Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2008 Rates; Correction, 31507-31540 [07-2806]
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31507
Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules
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SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 07–1920 of May 3, 2007
(72 FR 24680), there were a number of
technical errors that are identified and
corrected in the Correction of Errors
section of this notice. We issued the
fiscal year (FY) 2008 hospital inpatient
prospective payment systems (IPPS)
proposed rule on April 13, 2007. The FY
2008 IPPS proposed rule appeared in
the May 3, 2007 Federal Register.
II. Summary of Errors
40 CFR Part 81
Air pollution control, National parks,
Wilderness areas.
Authority: 42 U.S.C. 7401 et seq.
Dated: May 31, 2007.
William T. Wisniewski,
Acting Regional Administrator, Region III.
[FR Doc. E7–11019 Filed 6–6–07; 8:45 am]
BILLING CODE 6560–50–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
42 CFR Parts 411, 412, 413, and 489
[CMS–1533–CN]
RIN 0938–A070
Medicare Program; Proposed Changes
to the Hospital Inpatient Prospective
Payment Systems and Fiscal Year 2008
Rates; Correction
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Correction of proposed rule.
AGENCY:
We recently discovered that an error
was made in the calculation of the DRG
relative weights presented in the FY
2008 IPPS proposed rule. We have
revised the relative weights to correct
the error and have recalculated the
standardized amounts. These changes
increase the standardized amounts
slightly and reduce the proposed FY
2008 outlier threshold by $85. Further,
these revisions affect the DRG-specific
costs thresholds for new technology
add-on payments. Therefore, in this
notice we are correcting the following:
• Preamble language regarding the
methodology used to calculate chargebased and cost-based relative weights.
• Outlier threshold.
• Recalibration, wage and
recalibration, geographic
reclassification, and rural floor budget
neutrality factors.
• Tables 1A through 1D, 2, 4A, 4C, 4J,
5, 10.
• Impact analysis tables (Tables I and
II).
In addition, we have posted these
corrected tables on our Web site at
https://www.cms.hhs.gov/
AcuteInpatientPPS/WIFN/list.asp.
III. Correction of Errors
SUMMARY: This document corrects
technical errors that appeared in the
proposed rule entitled ‘‘Medicare
Program; Proposed Changes to the
Hospital Inpatient Prospective Payment
Systems and Fiscal Year 2008 Rates’’
that appeared in the May 3, 2007
Federal Register.
FOR FURTHER INFORMATION CONTACT:
Marc Hartstein, (410) 786–4548.
In FR Doc. 07–1920 of May 3, 2007
(72 FR 24680), make the following
corrections:
A. Corrections to the Preamble
1. On page 24711, second column, last
paragraph, sixth line from the bottom,
the figure ‘‘$23,015’’ is corrected to read
‘‘$22,930.’’
2. On page 24746, second column,
a. Third full paragraph, line 9, the
phrase, ‘‘in the FY 2005 MedPAR’’ is
corrected to read ‘‘in the FY 2006
MedPAR.’’
b. Fifth full paragraph, last line, after
the phrase ‘‘cost of living adjustment.’’,
the following sentence is added to read
as follows:
‘‘Beginning with FY 2008, because
hospital charges include charges for
both operating and capital costs, we are
proposing to standardize total charges to
remove the effects of differences in
geographic adjustment factors, large
urban add-on payments, cost-of-living
adjustment, disproportionate share
payments, and IME adjustments under
the capital IPPS as well.’’
3. On page 24747, first column, third
full paragraph, last line, after the phrase
‘‘cost of living adjustment.’’ and before
the phrase ‘‘Charges were then’’, the
following sentence is added to read as
follows:
‘‘Beginning with FY 2008, because
hospital charges include charges for
both operating and capital costs, we are
proposing to standardize total charges to
remove the effects of differences in
geographic adjustment factors, large
urban add-on payments, cost-of-living
adjustment, disproportionate share
payments, and IME adjustments under
the capital IPPS as well.’’
B. Corrections to the Addendum
1. On page 24836,
a. First column, second full
paragraph,
(1) Line 14, the figure ‘‘0.999317’’ is
corrected to read ‘‘0.999367.’’
(2) Lines 19 and 29, the figure
‘‘0.998557’’ is corrected to read
‘‘0.998573.’’
b. Second column, first partial
paragraph, line 17, the figure
‘‘0.991938’’ is corrected to read
‘‘0.991925.’’
2. On page 24837, second column,
second full paragraph, line 6, the figure
‘‘$23,015’’ is corrected to read
‘‘$22,930’’.
3. On page 24839, top half of the page,
in the table Comparison of FY 2007
Standardized Amounts to Proposed FY
2008 Single Standardized Amount with
Full Update and Reduced Update, the
figures in the listed entries are corrected
to read as follows:
jlentini on PROD1PC65 with PROPOSALS
Full update
(3.3 percent)
FY 2008 DRG Recalibrations and Wage Index Budget Neutrality Factor ..........................................................
FY 2008 Reclassification Budget Neutrality Factor .............................................................................................
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07JNP1
0.999367
0.991925
Reduced
update
(1.3 percent)
0.999367
0.991925
31508
Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules
4. On page 24846, third column, first
full paragraph,
a. Line 38, the figure ‘‘$417.26’’ is
corrected to read ‘‘$417.12.’’
b. Line 40, the figure ‘‘$413.87’’ is
corrected to read ‘‘$413.73.’’
5. On page 24847,
a. Middle of the page, in the table
Comparison of Factors and
Adjustments: FY 2007 Capital Federal
Rate and Proposed FY 2008 Capital
Federal Rate for Urban Hospitals, third
column, last row, the figure, ‘‘$413.87’’
is corrected to read ‘‘$413.73.’’
b. Lower third of the page, in the table
Comparison of Factors and
Adjustments: FY 2007 Capital Federal
Rate and Proposed FY 2008 Capital
Federal Rate for Rural Hospitals, third
column, last row, the figure ‘‘$417.26’’
is corrected to read ‘‘$417.12.’’
6. On page 24848,
a. First column, fourth full paragraph,
(1) Line 10, the phrase ‘‘is $197.21’’ is
corrected to read ‘‘is $197.11.’’.
(2) Line 12, the figure ‘‘$195.60’’ is
corrected to read ‘‘$195.51.’’
b. Second column, third paragraph,
last line, the figure ‘‘$23,015’’ is
corrected to read ‘‘$22,930’’.
7. On page 24850, in Table 1A.—
National Adjusted Operating
Standardized Amounts, Labor/Nonlabor
(69.7 Percent Labor Share/30.3 Percent
Nonlabor Share If Wage Index Greater
Than 1), the table is corrected to read as
follows:
TABLE 1A.—NATIONAL ADJUSTED OPERATING STANDARDIZED AMOUNTS, LABOR/NONLABOR (69.7 PERCENT LABOR
SHARE/30.3 PERCENT NONLABOR SHARE IF WAGE INDEX GREATER THAN 1)
Full update
(3.3 percent)
Reduced update
(1.3 Percent)
Labor-related
Nonlabor-related
Labor-related
Nonlabor-related
$3,430.41
$1,491.27
$3,363.99
$1,462.40
8. On page 24850, in Table 1B.—
National Adjusted Operating
Standardized Amounts, Labor/Nonlabor
(62 Percent Labor Share/38 Percent
Nonlabor Share If Wage Index Less
Than Or Equal To 1), the table is
corrected to read as follows:
TABLE 1B.—NATIONAL ADJUSTED OPERATING STANDARDIZED AMOUNTS, LABOR/NONLABOR (62 PERCENT LABOR SHARE/
38 PERCENT NONLABOR SHARE IF WAGE INDEX LESS THAN OR EQUAL TO 1)
Full update
(3.3 percent)
Reduced update
(1.3 Percent)
Labor-related
Nonlabor-related
Labor-related
Nonlabor-related
$3,051.44
$1,870.24
$2,992.36
$1,834.03
9. On page 24850, in Table 1C.—
Adjusted Operating Standardized
Amounts For Puerto Rico Labor, Labor/
Nonlabor, the table is corrected to read
as follows:
TABLE 1C.—ADJUSTED OPERATING STANDARDIZED AMOUNTS FOR PUERTO RICO, LABOR/NONLABOR
Rates if wage index greater than 1
Labor
National ........
Puerto Rico ..
Rates if wage index less than or equal to 1
Nonlabor
$3,430.41
1,442.16
Labor
$1,491.27
883.90
Nonlabor
$3,363.99
1,365.40
$1,462.40
960.66
10. On page 24850, in Table 1D.—
Capital Standard Federal Payment Rate,
the table is corrected to read as follows:
TABLE 1D.—CAPITAL STANDARD FEDERAL PAYMENT RATE
Urban rate
Rural rate
jlentini on PROD1PC65 with PROPOSALS
National ........
Puerto Rico ..
$413.73
195.51
11. On pages 24851 through 24917, in
Table 2.—Hospital Case-Mix Indexes
For Discharges Occurring in Federal
Fiscal Year 2006; Hospital Wage Indexes
For Federal Fiscal Year 2008; Hospital
VerDate Aug<31>2005
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$417.12
197.11
Average Hourly Wages For Federal
Fiscal Years 2006 (2002 Wage Data),
2007 (2003 Wage Data), And 2008 (2004
Wage Data); And 3-Year Average Of
Hospital Average Hourly Wages, the
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wage index for the listed provider
numbers are corrected to read as
follows:
E:\FR\FM\07JNP1.SGM
07JNP1
31509
Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules
Provider No.
010012
010047
010052
010109
010110
010164
040014
040017
040041
040071
040076
040078
040100
040119
050007
050008
050009
050013
050016
050047
050055
050070
050113
050152
050228
050232
050280
050289
050407
050454
050457
050506
050633
050667
050668
050697
050707
050733
050754
060010
060030
080001
080003
100102
100290
110107
110164
110201
130066
130068
150015
......................................
......................................
......................................
......................................
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......................................
......................................
......................................
......................................
......................................
......................................
......................................
......................................
......................................
......................................
