Reasonable Charges for Inpatient DRG and SNF Medical Services; 2006 Fiscal Year Update, 56772-56803 [05-19283]

Download as PDF 56772 Federal Register / Vol. 70, No. 187 / Wednesday, September 28, 2005 / Notices The following paragraph applies to all of the collections of information covered by this notice: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the collection of information displays a valid OMB control number. Books or records relating to a collection of information must be retained as long as their contents may become material in the administration of any internal revenue law. Generally, tax returns and tax return information are confidential, as required by 26 U.S.C. 6103. Request for Comments Comments submitted in response to this notice will be summarized and/or included in the request for OMB approval. All comments will become a matter of public record. Comments are invited on: (a) Whether the collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; (b) the accuracy of the agency’s estimate of the burden of the collection of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; (d) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology; and (e) estimates of capital or start-up costs and costs of operation, maintenance, and purchase of services to provide information. Approved: September 20, 2005 Glenn Kirkland, IRS Reports Clearance Officer. [FR Doc. E5–5310 Filed 9–27–05; 8:45 am] BILLING CODE 4830–01–P DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 2290/SP/FR Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. AGENCY: SUMMARY: The Department of the Treasury, as part of its continuing effort to reduce paperwork and respondent burden, invites the general public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104–13 (44 U.S.C. VerDate Aug<31>2005 16:02 Sep 27, 2005 Jkt 205001 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 2290/SP/FR Heavy Highway Vehicle Use Tax Return. DATES: Written comments should be received on or before November 28, 2005 to be assured of consideration. ADDRESSES: Direct all written comments to Glenn Kirkland Internal Revenue Service, room 6512, 1111 Constitution Avenue, NW., Washington, DC 20224. FOR FURTHER INFORMATION CONTACT: Requests for additional information or copies of the form and instructions should be directed to Larnice Mack at Internal Revenue Service, room 6512, 1111 Constitution Avenue, NW., Washington, DC 20224, or at (202) 622– 3179, or through the Internet at (Larnice.Mack@irs.gov). information shall have practical utility; (b) the accuracy of the agency’s estimate of the burden of the collection of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; (d) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology; and (e) estimates of capital or start-up costs and costs of operation, maintenance, and purchase of services to provide information. Approved: September 20, 2005. Glenn Kirkland, IRS Reports Clearance Officer. [FR Doc. E5–5311 Filed 9–27–05; 8:45 am] BILLING CODE 4830–01–P SUPPLEMENTARY INFORMATION: Title: Heavy Highway Vehicle Use Tax Return. Abstract: Form 2290/SP/FR is used to compute and report the tax imposed by section 4481 on the highway use of certain motor vehicles. The information is used to determine whether the taxpayer has paid the correct amount of tax. Current Actions: There are no changes being made to Form 2290 at this time. Type of Review: Extension of a current OMB approval. Affected Public: Individuals or households. Estimated Number of Respondents: 740,000. Estimated Time Per Respondent: 28 hours, 4 minutes. Estimated Total Annual Burden Hours: 21,164,000. The following paragraph applies to all of the collections of information covered by this notice: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the collection of information displays a valid OMB control number. Books or records relating to a collection of information must be retained as long as their contents may become material in the administration of any internal revenue law. Generally, tax returns and tax return information are confidential, as required by 26 U.S.C. 6103. Request for Comments Comments submitted in response to this notice will be summarized and/or included in the request for OMB approval. All comments will become a matter of public record. Comments are invited on: (a) Whether the collection of information is necessary for the