Ineligible Dental Care)............
Physical Medicine & Rehabilitation 443 419
Service Outpatient Visit...........
Outpatient Polytrauma/Traumatic 586 561
Brain Injury.......................
------------------------------------------------------------------------
Dated: October 30, 2014.
By Direction of the Secretary.
William F. Russo,
Acting Director, Office of Regulation Policy and Management, Office of
the General Counsel, U.S. Department of Veterans Affairs.
[FR Doc. 2014-26148 Filed 11-3-14; 8:45 am]
BILLING CODE 8320-01-P