......................................
......................................
......................................
FY 2008
wage index
0.9390
0.7776
0.7701
0.8049
0.7900
0.8042
0.8720
0.8718
0.8720
0.8720
0.8720
0.8720
0.8720
0.8720
1.4907
1.4792
1.4200
1.4200
1.2015
1.4792
1.4792
1.4907
1.4907
1.4792
1.4792
1.2015
1.2826
1.4907
1.4792
1.4792
1.4792
1.2015
1.2015
1.4200
1.4792
1.2826
1.4907
1.2826
1.4907
0.9730
0.9730
1.0777
1.0777
0.8874
0.9331
0.9752
0.9752
0.9752
0.9680
0.9680
0.8904
FY 2008
wage index
Provider No.
160030
180013
180064
180066
180079
180080
180124
190044
190190
190246
200032
210028
230036
230041
230047
230080
230105
230195
230204
230222
230227
230257
230264
230297
230299
230300
240006
240010
240018
240061
240069
240071
270081
280065
310010
310011
310014
310044
310081
310092
310110
320001
320005
320006
320009
320011
320017
320019
320021
320037
320074
......................................
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......................................
......................................
......................................
......................................
......................................
......................................
......................................
......................................
......................................
......................................
......................................
1.0022
0.9407
0.8131
0.9407
0.8075
0.8042
0.9407
0.7849
0.7752
0.7752
0.8878
0.9429
0.9398
0.9398
1.0091
0.9398
0.9398
1.0091
1.0091
0.9398
1.0091
1.0091
1.0091
1.0091
1.0091
1.0091
1.0760
1.0760
1.0084
1.0760
1.0760
1.0760
0.8574
0.9746
1.0812
1.0864
1.0777
1.0812
1.0777
1.0812
1.0812
0.9739
0.9739
0.9739
0.9739
0.9407
0.9739
0.9739
0.9739
0.9739
0.9739
320079
320083
330135
330205
330264
340133
360044
370113
380029
380051
380056
390044
390096
390133
410013
430012
430013
430048
440011
440015
440019
440030
440034
440035
440056
440073
440084
440110
440120
440125
440144
440148
440151
440153
440173
440175
440192
440225
440226
450370
450565
450755
......................................
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Wage
index
Urban area
10740 .......
Albuquerque, NM ..............................................................................................................................................
Bernalillo County, NM.
Sandoval County, NM.
Torrance County, NM.
Valencia County, NM.
Bay City MI .......................................................................................................................................................
Bay County, MI.
Rochester, MN ..................................................................................................................................................
Dodge County, MN.
Olmsted County, MN.
Wabasha County, MN.
jlentini on PROD1PC65 with PROPOSALS
40340 .......
13. On pages 24948 through 24951, in
Table 4C.—Wage Index And Capital
Geographic Adjustment Factor (GAF)
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CBSA FY 2008, the wage indices and
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0.9739
0.9739
1.1528
1.1528
1.1528
0.8916
0.8825
0.8718
1.0479
1.0479
1.0479
1.0777
1.0777
1.0777
1.1793
0.9394
0.9394
0.8398
0.8042
0.8042
0.8042
0.7972
0.8042
0.9407
0.8042
0.9407
0.7949
0.8042
0.8042
0.8042
0.9407
0.9407
0.9407
0.7923
0.8042
0.9407
0.9407
0.8042
0.8042
0.8444
0.8690
0.8498
12. On pages 24924, 29426, and
24941, in Table 4A.—Wage Index and
Capital Geographic Adjustment Factor
(GAF) for Urban Areas by CBSA—FY
2008, the wage index and GAF for the
listed CBSAs are corrected to read as
follows:
CBSA code
13020 .......
FY 2008
wage index
Provider No.
GAF
0.9739
0.9821
0.9398
0.9584
1.0760
1.0514
GAFs for the listed areas are corrected
to read as follows:
E:\FR\FM\07JNP1.SGM
07JNP1
31510
Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules
CBSA code
10740
13020
22220
35980
40340
40660
43620
.......
.......
.......
.......
.......
.......
.......
Albuquerque, NM ..............................................................................................................................................
Bay City, MI ......................................................................................................................................................
Fayetteville-Springdale-Rogers, AR-MO ...........................................................................................................
Norwich-New London, CT .................................................................................................................................
Rochester, MN ..................................................................................................................................................
Rome, GA .........................................................................................................................................................
Sioux Falls, SD .................................................................................................................................................
14. On pages 24952 through 24960, in
Table 4J.—Out-Migration Adjustment—
FY 2008, the entries for the listed
jlentini on PROD1PC65 with PROPOSALS
......................................................
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VerDate Aug<31>2005
16:51 Jun 06, 2007
Jkt 211001
0.9739
0.9398
0.8718
1.1793
1.0760
0.9390
0.9394
GAF
0.9821
0.9584
0.9103
1.1196
1.0514
0.9578
0.9581
providers are corrected to read as
follows:
Reclassified for
FY 2008
Provider No.
010009
010025
010038
010047
010052
010054
010065
010078
010085
010109
010110
010146
010150
050007
050008
050016
050047
050055
050070
050076
050113
050152
050194
050197
050228
050232
050242
050289
050407
050454
050457
050506
050541
050633
050668
050707
050714
050754
060010
060030
080001
080003
100102
100156
100290
110146
130049
130066
130067
130068
140167
150006
150015
150146
160030
170137
Wage
index
Area
Out-migration
adjustment
*
*
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*
*
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*
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*
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*
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*
*
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*
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*
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*
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*
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*
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*
*
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*
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*
*
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*
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*
PO 00000
Frm 00038
0.0092
0.0235
0.0039
0.0178
0.0103
0.0092
0.0103
0.0039
0.0092
0.0451
0.0302
0.0039
0.0178
0.0141
0.0026
0.0103
0.0026
0.0026
0.0141
0.0026
0.0141
0.0026
0.0052
0.0141
0.0026
0.0103
0.0052
0.0141
0.0026
0.0026
0.0026
0.0103
0.0141
0.0103
0.0026
0.0141
0.0052
0.0141
0.0153
0.0153
0.0063
0.0063
0.0125
0.0125
0.0582
0.0805
0.032
0.032
0.0696
0.032
0.1055
0.0113
0.0113
0.0319
0.004
0.0336
Fmt 4702
Sfmt 4702
Qualifying county name
MORGAN .................................................
CHAMBERS .............................................
CALHOUN ................................................
BUTLER ...................................................
TALLAPOOSA ..........................................
MORGAN .................................................
TALLAPOOSA ..........................................
CALHOUN ................................................
MORGAN .................................................
PICKENS ..................................................
BULLOCK .................................................
CALHOUN ................................................
BUTLER ...................................................
SAN MATEO ............................................
SAN FRANCISCO ....................................
SAN LUIS OBISPO ..................................
SAN FRANCISCO ....................................
SAN FRANCISCO ....................................
SAN MATEO ............................................
SAN FRANCISCO ....................................
SAN MATEO ............................................
SAN FRANCISCO ....................................
SANTA CRUZ ..........................................
SAN MATEO ............................................
SAN FRANCISCO ....................................
SAN LUIS OBISPO ..................................
SANTA CRUZ ..........................................
SAN MATEO ............................................
SAN FRANCISCO ....................................
SAN FRANCISCO ....................................
SAN FRANCISCO ....................................
SAN LUIS OBISPO ..................................
SAN MATEO ............................................
SAN LUIS OBISPO ..................................
SAN FRANCISCO ....................................
SAN MATEO ............................................
SANTA CRUZ ..........................................
SAN MATEO ............................................
LARIMER ..................................................
LARIMER ..................................................
NEW CASTLE ..........................................
NEW CASTLE ..........................................
COLUMBIA ...............................................
COLUMBIA ...............................................
SUMTER ..................................................
CAMDEN ..................................................
KOOTENAI ...............................................
KOOTENAI ...............................................
BINGHAM .................................................
KOOTENAI ...............................................
IROQUOIS ................................................
LA PORTE ................................................
LA PORTE ................................................
NOBLE .....................................................
STORY .....................................................
DOUGLAS ................................................
E:\FR\FM\07JNP1.SGM
07JNP1
County code
01510
01080
01070
01060
01610
01510
01610
01070
01510
01530
01050
01070
01060
05510
05480
05500
05480
05480
05510
05480
05510
05480
05540
05510
05480
05500
05540
05510
05480
05480
05480
05500
05510
05500
05480
05510
05540
05510
06340
06340
08010
08010
10110
10110
10590
11170
13270
13270
13050
13270
14460
15450
15450
15560
16840
17220
Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules
Reclassified for
FY 2008
jlentini on PROD1PC65 with PROPOSALS
Provider No.
180064
180066
180079
190044
190099
190184
190190
190246
200032
210028
230069
230279
240018
270081
300011
300012
300020
300034
310010
310011
310021
310044
310092
310110
320003
320011
330027
330106
330167
330181
330182
330198
330225
330259
330331
330332
330372
340133
360010
360013
360025
360044
360096
360175
360185
380022
380029
380051
380056
390030
390031
390065
390138
390151
390162
390181
390183
390313
420009
420039
420062
440030
440067
440084
440153
450324
450370
450393
450395
450438
450469
450565
450755
......................................................
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............................
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*
*
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*
*
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*
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*
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*
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*
*
*
*
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PO 00000
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0.0319
0.0449
0.0263
0.0258
0.0188
0.0161
0.0161
0.0161
0.0466
0.0512
0.0209
0.0209
0.0872
0.0237
0.0069
0.0069
0.0069
0.0069
0.0092
0.0115
0.0092
0.0092
0.0092
0.0092
0.0629
0.0442
0.0149
0.0149
0.0149
0.0149
0.0149
0.0149
0.0149
0.0149
0.0149
0.0149
0.0149
0.0308
0.0076
0.0136
0.0072
0.0124
0.0072
0.0176
0.0072
0.0068
0.0075
0.0075
0.0075
0.0284
0.0284
0.049
0.0213
0.0213
0.02
0.0284
0.0284
0.0284
0.0113
0.0153
0.0109
0.0056
0.0056
0.0033
0.0007
0.0132
0.024
0.0132
0.0451
0.024
0.0132
0.0486
0.0294
Fmt 4702
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Qualifying county name
MONTGOMERY .......................................