proper performance of the functions of the agency, including whether the PO 00000 Frm 00151 Fmt 4703 Sfmt 4703 DEPARTMENT OF VETERANS AFFAIRS Reasonable Charges for Inpatient DRG and SNF Medical Services; 2006 Fiscal Year Update Department of Veterans Affairs. Notice. AGENCY: ACTION: SUMMARY: Section 17.101 of Title 38 of the Code of Federal Regulations sets forth the Department of Veterans Affairs (VA) medical regulations concerning ‘‘reasonable charges’’ for medical care or services provided or furnished by VA to a veteran: —For a nonservice-connected disability for which the veteran is entitled to care (or the payment of expenses of care) under a health plan contract; —For a nonservice-connected disability incurred incident to the veteran’s employment and covered under a worker’s compensation law or plan that provides reimbursement or indemnification for such care and services; or —For a nonservice-connected disability incurred as a result of a motor vehicle accident in a State that requires automobile accident reparations insurance. The regulations include methodologies for establishing billed amounts for the following types of charges: Acute inpatient facility charges; skilled nursing facility/sub-acute inpatient facility charges; partial hospitalization facility charges; outpatient facility charges; physician and other professional charges, including professional charges for anesthesia services and dental services; pathology and laboratory charges; observation care facility charges; ambulance and other emergency E:\FR\FM\28SEN1.SGM 28SEN1 Federal Register / Vol. 70, No. 187 / Wednesday, September 28, 2005 / Notices transportation charges; and charges for durable medical equipment, drugs, injectables, and other medical services, items, and supplies identified by Healthcare Common Procedure Coding System (HCPCS) Level II codes. The regulations also provide that data for calculating actual charge amounts at individual VA facilities based on these methodologies will either be published in a notice in the Federal Register or will be posted on the Internet site of the Veterans Health Administration Chief Business Office, currently at http:// www.va.gov/cbo, under ‘‘Charge Data.’’ Certain of these charges are hereby updated as described in the Supplementary Information section of this notice. These changes are effective October 1, 2005. When charges for medical care or services provided or furnished at VA expense by either VA or non-VA providers have not been established under other provisions of the regulations, the method for determining VA’s charges is set forth at 38 CFR 17.101(a)(8). FOR FURTHER INFORMATION CONTACT: Romona Greene, Chief Business Office (168), Veterans Health Administration, Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 254–0361. (This is not a toll free number.) SUPPLEMENTARY INFORMATION: Of the charge types listed in the Summary section of this notice, only the acute inpatient facility charges and skilled nursing facility/sub-acute inpatient facility charges are being changed. Charges for the following charge types: partial hospitalization facility charges; outpatient facility charges; physician and other professional charges, including professional charges for anesthesia services and dental services; VerDate Aug<31>2005 16:02 Sep 27, 2005 Jkt 205001 pathology and laboratory charges; observation care facility charges; ambulance and other emergency transportation charges; and charges for durable medical equipment, drugs, injectables, and other medical services, items, and supplies identified by HCPCS Level II codes are not being changed. These Outpatient facility charges and Professional charges remain the same as set forth in a notice published in the Federal Register on April 11, 2005 (70 FR 18466). Based on the methodologies set forth in 38 CFR 17.101, this document provides an update to acute inpatient charges based on 2006 DRGs. Acute inpatient facility charges by diagnosis related group (DRG) are set forth in Table A in the December 15, 2004 Federal Register notice. Table A in the December 19 notice document is being replaced by Table A in this notice, which provides updated charges based on 2006 DRGs. Also, this document provides for an updated skilled nursing facility/subacute inpatient facility all-inclusive per diem charge that, using the methodologies set forth in 38 CFR 17.101, is