LOGAN .....................................................
HARRISON ...............................................
ACADIA ....................................................
AVOYELLES ............................................
CALDWELL ..............................................
CALDWELL ..............................................
CALDWELL ..............................................
OXFORD ..................................................
ST. MARY’S .............................................
LIVINGSTON ............................................
LIVINGSTON ............................................
GOODHUE ...............................................
MUSSELSHELL .......................................
HILLSBOROUGH .....................................
HILLSBOROUGH .....................................
HILLSBOROUGH .....................................
HILLSBOROUGH .....................................
MERCER ..................................................
CAPE MAY ...............................................
MERCER ..................................................
MERCER ..................................................
MERCER ..................................................
MERCER ..................................................
SAN MIGUEL ...........................................
RIO ARRIBA .............................................
NASSAU ...................................................
NASSAU ...................................................
NASSAU ...................................................
NASSAU ...................................................
NASSAU ...................................................
NASSAU ...................................................
NASSAU ...................................................
NASSAU ...................................................
NASSAU ...................................................
NASSAU ...................................................
NASSAU ...................................................
MARTIN ....................................................
TUSCARAWAS ........................................
SHELBY ...................................................
ERIE .........................................................
DARKE .....................................................
COLUMBIANA ..........................................
CLINTON ..................................................
COLUMBIANA ..........................................
LINN .........................................................
MARION ...................................................
MARION ...................................................
MARION ...................................................
SCHUYLKILL ............................................
SCHUYLKILL ............................................
ADAMS .....................................................
FRANKLIN ................................................
FRANKLIN ................................................
NORTHAMPTON .....................................
SCHUYLKILL ............................................
SCHUYLKILL ............................................
SCHUYLKILL ............................................
OCONEE ..................................................
UNION ......................................................
CHESTERFIELD ......................................
HAMBLEN ................................................
HAMBLEN ................................................
MONROE .................................................
COCKE .....................................................
GRAYSON ................................................
COLORADO .............................................
GRAYSON ................................................
POLK ........................................................
COLORADO .............................................
GRAYSON ................................................
PALO PINTO ............................................
HOCKLEY ................................................
E:\FR\FM\07JNP1.SGM
07JNP1
31511
County code
18860
18700
18480
19000
19040
19100
19100
19100
20080
21180
23460
23460
24240
27320
30050
30050
30050
30050
31260
31180
31260
31260
31260
31260
32230
32190
33400
33400
33400
33400
33400
33400
33400
33400
33400
33400
33400
34580
36800
36760
36220
36190
36140
36130
36140
38210
38230
38230
38230
39650
39650
39000
39350
39350
39590
39650
39650
39650
42360
42430
42120
44310
44310
44610
44140
45564
45312
45564
45850
45312
45564
45841
45652
31512
Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules
Reclassified for
FY 2008
Provider No.
510077 ......................................................
*
jlentini on PROD1PC65 with PROPOSALS
15. On pages 24960 through 24977, in
Table 5.—List of Proposed Medicare
Severity-Diagnosis Related Groups (MS–
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MINGO .....................................................
DRGs), Relative Weighting Factors, and
Geometric and Arithmetic Mean Length
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51290
of Stay, the table is corrected to read as
follows:
BILLING CODE 4120–01–P
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BILLING CODE 4120–01–C
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16. On pages 25095 through 25099, in
Table 10.—Geometric Mean Plus The
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31531
Lesser of .75 Of The National Adjusted
Operating Standardized Payment
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Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules
31532
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Amount (Increased To Reflect The
Difference Between Costs And Charges)
Or .75 Of One Standard Deviation Of
Mean Charges By Proposed Medicare
Severity Diagnosis Related Group (MS–
DRG) April 2007,1 the table is corrected
to read as follows:
jlentini on PROD1PC65 with PROPOSALS
Proposed
MS–DRG
1 ................
2 ................
3 ................
4 ................
5 ................
6 ................
7 ................
8 ................
9 ................
10 ..............
11 ..............
12 ..............
13 ..............
20 ..............
21 ..............
22 ..............
23 ..............
24 ..............
25 ..............
26 ..............
27 ..............
28 ..............
29 ..............
30 ..............
31 ..............
32 ..............
33 ..............
34 ..............
35 ..............
36 ..............
37 ..............
38 ..............
39 ..............
40 ..............
41 ..............
42 ..............
52 ..............
53 ..............
54 ..............
55 ..............
56 ..............
57 ..............
58 ..............
59 ..............
60 ..............
61 ..............
62 ..............
63 ..............
64 ..............
65 ..............
66 ..............
67 ..............
68 ..............
69 ..............
70 ..............
71 ..............
72 ..............
73 ..............
74 ..............
75 ..............
76 ..............
Number of
cases
629
328
23,999
21,742
842
495
413
560
1,358
177
1,289
1,923
1,484
901
558
251
3,112
2,576
8,417
11,626
14,454
1,609
2,862
3,751
1,057
2,987
4,263
813
2,506
7,710
4,777
14,602
55,357
4,549
7,720
5,430
1,156
593
4,664
16,896
7,716
48,432
789
2,639
4,201
1,340
2,288
1,185
55,552
112,189
94,547
1,383
12,393
103,747
7,092
10,001
6,056
8,655
32,523
1,197
874
Threshold
$337,776
177,459
266,199
162,448
159,506
90,877
130,276
92,482
96,148
72,498
71,569
51,377
36,890
138,451
107,625
74,547
81,762
60,740
79,522
52,970
41,141
73,994
45,280
30,578
59,862
35,341
30,562
58,045
42,020
36,365
51,688
33,107
25,687
58,682
39,547
34,186
29,433
22,836
30,610
24,934
29,072
19,657
28,525
22,939
17,679
53,318
41,979
36,186
34,358
27,004
21,586
30,616
23,506
18,936
34,031
26,444
20,628
26,844
21,427
33,931
24,318
1 Cases taken from the FY 2006 MedPAR file;
proposed MS–DRGs are from GROUPER Version
25.0.
VerDate Aug<31>2005
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Jkt 211001
Proposed
MS–DRG
77 ..............
78 ..............
79 ..............
80 ..............
81 ..............
82 ..............
83 ..............
84 ..............
85 ..............
86 ..............
87 ..............
88 ..............
89 ..............
90 ..............
91 ..............
92 ..............
93 ..............
94 ..............
95 ..............
96 ..............
97 ..............
98 ..............
99 ..............
100 ............
101 ............
102 ............
103 ............
113 ............
114 ............
115 ............
116 ............
117 ............
121 ............
122 ............
123 ............
124 ............
125 ............
129 ............
130 ............
131 ............
132 ............
133 ............
134 ............
135 ............
136 ............
137 ............
138 ............
139 ............
146 ............
147 ............
148 ............
149 ............
150 ............
151 ............
152 ............
153 ............
154 ............
155 ............
156 ............
157 ............
158 ............
159 ............
163 ............
164 ............
165 ............
166 ............
167 ............
168 ............
175 ............
176 ............
177 ............
178 ............
179 ............
PO 00000
Frm 00060
Number of
cases
1,101
1,307
957
2,077
8,190
1,646
1,940
2,591
5,328
10,382
12,152
717
2,641
3,319
6,676
14,890
15,484
1,521
1,088
755
1,252
1,048
642
15,837
56,905
1,352
15,023
568
601
1,098
665
1,400
587
674
2,843
679
4,705
1,374
1,072
655
728
1,352
2,661
781
1,113
1,108
1,370
2,145
687
1,422
935
39,248
939
6,801
2,352
16,028
1,843
4,207
5,140
1,145
3,039
2,418
13,431
18,047
14,553
20,290
20,772
5,758
11,954
40,173
57,179
71,192
27,454
Fmt 4702
Sfmt 4702
Threshold
32,854
24,933
20,523
24,135
17,502
33,910
28,383
22,654
35,679
26,404
20,144
30,107
23,706
17,874
29,690
22,313
17,172
56,938
42,964
36,338
51,314
35,977
30,167
28,714
19,341
24,321
17,133
31,544
21,640
25,563
23,828
16,827
22,514
13,518
19,108
24,153
16,568
37,663
28,539
35,824
27,050
31,142
20,306
35,301
24,451
28,410
20,587
22,300
35,060
25,142
18,944
15,883
25,105
13,607
22,958
15,145
27,851
22,020
16,103
28,232
21,662
15,345
79,829
47,971
37,942
58,779
40,117
30,294
33,475
26,670
36,617
30,381
24,673
Proposed
MS–DRG
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
E:\FR\FM\07JNP1.SGM
07JNP1
Number of
cases
22,474
32,156
6,163
1,654
4,141
2,593
8,533
9,968
5,148
104,531
57,041
121,659
196,903
88,053
266,599
147,744
5,143
6,894
4,943
3,257
8,185
3,523
31,587
41,587
26,039
5,775
22,415
46,165
79,432
150
8,411
7,609
3,256
10,062
13,481
8,383
2,865
5,770
1,919
5,871
7,048
50,536
3,084
4,128
1,989
1,478
1,795
16,911
39,167
9,628
32,871
21,789
44,929
13,814
13,349
3,350
17,179
37,856
68,201
6,241
32,661
279,972
5,013
29,657
5,739
39,905
44,602
46,864
59,029
2,609
3,833
774
598
Threshold
32,948
26,822
22,468
29,694
22,561
15,740
31,857
25,761
20,974
28,757
27,770
24,280
18,419
29,668
24,679
18,274
30,999
25,721
21,129
33,231
23,984
17,676
20,635
15,003
17,394
26,368
18,854
83,212
41,398
151,502
165,422
118,088
98,470
132,460
94,478
81,144
149,784
116,219
138,213
109,030
112,464
88,444
126,976
89,139
73,311
138,287
107,403
119,988
86,734
97,022
68,172
85,211
53,794
64,168
43,051
31,297
64,273
50,218
42,102
54,054
64,613
46,787
58,218
41,876
53,408
38,200
48,168
43,475
34,550
39,961
30,250
23,818
49,682
Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules
jlentini on PROD1PC65 with PROPOSALS
Proposed
MS–DRG
259
260
261
262
263
264
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
VerDate Aug<31>2005
Number of
cases
7,328
867
2,804
3,378
788
30,137
60,735
57,734
60,951
15,852
4,911
3,254
23,282
172,488
3,245
1,423
484
183,774
217,052
226,688
1,704
1,658
1,730
943
554
17,443
46,820
39,910
7,873
81,458
2,084
35,646
1,379
6,447
33,528
79,751
160,738
24,867
169,247
220,769
60,053
30,730
20,101
11,567
10,901
9,333
48,135
66,303
31,391
1,890
6,196
4,023
7,161
12,516
8,835
1,499
3,192
3,607
874
2,536
6,875
898
2,915
2,909
1,568
3,985
5,787
1,669
3,997
8,419
3,182
9,118
17,451
16:51 Jun 06, 2007
Threshold
35,034
47,446
28,303
23,301
29,053
39,708
36,717
28,584
23,031
30,928
23,409
17,351
40,266
28,923
50,617
36,464
28,249
29,157
24,421
17,810
21,989
13,805
26,654
20,306
12,889
28,063
21,997
15,712
23,741
15,192
24,110
15,139
27,644
18,857
27,255
20,827
14,816
13,364
18,273
14,894
30,750
23,629
16,823
88,786
49,818
32,074
80,371
47,127
35,021
74,102
46,130
34,266
68,407
43,200
32,563
58,047
39,795
30,753
42,806
31,921
24,258
51,426
33,636
27,779
36,443
27,800
19,265
41,035
28,329
19,894
44,303
30,612
23,281
Jkt 211001
Proposed
MS–DRG
356
357
358
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
453
454
455
456
457
458
PO 00000
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Frm 00061
Number of
cases
8,366
8,046
2,714
3,052
4,005
3,914
16,843
22,903
14,897
9,414
19,730
4,816
50,503
84,806
128,748
2,917
4,894
5,445
1,303
8,664
2,107
7,221
5,230
18,267
46,328
48,052
47,511
306,515
23,917
45,952
26,460
3,903
5,241
2,310
1,644
1,713
722
978
1,063
881
5,596
6,847
6,222
16,671
27,563
38,264
714
1,091
364
1,500
912
157
16,259
9,022
945
11,908
13,987
4,357
14,426
24,816
27,346
13,912
12,756
6,698
12,447
16,757
16,849
846
1,496
1,875
764
1,763
1,534
Fmt 4702
Sfmt 4702
Threshold
58,953
40,130
31,167
31,502
25,728
20,084
32,446
26,907
20,598
34,760
26,563
22,403
30,943
24,936
19,140
32,583
26,915
20,581
28,065
21,556
33,476
25,067
20,543
29,699
23,347
16,336
24,761
17,829
28,925
23,434
17,594
83,940
49,125
36,497
67,203
46,400
35,648
65,359
47,834
37,325
59,660
40,610
30,251
46,291
36,466
28,533
61,258
36,437
28,520
63,840
44,260
35,667
30,416
22,852
17,210
32,613
26,367
23,539
31,691
25,250
18,913
29,122
23,365
18,374
31,276
25,851
20,274
162,178
110,006
85,089
132,358
93,955
78,607
Proposed
MS–DRG
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
533
534
535
536
537
538
539
540
541
542
543
544
545
546
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
E:\FR\FM\07JNP1.SGM
07JNP1
Number of
cases
3,180
50,317
1,062
14,234
5,283
6,322
2,942
4,152
10,818
28,701
29,730
410,173
2,227
6,218
22,546
2,829
3,530
1,698
2,257
7,144
10,267
25,866
59,136
64,739
5,729
17,949
967
1,535
1,214
1,551
3,866
19,803
58,396
4,700
15,248
30,563
1,867
5,049
7,519
1,177
1,245
1,349
3,679
6,825
736
2,155
3,214
909
779
2,722
465
957
4,008
11,961
1,287
1,339
3,577
10,963
18,263
828
3,634
6,844
34,321
654
1,164
3,379
4,187
1,858
6,158
18,413
12,644
4,016
5,881
31533
Threshold
93,067
61,555
78,144
58,820
64,018
42,171
31,102
70,822
52,840
44,445
57,143
41,440
71,285
48,040
39,667
51,053
35,636
26,070
57,109
41,570
33,395
50,686
38,146
33,332
44,536
37,665
55,459
40,900
33,214
33,205
26,495
34,057
24,028
48,148
36,196
28,910
51,435
34,292
27,156
36,767
22,858
47,836
30,766
23,032
38,112
30,857
24,352
25,023
33,035
26,249
25,608
38,420
30,072
23,087
29,502
20,718
51,402
37,292
30,388
27,486
15,819
27,022
15,408
20,405
12,954
34,667
27,375
22,002
33,306
25,124
18,008
34,451
24,102
31534
jlentini on PROD1PC65 with PROPOSALS
Proposed
MS–DRG
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
573
574
575
576
577
578
579
580
581
582
583
584
585
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
637
638
639
640
641
642
643
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
VerDate Aug<31>2005
Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules
Number of
cases
4,880
591
1,077
904
9,502
87,859
2,790
20,253
1,995
19,168
3,184
14,178
1,635
3,979
7,617
4,996
36,056
1,606
3,237
2,779
5,687
12,100
6,468
558
2,179
3,299
3,088
6,766
5,288
8,972
15,549
1,431
2,818
3,982
12,832
2,955
1,082
5,755
548
1,483
350
572
865
21,307
130,923
2,627
22,672
1,363
7,169
1,376
1,626
1,132
6,822
343
663
1,877
6,556
1,234
3,268
487
1,098
2,522
14,305
3,267
3,958
684
16,283
40,811
41,135
55,690
188,104
1,542
5,014
16:51 Jun 06, 2007
Threshold
18,469
33,006
25,270
18,381
29,646
18,492
24,265
14,944
22,555
14,428
29,321
19,372
28,972
20,901
13,636
26,929
15,451
27,237
21,478
15,695
46,949
33,325
25,393
44,896
31,142
23,686
44,811
31,460
23,941
24,930
19,001
27,897
20,786
30,226
23,538
16,562
29,610
19,571
29,514
23,497
15,943
21,988
15,125
26,948
18,145
25,150
16,152
22,966
14,791
44,346
32,541
61,354
37,382
28,522
60,076
41,119
35,242
45,937
33,291
24,889
40,232
27,537
19,134
51,514
40,808
31,392
26,892
20,070
14,010
23,971
16,575
23,138
31,125
Jkt 211001
Proposed
MS–DRG
644
645
652
653
654
655
656
657
658
659
660
661
662
663
664
665
666
667
668
669
670
671
672
673
674
675
682
683
684
685
686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
707
708
709
710
711
712
713
714
715
716
717
718
722
723
724
725
726
727
728
729
730
734
735
736
737
738
739
740
PO 00000
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Frm 00062
Number of
cases
11,845
8,402
10,437
1,585
3,231
1,650
3,721
7,359
8,479
4,442
7,444
4,745
988
2,131
4,676
690
2,213
3,948
3,757
12,491
13,411
884
965
12,577
10,503
11,704
75,827
112,129
43,451
2,493
1,581
3,322
1,198
55,398
200,059
898
654
2,235
19,213
974
10,565
575
21,061
22,820
15,089
4,874
17,015
755
2,037
921
819
11,755
32,745
638
1,382
634
633
871
2,037
666
802
3,940
1,098
6,176
578
552
1,470
1,328
840
3,429
954
975
4,366
Fmt 4702
Sfmt 4702
Threshold
24,210
18,520
57,281
86,150
54,167
40,670
56,568
38,736
32,186
51,032
36,348
29,748
41,594
29,231
23,754
46,858
30,439
19,910
39,537
27,870
19,410
28,518
19,128
43,111
40,270
31,229
30,254
25,615
19,020
19,996
31,234
24,255
18,441
25,904
18,352
31,887
25,534
27,712
17,667
24,032
14,808
17,475
27,909
23,309
17,723
35,532
29,281
34,020
27,689
34,145
20,449
25,154
15,644
34,191
26,921
31,538
19,455
28,980
23,777
15,999
23,413
16,420
26,180
16,848
22,426
14,387
39,650
26,263
68,822
39,321
28,973
48,200
31,584
Proposed
MS–DRG
741
742
743
744
745
746
747
748
749
750
754
755
756
757
758
759
760
761
765
766
767
768
769
770
774
775
776
777
778
779
780
781
782
794
799
800
801
802
803
804
808
809
810
811
812
813
814
815
816
820
821
822
823
824
825
826
827
828
829
830
834
835
836
837
838
839
840
841
842
843
844
845
846
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
E:\FR\FM\07JNP1.SGM
07JNP1
Number of
cases
6,554
10,705
35,310
1,498
2,189
2,486
11,218
21,171
1,037
484
1,083
3,152
831
1,322
1,597
1,186
1,703
1,918
2,497
2,634
119
10
86
181
1,442
5,224
491
177
489
107
47
3,004
125
7
623
699
602
691
1,003
996
8,315
15,527
3,818
18,344
83,082
15,031
1,631
3,337
2,355
1,481
2,529
2,139
2,436
3,039
2,009
562
1,318
872
1,374
531
5,257
1,469
1,526
1,623
900
1,385
15,152
11,012
7,678
1,477
2,854
1,008
2,480
Threshold
24,119
29,966
21,122
28,762
20,066
27,713
20,664
19,841
42,792
24,671
31,715
24,245
16,790
31,004
24,623
19,161
19,848
13,557
22,146
14,889
15,750
28,201
29,901
18,191
12,637
9,066
15,413
19,480
8,798
14,082
5,638
13,343
8,369
2,880
76,151
45,583
35,355
51,739
33,630
25,527
34,115
24,895
21,504
24,532
18,156
25,132
29,730
23,820
18,234
83,993
40,735
28,780
64,907
40,522
29,739
77,350
40,156
29,232
44,261
25,785
51,445
30,879
23,524
85,432
41,508
26,968
38,374
29,060
22,849
32,639
25,034
21,623
37,292
Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules
Proposed
MS–DRG
jlentini on PROD1PC65 with PROPOSALS
847
848
849
853
854
855
856
857
858
862
863
864
865
866
867
868
869
870
871
872
876
880
881
882
883
884
885
886
887
894
895
896
897
901
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
VerDate Aug<31>2005
Number of
cases
23,667
1,699
1,498
31,444
6,881
467