adjusted by a geographic area factor based on the location where the care is provided. The skilled nursing facility/sub-acute inpatient facility per diem charge is set forth in Table B in the December 15, 2004 Federal Register notice. Table B in the December 15 notice document is being replaced by Table B in this notice, which provides the updated all-inclusive nationwide skilled nursing facility/sub-acute inpatient facility per diem charge. The charges in this update for acute inpatient facility and skilled nursing facility/sub-acute inpatient facility services are effective October 1, 2005. In this update, we are retaining the table designations used for acute PO 00000 Frm 00152 Fmt 4703 Sfmt 4703 56773 inpatient facility charges by DRGs in the notice published in the Federal Register on December 15, 2004 (69 FR 75111). We also are retaining the table designation used for skilled nursing facility/sub-acute inpatient facility charges in the notice published in the Federal Register on December 15, 2004 (69 FR 75111). Accordingly, the tables identified as being updated by this notice correspond to the applicable tables published in the December 15 notice, beginning with Table A through Table B. We have updated the list of data sources presented in Supplementary Table 1 to reflect the updated data sources used to establish the updated charges described in this notice. We have also updated the list of VA medical facility locations. As a reminder, in Supplementary Table 3 published in the Federal Register dated April 11, 2005, we set forth the list of VA medical facility locations, which includes their three-digit ZIP Codes and provider-based/non-provider-based designations. In accordance with the final rule, subsequent updates to Supplementary Table 3 will be posted on the Internet site of the Veterans Health Administration Chief Business Office. Consistent with the regulations, the updated data tables and supplementary tables containing the changes described in this notice are published with this notice and will be posted on the Internet site of the Veterans Health Administration Chief Business Office, currently at http://www.va.gov/cbo, under ‘‘Charge Data.’’ Approved: August 26, 2005. Gordon H. Mansfield, Deputy Secretary of Veterans Affairs. BILLING CODE 8320–01–P E:\FR\FM\28SEN1.SGM 28SEN1 VerDate Aug<31>2005 Federal Register / Vol. 70, No. 187 / Wednesday, September 28, 2005 / Notices 16:02 Sep 27, 2005 Jkt 205001 PO 00000 Frm 00153 Fmt 4703 Sfmt 4725 E:\FR\FM\28SEN1.SGM 28SEN1 EN28SE05.000</GPH> 56774 VerDate Aug<31>2005 16:02 Sep 27, 2005 Jkt 205001 PO 00000 Frm 00154 Fmt 4703 Sfmt 4725 E:\FR\FM\28SEN1.SGM 28SEN1 56775 EN28SE05.001</GPH> Federal Register / Vol. 70, No. 187 / Wednesday, September 28, 2005 / Notices VerDate Aug<31>2005 Federal Register / Vol. 70, No. 187 / Wednesday, September 28, 2005 / Notices 16:02 Sep 27, 2005 Jkt 205001 PO 00000 Frm 00155 Fmt 4703 Sfmt 4725 E:\FR\FM\28SEN1.SGM 28SEN1 EN28SE05.002</GPH> 56776 VerDate Aug<31>2005 16:02 Sep 27, 2005 Jkt 205001 PO 00000 Frm 00156 Fmt 4703 Sfmt 4725 E:\FR\FM\28SEN1.SGM 28SEN1 56777 EN28SE05.003</GPH> Federal Register / Vol. 70, No. 187 / Wednesday, September 28, 2005 / Notices VerDate Aug<31>2005 Federal Register / Vol. 70, No. 187 / Wednesday, September 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4725 E:\FR\FM\28SEN1.SGM 28SEN1 56787 EN28SE05.014</GPH> Federal Register / Vol. 70, No. 187 / Wednesday, September 28, 2005 / Notices VerDate Aug<31>2005 Federal Register / Vol. 70, No. 187 / Wednesday, September 28, 2005 / Notices 16:02 Sep 27, 2005 Jkt 205001 PO 00000 Frm 00167 Fmt 4703 Sfmt 4725 E:\FR\FM\28SEN1.SGM 28SEN1 EN28SE05.015</GPH> 56788 VerDate Aug<31>2005 16:02 Sep 27, 2005 Jkt 205001 PO 00000 Frm 00168 Fmt 4703 Sfmt 4725 E:\FR\FM\28SEN1.SGM 28SEN1 56789 EN28SE05.016</GPH> Federal Register / Vol. 70, No. 187 / Wednesday, September 28, 2005 / Notices VerDate Aug<31>2005 Federal Register / Vol. 70, No. 187 / Wednesday, September 28, 2005 / Notices 16:02 Sep 27, 2005 Jkt 205001 PO 00000 Frm 00169 Fmt 4703 Sfmt 4725 E:\FR\FM\28SEN1.SGM 28SEN1 EN28SE05.017</GPH> 56790 VerDate Aug<31>2005 16:02 Sep 27, 2005 Jkt 205001 PO 00000 Frm 00170 Fmt 4703 Sfmt 4725 E:\FR\FM\28SEN1.SGM 28SEN1 56791 EN28SE05.018</GPH> Federal Register / Vol. 70, No. 187 / Wednesday, September 28, 2005 / 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Agencies