6,187
10,059
3,500
7,425
21,807
19,826
2,019
9,406
5,306
2,369
1,100
13,710
203,702
92,118
968
10,494
4,576
1,656
786
21,619
77,763
376
423
4,480
6,474
5,369
35,835
917
16:51 Jun 06, 2007
Threshold
25,136
20,748
26,843
77,914
50,010
36,089
69,506
36,989
28,786
33,012
21,882
20,564
27,840
16,786
38,488
24,746
20,520
90,935
33,685
25,456
40,268
15,328
11,727
12,481
17,701
19,048
16,598
14,393
18,850
8,389
16,201
25,303
13,689
48,598
Jkt 211001
Proposed
MS–DRG
902
903
904
905
906
907
908
909
913
914
915
916
917
918
919
920
921
922
923
927
928
929
933
934
935
939
940
941
945
946
947
948
949
950
PO 00000
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Frm 00063
Number of
cases
2,135
1,739
941
798
745
8,098
7,884
5,971
813
6,958
915
5,369
14,155
34,847
10,569
12,135
11,659
1,005
4,211
182
794
459
155
694
2,179
423
690
1,077
5,053
3,199
6,544
34,325
742
476
Fmt 4702
Sfmt 4702
Threshold
31,632
24,530
39,574
25,597
23,573
53,982
35,453
26,248
26,149
16,346
24,023
10,725
28,466
14,539
27,881
22,284
15,316
26,606
16,053
181,306
60,107
32,721
31,143
23,842
21,397
43,099
32,755
26,227
21,694
17,198
23,445
15,485
18,955
12,079
Proposed
MS–DRG
951
955
956
957
958
959
963
964
965
969
970
974
975
976
977
981
982
983
984
985
986
987
988
989
999
Number of
cases
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
990
446
3,718
1,157
737
816
1,395
1,578
2,016
598
231
7,276
3,463
2,728
4,871
26,280
18,594
6,766
669
1,048
890
8,036
11,880
6,537
18
31535
Threshold
14,489
82,175
55,062
102,443
70,330
53,566
46,322
32,525
27,560
75,122
47,821
34,615
29,344
23,762
23,005
77,452
53,442
38,481
55,818
38,813
27,837
54,475
36,064
26,243
16,006
17. On pages 25118 through 25123, in
Table I.—Impact Analysis of Proposed
Changes For FY 2008, the listed entries
and footnotes are corrected to read as
follows:
BILLING CODE 4120–01–P
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EP07JN07.020
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31538
BILLING CODE 4120–01–C
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18. On page 25124,
6 Shown here are the tentative effects of
geographic reclassifications by the Medicare
Geographic Classification Review Board (MGCRB).
The effects demonstrate the FY 2008 payment
impact of going from no reclassifications to the
reclassifications scheduled to be in effect for FY
2008. Reclassification for prior years has no bearing
on the payment impacts shown here. This column
VerDate Aug<31>2005
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Jkt 211001
reflect the geographic budget neutrality factor of
0.991925.
7 This column displays the effects of the proposed
changes in the rural floor budget neutrality
adjustment applied on the wage index instead of on
the standardized amount. The column reflects a
proposed rural floor budget neutrality factor of
0.997080.
11 This column shows tentative changes in
payments from FY 2007 to FY 2008 including a
0.976 case mix index adjustment for coding and
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Fmt 4702
Sfmt 4702
documentation improvements that are anticipated
with the adoption of the MS–DRGs prior to the
assumed growth occurring. In incorporates all of the
changes displayed in Columns 4, 5, 6, 7, 8, 9, 10
and (the changes displayed in Columns 2 and 3 are
included in Column 4).
12 This column shows tentative changes in
payments from FY 2007 to FY 2008 with a case mix
index adjustment and the assumed growth for
improvements in documentation and coding. It
incorporates all of the changes displayed in
E:\FR\FM\07JNP1.SGM
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31539
Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules
a. First column, second full
paragraph, line 25, the figure
‘‘0.999317’’ is corrected to read
‘‘0.999367.’’
b. Second column, last paragraph, line
3, the figure ‘‘0.999317’’ is corrected to
read ‘‘0.999367.’’
19. On page 25125,
a. First column, last paragraph, line 5,
the figure ‘‘0.991938’’ is corrected to
read ‘‘0.991925.’’
b. Second column, first full
paragraph, line 17, the figure
‘‘0.997084’’ is corrected to read
‘‘0.997080.’’
20. On pages 25126 through 25128, in
Table II.—Impact Analysis of Proposed
Changes For FY 2008 Operating
Prospective Payment System, the listed
entries are corrected to read as follows:
TABLE II.—IMPACT ANALYSIS OF PROPOSED CHANGES FOR FY 2008 OPERATING PROSPECTIVE PAYMENT SYSTEM
(PAYMENTS PER CASE)
[Percent changes in payments per case]
All hospitals ..........................................................................
By Geographic Location:
Urban hospitals .............................................................
Large urban areas (populations over 1 million) ...........
Other urban areas (populations of 1 million or fewer)
Rural hospitals ..............................................................
Bed Size (Urban):
0–99 beds .....................................................................
100–199 beds ...............................................................
200–299 beds ...............................................................
300–499 beds ...............................................................
500 or more beds .........................................................
Bed Size (Rural):
0–49 beds .....................................................................
50–99 beds ...................................................................
100–149 beds ...............................................................
150–199 beds ...............................................................
200 or more beds .........................................................
Urban by Region:
New England ................................................................
Middle Atlantic ..............................................................
South Atlantic ................................................................
East North Central ........................................................
East South Central .......................................................
West North Central .......................................................
West South Central ......................................................
Mountain .......................................................................
Pacific ...........................................................................
Puerto Rico ...................................................................
Rural by Region:
New England ................................................................
Middle Atlantic ..............................................................
South Atlantic ................................................................
East North Central ........................................................
East South Central .......................................................
West North Central .......................................................
West South Central ......................................................
Mountain .......................................................................
Pacific ...........................................................................
By Payment Classification:
Urban hospitals .............................................................
Large urban areas (populations over 1 million) ...........
Other urban areas (populations of 1 million or fewer)
Rural areas ...................................................................
Teaching Status:
Non-teaching .................................................................
Fewer than 100 Residents ...........................................
100 or more Residents .................................................
Urban DSH:
Non-DSH .......................................................................
100 or more beds .........................................................
Columns 4, 5, 6, 7, 8, 9, 10 and (the changes
displayed in Columns 2 and 3 are included in
Column 4). It also reflects the impact of the
VerDate Aug<31>2005
17:58 Jun 06, 2007
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Published average proposed FY
2008 payment
per case 1
Corrected average proposed FY
2008 payment
per case 1
Published all
proposed FY
2008 changes
Corrected all
proposed FY
2008 changes
(1)
jlentini on PROD1PC65 with PROPOSALS
Number of
hospitals
(3)
(3)
(4)
(4)
3535
9299
9299
3.3
3.3
2540
1409
1131
995
9678
10156
9103
7123
9680
10157
9107
7110
3.6
4.2
2.8
0.9
3.6
4.2
2.9
0.7
632
849
480
412
167
7263
8170
9120
10136
12234
7261
8159
9117
10143
12254
0.4
3.4
3.5
4.0
4.0
0.3
3.2
3.4
4.0
4.2
342
369
172
67
45
6065
6588
6960
7735
8938
6045
6572
6945
7727
8937
¥1.6
0.5
1.3
1.4
2.0
¥1.9
0.2
1.1
1.3
2.0
126
350
388
395
166
156
358
153
395
53
10001
10529
9175
9197
8784
9321
9174
9826
11657
4525
10004
10532
9176
9199
8786
9334
9175
9836
11656
4511
2.6
2.8
4.2
3.4
3.2
2.8
4.0
3.3
4.7
3.6
2.6
2.8
4.3
3.5
3.2
3.0
4.0
3.5
4.7
3.3
19
72
173
124
177
115
194
80
41
9714
7525
6700
7574
6479
7792
6339
7834
8896
9716
7514
6683
7567
6462
7786
6322
7822
8881
0.4
0.8
1.8
0.7
1.2
0.6
¥0.7
0.9
2.0
0.4
0.6
1.6
0.6
1.0
0.6
¥0.9
0.7
1.8
2619
1436
1183
916
9629
10127
9034
7242
9631
10128
9038
7230
3.6
4.1
2.8
0.9
3.6
4.1
2.8
0.8
2479
816
240
7851
9384
13533
7844
9385
13555
2.7
3.5
4.1
2.6
3.5
4.2
879
1527
8307
10182
8314
10183
2.0
4.0
2.1
4.0
proposed FY 2008 update, and changes in hospitals’
reclassification status in FY 2008 compared to FY
2007. The sum of these impacts may be different
PO 00000
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Fmt 4702
Sfmt 4702
from the percentage changes shown here due to
rounding and interactive effects.
E:\FR\FM\07JNP1.SGM
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TABLE II.—IMPACT ANALYSIS OF PROPOSED CHANGES FOR FY 2008 OPERATING PROSPECTIVE PAYMENT SYSTEM
(PAYMENTS PER CASE)—Continued
[Percent changes in payments per case]
Number of
hospitals
Published average proposed FY
2008 payment
per case 1
Corrected average proposed FY
2008 payment
per case 1
Published all
proposed FY
2008 changes
Corrected all
proposed FY
2008 changes
(1)
(3)
(3)
(4)
(4)
Less than 100 beds ......................................................
Rural DSH:
SCH ..............................................................................
RRC ..............................................................................
100 or more beds .........................................................
Less than 100 beds ......................................................
Urban teaching and DSH:
Both teaching and DSH ................................................
Teaching and no DSH ..................................................
No teaching and DSH ...................................................
No teaching and no DSH .............................................
Rural Hospital Types:
RRC ..............................................................................
SCH ..............................................................................
MDH ..............................................................................
SCH and RRC ..............................................................
MDH and RRC ..............................................................
Type of Ownership:
Voluntary .......................................................................
Proprietary ....................................................................
Government ..................................................................
Medicare Utilization as a Percent of Inpatient Days:
0–25 ..............................................................................
25–50 ............................................................................
50–65 ............................................................................
Over 65 .........................................................................
Hospitals Reclassified by the Medicare Geographic Classification Review Board: FY 2008 Reclassifications:
All Reclassified Hospitals FY 2008 ..............................
All Non-Reclassified Hospitals FY 2008 .......................
Urban Reclassified Hospitals FY 2008 .........................
Urban Non-reclassified Hospitals FY 2008 ..................
Rural Reclassified Hospitals FY 2008 ..........................
Rural Nonreclassified Hospitals FY 2008 .....................
All Section 401 Reclassified Hospitals .........................
Other Reclassified Hospitals (Section 1886(d)(8)(B)) ..
Former Section 508 Hospitals ......................................
Specialty Hospitals
Cardiac Specialty Hospitals ..........................................
1 These
6697
6682
1.9
1.6
391
189
36
154
7013
7818
6028
5353
6994
7809
6010
5335
0.3
1.7
2.1
0.4
0.0
1.6
1.8
0.0
805
192
1081
541
11185
9078
8283
7812
11192
9089
8273
7817
4.0
2.5
3.7
1.9
4.1
2.6
3.5
2.0
59
45
21
17
1
8358
9301
6339
10239
9674
8359
9296
6319
10236
9677
2.5
0.8
0.3
2.7
¥0.8
2.5
0.8
0.0
2.7
¥0.8
2069
823
598
9424
8478
9593
9427
8471
9589
3.2
3.7
3.5
3.2
3.6
3.4
230
1292
1453
441
13443
10570
8116
7331
13434
10576
8113
7325
5.6
4.0
2.6
1.2
5.5
4.1
2.5
1.2
801
2734
434
2105
367
568
31
61
107
8938
9417
9581
9701
7669
6392
8799
6729
9814
8937
9416
9595
9705
7663
6374
8787
6710
9823
2.8
3.4
3.3
3.6
1.5
¥0.3
1.8
1.4
0.5
2.8
3.4
3.4
3.7
1.4
¥0.6
1.6
1.1
0.6
22
10676
10727
¥0.6
¥0.1
payment amounts per case do not reflect any estimates of annual case-mix increase.
(Catalog of Federal Domestic Assistance
Program No. 93.773, Medicare—Hospital
Insurance; and Program No. 93.774,
Medicare—Supplementary Medical
Insurance Program)
Dated: June 1, 2007.
Ann C. Agnew,
Executive Secretary to the Department.
[FR Doc. 07–2806 Filed 6–1–07; 2:04 pm]
DEPARTMENT OF HOMELAND
SECURITY
Federal Emergency Management
Agency
44 CFR Part 67
[Docket No. FEMA–D–7800]
Proposed Flood Elevation
Determinations
BILLING CODE 4120–01–P
jlentini on PROD1PC65 with PROPOSALS
359
The comment period is ninety
(90) days following the second
publication of this proposed rule in a
newspaper of local circulation in each
community.
DATES:
Federal Emergency
Management Agency, DHS.
ACTION: Proposed rule.
AGENCY:
SUMMARY: Technical information or
comments are requested on the
proposed Base (1% annual chance)
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Flood Elevations (BFEs) and proposed
BFEs modifications for the communities
listed below. The BFEs are the basis for
the floodplain management measures
that the community is required either to
adopt or to show evidence of being
already in effect in order to qualify or
remain qualified for participation in the
National Flood Insurance Program
(NFIP).
The proposed BFEs for each
community are available for inspection
at the office of the Chief Executive
ADDRESSES:
E:\FR\FM\07JNP1.SGM
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Agencies
[Federal Register Volume 72, Number 109 (Thursday, June 7, 2007)]
[Proposed Rules]
[Pages 31507-31540]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 07-2806]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 411, 412, 413, and 489
[CMS-1533-CN]
RIN 0938-A070
Medicare Program; Proposed Changes to the Hospital Inpatient
Prospective Payment Systems and Fiscal Year 2008 Rates; Correction
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Correction of proposed rule.
-----------------------------------------------------------------------
SUMMARY: This document corrects technical errors that appeared in the
proposed rule entitled ``Medicare Program; Proposed Changes to the
Hospital Inpatient Prospective Payment Systems and Fiscal Year 2008
Rates'' that appeared in the May 3, 2007 Federal Register.
FOR FURTHER INFORMATION CONTACT: Marc Hartstein, (410) 786-4548.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 07-1920 of May 3, 2007 (72 FR 24680), there were a
number of technical errors that are identified and corrected in the
Correction of Errors section of this notice. We issued the fiscal year
(FY) 2008 hospital inpatient prospective payment systems (IPPS)
proposed rule on April 13, 2007. The FY 2008 IPPS proposed rule
appeared in the May 3, 2007 Federal Register.
II. Summary of Errors
We recently discovered that an error was made in the calculation of
the DRG relative weights presented in the FY 2008 IPPS proposed rule.
We have revised the relative weights to correct the error and have
recalculated the standardized amounts. These changes increase the
standardized amounts slightly and reduce the proposed FY 2008 outlier
threshold by $85. Further, these revisions affect the DRG-specific
costs thresholds for new technology add-on payments. Therefore, in this
notice we are correcting the following:
Preamble language regarding the methodology used to
calculate charge-based and cost-based relative weights.
Outlier threshold.
Recalibration, wage and recalibration, geographic
reclassification, and rural floor budget neutrality factors.
Tables 1A through 1D, 2, 4A, 4C, 4J, 5, 10.
Impact analysis tables (Tables I and II).
In addition, we have posted these corrected tables on our Web site at
https://www.cms.hhs.gov/AcuteInpatientPPS/WIFN/list.asp.
III. Correction of Errors
In FR Doc. 07-1920 of May 3, 2007 (72 FR 24680), make the following
corrections:
A. Corrections to the Preamble
1. On page 24711, second column, last paragraph, sixth line from
the bottom, the figure ``$23,015'' is corrected to read ``$22,930.''
2. On page 24746, second column,
a. Third full paragraph, line 9, the phrase, ``in the FY 2005
MedPAR'' is corrected to read ``in the FY 2006 MedPAR.''
b. Fifth full paragraph, last line, after the phrase ``cost of
living adjustment.'', the following sentence is added to read as
follows:
``Beginning with FY 2008, because hospital charges include charges
for both operating and capital costs, we are proposing to standardize
total charges to remove the effects of differences in geographic
adjustment factors, large urban add-on payments, cost-of-living
adjustment, disproportionate share payments, and IME adjustments under
the capital IPPS as well.''
3. On page 24747, first column, third full paragraph, last line,
after the phrase ``cost of living adjustment.'' and before the phrase
``Charges were then'', the following sentence is added to read as
follows:
``Beginning with FY 2008, because hospital charges include charges
for both operating and capital costs, we are proposing to standardize
total charges to remove the effects of differences in geographic
adjustment factors, large urban add-on payments, cost-of-living
adjustment, disproportionate share payments, and IME adjustments under
the capital IPPS as well.''
B. Corrections to the Addendum
1. On page 24836,
a. First column, second full paragraph,
(1) Line 14, the figure ``0.999317'' is corrected to read
``0.999367.''
(2) Lines 19 and 29, the figure ``0.998557'' is corrected to read
``0.998573.''
b. Second column, first partial paragraph, line 17, the figure
``0.991938'' is corrected to read ``0.991925.''
2. On page 24837, second column, second full paragraph, line 6, the
figure ``$23,015'' is corrected to read ``$22,930''.
3. On page 24839, top half of the page, in the table Comparison of
FY 2007 Standardized Amounts to Proposed FY 2008 Single Standardized
Amount with Full Update and Reduced Update, the figures in the listed
entries are corrected to read as follows:
------------------------------------------------------------------------
Full update Reduced update
(3.3 percent) (1.3 percent)
------------------------------------------------------------------------
FY 2008 DRG Recalibrations and Wage 0.999367 0.999367
Index Budget Neutrality Factor.......
FY 2008 Reclassification Budget 0.991925 0.991925
Neutrality Factor....................
------------------------------------------------------------------------
[[Page 31508]]
4. On page 24846, third column, first full paragraph,
a. Line 38, the figure ``$417.26'' is corrected to read
``$417.12.''
b. Line 40, the figure ``$413.87'' is corrected to read
``$413.73.''
5. On page 24847,
a. Middle of the page, in the table Comparison of Factors and
Adjustments: FY 2007 Capital Federal Rate and Proposed FY 2008 Capital
Federal Rate for Urban Hospitals, third column, last row, the figure,
``$413.87'' is corrected to read ``$413.73.''
b. Lower third of the page, in the table Comparison of Factors and
Adjustments: FY 2007 Capital Federal Rate and Proposed FY 2008 Capital
Federal Rate for Rural Hospitals, third column, last row, the figure
``$417.26'' is corrected to read ``$417.12.''
6. On page 24848,
a. First column, fourth full paragraph,
(1) Line 10, the phrase ``is $197.21'' is corrected to read ``is
$197.11.''.
(2) Line 12, the figure ``$195.60'' is corrected to read
``$195.51.''
b. Second column, third paragraph, last line, the figure
``$23,015'' is corrected to read ``$22,930''.