[Federal Register Volume 70, Number 187 (Wednesday, September 28, 2005)]
[Notices]
[Pages 56772-56803]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-19283]


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DEPARTMENT OF VETERANS AFFAIRS


Reasonable Charges for Inpatient DRG and SNF Medical Services; 
2006 Fiscal Year Update

AGENCY: Department of Veterans Affairs.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: Section 17.101 of Title 38 of the Code of Federal Regulations 
sets forth the Department of Veterans Affairs (VA) medical regulations 
concerning ``reasonable charges'' for medical care or services provided 
or furnished by VA to a veteran:

--For a nonservice-connected disability for which the veteran is 
entitled to care (or the payment of expenses of care) under a health 
plan contract;
--For a nonservice-connected disability incurred incident to the 
veteran's employment and covered under a worker's compensation law or 
plan that provides reimbursement or indemnification for such care and 
services; or
--For a nonservice-connected disability incurred as a result of a motor 
vehicle accident in a State that requires automobile accident 
reparations insurance.

    The regulations include methodologies for establishing billed 
amounts for the following types of charges: Acute inpatient facility 
charges; skilled nursing facility/sub-acute inpatient facility charges; 
partial hospitalization facility charges; outpatient facility charges; 
physician and other professional charges, including professional 
charges for anesthesia services and dental services; pathology and 
laboratory charges; observation care facility charges; ambulance and 
other emergency

[[Page 56773]]

transportation charges; and charges for durable medical equipment, 
drugs, injectables, and other medical services, items, and supplies 
identified by Healthcare Common Procedure Coding System (HCPCS) Level 
II codes. The regulations also provide that data for calculating actual 
charge amounts at individual VA facilities based on these methodologies 
will either be published in a notice in the Federal Register or will be 
posted on the Internet site of the Veterans Health Administration Chief 
Business Office, currently at http://www.va.gov/cbo, under ``Charge 
Data.'' Certain of these charges are hereby updated as described in the 
Supplementary Information section of this notice. These changes are 
effective October 1, 2005.
    When charges for medical care or services provided or furnished at 
VA expense by either VA or non-VA providers have not been established 
under other provisions of the regulations, the method for determining 
VA's charges is set forth at 38 CFR 17.101(a)(8).

FOR FURTHER INFORMATION CONTACT: Romona Greene, Chief Business Office 
(168), Veterans Health Administration, Department of Veterans Affairs, 
810 Vermont Avenue, NW., Washington, DC 20420, (202) 254-0361. (This is 
not a toll free number.)

SUPPLEMENTARY INFORMATION: Of the charge types listed in the Summary 
section of this notice, only the acute inpatient facility charges and 
skilled nursing facility/sub-acute inpatient facility charges are being 
changed. Charges for the following charge types: partial 
hospitalization facility charges; outpatient facility charges; 
physician and other professional charges, including professional 
charges for anesthesia services and dental services; pathology and 
laboratory charges; observation care facility charges; ambulance and 
other emergency transportation charges; and charges for durable medical 
equipment, drugs, injectables, and other medical services, items, and 
supplies identified by HCPCS Level II codes are not being changed. 
These Outpatient facility charges and Professional charges remain the 
same as set forth in a notice published in the Federal Register on 
April 11, 2005 (70 FR 18466).
    Based on the methodologies set forth in 38 CFR 17.101, this 
document provides an update to acute inpatient charges based on 2006 
DRGs. Acute inpatient facility charges by diagnosis related group (DRG) 
are set forth in Table A in the December 15, 2004 Federal Register 
notice. Table A in the December 19 notice document is being replaced by 
Table A in this notice, which provides updated charges based on 2006 
DRGs.
    Also, this document provides for an updated skilled nursing 
facility/sub-acute inpatient facility all-inclusive per diem charge 
that, using the methodologies set forth in 38 CFR 17.101, is adjusted 
by a geographic area factor based on the location where the care is 
provided. The skilled nursing facility/sub-acute inpatient facility per 
diem charge is set forth in Table B in the December 15, 2004 Federal 
Register notice. Table B in the December 15 notice document is being 
replaced by Table B in this notice, which provides the updated all-
inclusive nationwide skilled nursing facility/sub-acute inpatient 
facility per diem charge.
    The charges in this update for acute inpatient facility and skilled 
nursing facility/sub-acute inpatient facility services are effective 
October 1, 2005.
    In this update, we are retaining the table designations used for 
acute inpatient facility charges by DRGs in the notice published in the 
Federal Register on December 15, 2004 (69 FR 75111). We also are 
retaining the table designation used for skilled nursing facility/sub-
acute inpatient facility charges in the notice published in the Federal 
Register on December 15, 2004 (69 FR 75111). Accordingly, the tables 
identified as being updated by this notice correspond to the applicable 
tables published in the December 15 notice, beginning with Table A 
through Table B.
    We have updated the list of data sources presented in Supplementary 
Table 1 to reflect the updated data sources used to establish the 
updated charges described in this notice.
    We have also updated the list of VA medical facility locations. As 
a reminder, in Supplementary Table 3 published in the Federal Register 
dated April 11, 2005, we set forth the list of VA medical facility 
locations, which includes their three-digit ZIP Codes and provider-
based/non-provider-based designations. In accordance with the final 
rule, subsequent updates to Supplementary Table 3 will be posted on the 
Internet site of the Veterans Health Administration Chief Business 
Office.
    Consistent with the regulations, the updated data tables and 
supplementary tables containing the changes described in this notice 
are published with this notice and will be posted on the Internet site 
of the Veterans Health Administration Chief Business Office, currently 
at http://www.va.gov/cbo, under ``Charge Data.''

    Approved: August 26, 2005.
Gordon H. Mansfield,
Deputy Secretary of Veterans Affairs.
BILLING CODE 8320-01-P

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[FR Doc. 05-19283 Filed 9-27-05; 8:45 am]
BILLING CODE 8320-01-C