7. On page 24850, in Table 1A.--National Adjusted Operating
Standardized Amounts, Labor/Nonlabor (69.7 Percent Labor Share/30.3
Percent Nonlabor Share If Wage Index Greater Than 1), the table is
corrected to read as follows:
Table 1A.--National Adjusted Operating Standardized Amounts, Labor/Nonlabor (69.7 Percent Labor Share/30.3
Percent Nonlabor Share If Wage Index Greater Than 1)
----------------------------------------------------------------------------------------------------------------
Full update (3.3 percent) Reduced update (1.3 Percent)
----------------------------------------------------------------------------------------------------------------
Labor-related Nonlabor-related Labor-related Nonlabor-related
----------------------------------------------------------------------------------------------------------------
$3,430.41 $1,491.27 $3,363.99 $1,462.40
----------------------------------------------------------------------------------------------------------------
8. On page 24850, in Table 1B.--National Adjusted Operating
Standardized Amounts, Labor/Nonlabor (62 Percent Labor Share/38 Percent
Nonlabor Share If Wage Index Less Than Or Equal To 1), the table is
corrected to read as follows:
Table 1B.--National Adjusted Operating Standardized Amounts, Labor/Nonlabor (62 Percent Labor Share/38 Percent
Nonlabor Share If Wage Index Less Than or Equal to 1)
----------------------------------------------------------------------------------------------------------------
Full update (3.3 percent) Reduced update (1.3 Percent)
----------------------------------------------------------------------------------------------------------------
Labor-related Nonlabor-related Labor-related Nonlabor-related
----------------------------------------------------------------------------------------------------------------
$3,051.44 $1,870.24 $2,992.36 $1,834.03
----------------------------------------------------------------------------------------------------------------
9. On page 24850, in Table 1C.--Adjusted Operating Standardized
Amounts For Puerto Rico Labor, Labor/Nonlabor, the table is corrected
to read as follows:
Table 1C.--Adjusted Operating Standardized Amounts for Puerto Rico, Labor/Nonlabor
----------------------------------------------------------------------------------------------------------------
Rates if wage index greater than 1 Rates if wage index less than or
-------------------------------------- equal to 1
-------------------------------------
Labor Nonlabor Labor Nonlabor
----------------------------------------------------------------------------------------------------------------
National............................ $3,430.41 $1,491.27 $3,363.99 $1,462.40
Puerto Rico......................... 1,442.16 883.90 1,365.40 960.66
----------------------------------------------------------------------------------------------------------------
10. On page 24850, in Table 1D.--Capital Standard Federal Payment
Rate, the table is corrected to read as follows:
Table 1D.--Capital Standard Federal Payment Rate
------------------------------------------------------------------------
Urban rate Rural rate
------------------------------------------------------------------------
National.......................... $413.73 $417.12
Puerto Rico....................... 195.51 197.11
------------------------------------------------------------------------
11. On pages 24851 through 24917, in Table 2.--Hospital Case-Mix
Indexes For Discharges Occurring in Federal Fiscal Year 2006; Hospital
Wage Indexes For Federal Fiscal Year 2008; Hospital Average Hourly
Wages For Federal Fiscal Years 2006 (2002 Wage Data), 2007 (2003 Wage
Data), And 2008 (2004 Wage Data); And 3-Year Average Of Hospital
Average Hourly Wages, the wage index for the listed provider numbers
are corrected to read as follows:
[[Page 31509]]
------------------------------------------------------------------------
FY 2008
Provider No. wage index
------------------------------------------------------------------------
010012..................................................... 0.9390
010047..................................................... 0.7776
010052..................................................... 0.7701
010109..................................................... 0.8049
010110..................................................... 0.7900
010164..................................................... 0.8042
040014..................................................... 0.8720
040017..................................................... 0.8718
040041..................................................... 0.8720
040071..................................................... 0.8720
040076..................................................... 0.8720
040078..................................................... 0.8720
040100..................................................... 0.8720
040119..................................................... 0.8720
050007..................................................... 1.4907
050008..................................................... 1.4792
050009..................................................... 1.4200
050013..................................................... 1.4200
050016..................................................... 1.2015
050047..................................................... 1.4792
050055..................................................... 1.4792
050070..................................................... 1.4907
050113..................................................... 1.4907
050152..................................................... 1.4792
050228..................................................... 1.4792
050232..................................................... 1.2015
050280..................................................... 1.2826
050289..................................................... 1.4907
050407..................................................... 1.4792
050454..................................................... 1.4792
050457..................................................... 1.4792
050506..................................................... 1.2015
050633..................................................... 1.2015
050667..................................................... 1.4200
050668..................................................... 1.4792
050697..................................................... 1.2826
050707..................................................... 1.4907
050733..................................................... 1.2826
050754..................................................... 1.4907
060010..................................................... 0.9730
060030..................................................... 0.9730
080001..................................................... 1.0777
080003..................................................... 1.0777
100102..................................................... 0.8874
100290..................................................... 0.9331
110107..................................................... 0.9752
110164..................................................... 0.9752
110201..................................................... 0.9752
130066..................................................... 0.9680
130068..................................................... 0.9680
150015..................................................... 0.8904
160030..................................................... 1.0022
180013..................................................... 0.9407
180064..................................................... 0.8131
180066..................................................... 0.9407
180079..................................................... 0.8075
180080..................................................... 0.8042
180124..................................................... 0.9407
190044..................................................... 0.7849
190190..................................................... 0.7752
190246..................................................... 0.7752
200032..................................................... 0.8878
210028..................................................... 0.9429
230036..................................................... 0.9398
230041..................................................... 0.9398
230047..................................................... 1.0091
230080..................................................... 0.9398
230105..................................................... 0.9398
230195..................................................... 1.0091
230204..................................................... 1.0091
230222..................................................... 0.9398
230227..................................................... 1.0091
230257..................................................... 1.0091
230264..................................................... 1.0091
230297..................................................... 1.0091
230299..................................................... 1.0091
230300..................................................... 1.0091
240006..................................................... 1.0760
240010..................................................... 1.0760
240018..................................................... 1.0084
240061..................................................... 1.0760
240069..................................................... 1.0760
240071..................................................... 1.0760
270081..................................................... 0.8574
280065..................................................... 0.9746
310010..................................................... 1.0812
310011..................................................... 1.0864
310014..................................................... 1.0777
310044..................................................... 1.0812
310081..................................................... 1.0777
310092..................................................... 1.0812
310110..................................................... 1.0812
320001..................................................... 0.9739
320005..................................................... 0.9739
320006..................................................... 0.9739
320009..................................................... 0.9739
320011..................................................... 0.9407
320017..................................................... 0.9739
320019..................................................... 0.9739
320021..................................................... 0.9739
320037..................................................... 0.9739
320074..................................................... 0.9739
320079..................................................... 0.9739
320083..................................................... 0.9739
330135..................................................... 1.1528
330205..................................................... 1.1528
330264..................................................... 1.1528
340133..................................................... 0.8916
360044..................................................... 0.8825
370113..................................................... 0.8718
380029..................................................... 1.0479
380051..................................................... 1.0479
380056..................................................... 1.0479
390044..................................................... 1.0777
390096..................................................... 1.0777
390133..................................................... 1.0777
410013..................................................... 1.1793
430012..................................................... 0.9394
430013..................................................... 0.9394
430048..................................................... 0.8398
440011..................................................... 0.8042
440015..................................................... 0.8042
440019..................................................... 0.8042
440030..................................................... 0.7972
440034..................................................... 0.8042
440035..................................................... 0.9407
440056..................................................... 0.8042
440073..................................................... 0.9407
440084..................................................... 0.7949
440110..................................................... 0.8042
440120..................................................... 0.8042
440125..................................................... 0.8042
440144..................................................... 0.9407
440148..................................................... 0.9407
440151..................................................... 0.9407
440153..................................................... 0.7923
440173..................................................... 0.8042
440175..................................................... 0.9407
440192..................................................... 0.9407
440225..................................................... 0.8042
440226..................................................... 0.8042
450370..................................................... 0.8444
450565..................................................... 0.8690
450755..................................................... 0.8498
------------------------------------------------------------------------
12. On pages 24924, 29426, and 24941, in Table 4A.--Wage Index and
Capital Geographic Adjustment Factor (GAF) for Urban Areas by CBSA--FY
2008, the wage index and GAF for the listed CBSAs are corrected to read
as follows:
------------------------------------------------------------------------
Wage
CBSA code Urban area index GAF
------------------------------------------------------------------------
10740................ Albuquerque, NM............ 0.9739 0.9821
Bernalillo County, NM
Sandoval County, NM
Torrance County, NM
Valencia County, NM
13020................ Bay City MI................ 0.9398 0.9584
Bay County, MI
40340................ Rochester, MN.............. 1.0760 1.0514
Dodge County, MN
Olmsted County, MN
Wabasha County, MN
------------------------------------------------------------------------
13. On pages 24948 through 24951, in Table 4C.--Wage Index And
Capital Geographic Adjustment Factor (GAF) For Hospitals That Are
Reclassified By CBSA FY 2008, the wage indices and GAFs for the listed
areas are corrected to read as follows:
[[Page 31510]]
------------------------------------------------------------------------
Wage
CBSA code Area index GAF
------------------------------------------------------------------------
10740................ Albuquerque, NM............ 0.9739 0.9821
13020................ Bay City, MI............... 0.9398 0.9584
22220................ Fayetteville-Springdale- 0.8718 0.9103
Rogers, AR-MO.
35980................ Norwich-New London, CT..... 1.1793 1.1196
40340................ Rochester, MN.............. 1.0760 1.0514
40660................ Rome, GA................... 0.9390 0.9578
43620................ Sioux Falls, SD............ 0.9394 0.9581
------------------------------------------------------------------------
14. On pages 24952 through 24960, in Table 4J.--Out-Migration
Adjustment--FY 2008, the entries for the listed providers are corrected
to read as follows:
----------------------------------------------------------------------------------------------------------------
Reclassified for Out-migration Qualifying county
Provider No. FY 2008 adjustment name County code
----------------------------------------------------------------------------------------------------------------
010009............................. * 0.0092 MORGAN............... 01510
010025............................. * 0.0235 CHAMBERS............. 01080
010038............................. ................ 0.0039 CALHOUN.............. 01070
010047............................. ................ 0.0178 BUTLER............... 01060
010052............................. ................ 0.0103 TALLAPOOSA........... 01610
010054............................. * 0.0092 MORGAN............... 01510
010065............................. * 0.0103 TALLAPOOSA........... 01610
010078............................. ................ 0.0039 CALHOUN.............. 01070
010085............................. * 0.0092 MORGAN............... 01510
010109............................. ................ 0.0451 PICKENS.............. 01530
010110............................. ................ 0.0302 BULLOCK.............. 01050
010146............................. ................ 0.0039 CALHOUN.............. 01070
010150............................. * 0.0178 BUTLER............... 01060
050007............................. ................ 0.0141 SAN MATEO............ 05510
050008............................. ................ 0.0026 SAN FRANCISCO........ 05480
050016............................. ................ 0.0103 SAN LUIS OBISPO...... 05500
050047............................. ................ 0.0026 SAN FRANCISCO........ 05480
050055............................. ................ 0.0026 SAN FRANCISCO........ 05480
050070............................. ................ 0.0141 SAN MATEO............ 05510
050076............................. * 0.0026 SAN FRANCISCO........ 05480
050113............................. ................ 0.0141 SAN MATEO............ 05510
050152............................. ................ 0.0026 SAN FRANCISCO........ 05480
050194............................. * 0.0052 SANTA CRUZ........... 05540
050197............................. * 0.0141 SAN MATEO............ 05510
050228............................. ................ 0.0026 SAN FRANCISCO........ 05480
050232............................. ................ 0.0103 SAN LUIS OBISPO...... 05500
050242............................. * 0.0052 SANTA CRUZ........... 05540
050289............................. ................ 0.0141 SAN MATEO............ 05510
050407............................. ................ 0.0026 SAN FRANCISCO........ 05480
050454............................. ................ 0.0026 SAN FRANCISCO........ 05480
050457............................. ................ 0.0026 SAN FRANCISCO........ 05480
050506............................. ................ 0.0103 SAN LUIS OBISPO...... 05500
050541............................. * 0.0141 SAN MATEO............ 05510
050633............................. ................ 0.0103 SAN LUIS OBISPO...... 05500
050668............................. ................ 0.0026 SAN FRANCISCO........ 05480
050707............................. ................ 0.0141 SAN MATEO............ 05510
050714............................. * 0.0052 SANTA CRUZ........... 05540
050754............................. ................ 0.0141 SAN MATEO............ 05510
060010............................. ................ 0.0153 LARIMER.............. 06340
060030............................. ................ 0.0153 LARIMER.............. 06340
080001............................. * 0.0063 NEW CASTLE........... 08010
080003............................. * 0.0063 NEW CASTLE........... 08010
100102............................. ................ 0.0125 COLUMBIA............. 10110
100156............................. * 0.0125 COLUMBIA............. 10110
100290............................. ................ 0.0582 SUMTER............... 10590
110146............................. * 0.0805 CAMDEN............... 11170
130049............................. * 0.032 KOOTENAI............. 13270
130066............................. ................ 0.032 KOOTENAI............. 13270
130067............................. * 0.0696 BINGHAM.............. 13050
130068............................. ................ 0.032 KOOTENAI............. 13270
140167............................. * 0.1055 IROQUOIS............. 14460
150006............................. * 0.0113 LA PORTE............. 15450
150015............................. ................ 0.0113 LA PORTE............. 15450
150146............................. * 0.0319 NOBLE................ 15560
160030............................. ................ 0.004 STORY................ 16840
170137............................. * 0.0336 DOUGLAS.............. 17220
[[Page 31511]]
180064............................. ................ 0.0319 MONTGOMERY........... 18860
180066............................. * 0.0449 LOGAN................ 18700
180079............................. ................ 0.0263 HARRISON............. 18480
190044............................. ................ 0.0258 ACADIA............... 19000
190099............................. * 0.0188 AVOYELLES............ 19040
190184............................. * 0.0161 CALDWELL............. 19100
190190............................. ................ 0.0161 CALDWELL............. 19100
190246............................. ................ 0.0161 CALDWELL............. 19100
200032............................. ................ 0.0466 OXFORD............... 20080
210028............................. ................ 0.0512 ST. MARY'S........... 21180
230069............................. * 0.0209 LIVINGSTON........... 23460
230279............................. * 0.0209 LIVINGSTON........... 23460
240018............................. ................ 0.0872 GOODHUE.............. 24240
270081............................. ................ 0.0237 MUSSELSHELL.......... 27320
300011............................. * 0.0069 HILLSBOROUGH......... 30050
300012............................. * 0.0069 HILLSBOROUGH......... 30050
300020............................. * 0.0069 HILLSBOROUGH......... 30050
300034............................. * 0.0069 HILLSBOROUGH......... 30050
310010............................. ................ 0.0092 MERCER............... 31260
310011............................. ................ 0.0115 CAPE MAY............. 31180
310021............................. * 0.0092 MERCER............... 31260
310044............................. ................ 0.0092 MERCER............... 31260
310092............................. ................ 0.0092 MERCER............... 31260
310110............................. ................ 0.0092 MERCER............... 31260
320003............................. * 0.0629 SAN MIGUEL........... 32230
320011............................. ................ 0.0442 RIO ARRIBA........... 32190
330027............................. * 0.0149 NASSAU............... 33400
330106............................. * 0.0149 NASSAU............... 33400
330167............................. * 0.0149 NASSAU............... 33400
330181............................. * 0.0149 NASSAU............... 33400
330182............................. * 0.0149 NASSAU............... 33400
330198............................. * 0.0149 NASSAU............... 33400
330225............................. * 0.0149 NASSAU............... 33400
330259............................. * 0.0149 NASSAU............... 33400
330331............................. * 0.0149 NASSAU............... 33400
330332............................. * 0.0149 NASSAU............... 33400
330372............................. * 0.0149 NASSAU............... 33400
340133............................. ................ 0.0308 MARTIN............... 34580
360010............................. * 0.0076 TUSCARAWAS........... 36800
360013............................. * 0.0136 SHELBY............... 36760
360025............................. * 0.0072 ERIE................. 36220
360044............................. ................ 0.0124 DARKE................ 36190
360096............................. * 0.0072 COLUMBIANA........... 36140
360175............................. * 0.0176 CLINTON.............. 36130
360185............................. * 0.0072 COLUMBIANA........... 36140
380022............................. * 0.0068 LINN................. 38210
380029............................. ................ 0.0075 MARION............... 38230
380051............................. ................ 0.0075 MARION............... 38230
380056............................. ................ 0.0075 MARION............... 38230
390030............................. * 0.0284 SCHUYLKILL........... 39650
390031............................. * 0.0284 SCHUYLKILL........... 39650
390065............................. * 0.049 ADAMS................ 39000
390138............................. * 0.0213 FRANKLIN............. 39350
390151............................. * 0.0213 FRANKLIN............. 39350
390162............................. * 0.02 NORTHAMPTON.......... 39590
390181............................. * 0.0284 SCHUYLKILL........... 39650
390183............................. * 0.0284 SCHUYLKILL........... 39650
390313............................. * 0.0284 SCHUYLKILL........... 39650
420009............................. * 0.0113 OCONEE............... 42360
420039............................. * 0.0153 UNION................ 42430
420062............................. * 0.0109 CHESTERFIELD......... 42120
440030............................. ................ 0.0056 HAMBLEN.............. 44310
440067............................. * 0.0056 HAMBLEN.............. 44310
440084............................. ................ 0.0033 MONROE............... 44610
440153............................. ................ 0.0007 COCKE................ 44140
450324............................. * 0.0132 GRAYSON.............. 45564
450370............................. ................ 0.024 COLORADO............. 45312
450393............................. * 0.0132 GRAYSON.............. 45564
450395............................. * 0.0451 POLK................. 45850
450438............................. * 0.024 COLORADO............. 45312
450469............................. * 0.0132 GRAYSON.............. 45564
450565............................. ................ 0.0486 PALO PINTO........... 45841
450755............................. ................ 0.0294 HOCKLEY.............. 45652
[[Page 31512]]
510077............................. * 0.0021 MINGO................ 51290
----------------------------------------------------------------------------------------------------------------
15. On pages 24960 through 24977, in Table 5.--List of Proposed
Medicare Severity-Diagnosis Related Groups (MS-DRGs), Relative
Weighting Factors, and Geometric and Arithmetic Mean Length of Stay,
the table is corrected to read as follows:
BILLING CODE 4120-01-P
[[Page 31513]]
[GRAPHIC] [TIFF OMITTED] TP07JN07.000
[[Page 31514]]
[GRAPHIC] [TIFF OMITTED] TP07JN07.001
[[Page 31515]]
[GRAPHIC] [TIFF OMITTED] TP07JN07.002
[[Page 31516]]
[GRAPHIC] [TIFF OMITTED] TP07JN07.003
[[Page 31517]]
[GRAPHIC] [TIFF OMITTED] TP07JN07.004
[[Page 31518]]
[GRAPHIC] [TIFF OMITTED] TP07JN07.005
[[Page 31519]]
[GRAPHIC] [TIFF OMITTED] TP07JN07.006
[[Page 31520]]
[GRAPHIC] [TIFF OMITTED] TP07JN07.007
[[Page 31521]]
[GRAPHIC] [TIFF OMITTED] TP07JN07.008
[[Page 31522]]
[GRAPHIC] [TIFF OMITTED] TP07JN07.009
[[Page 31523]]
[GRAPHIC] [TIFF OMITTED] TP07JN07.010
[[Page 31524]]
[GRAPHIC] [TIFF OMITTED] TP07JN07.011
[[Page 31525]]
[GRAPHIC] [TIFF OMITTED] TP07JN07.012
[[Page 31526]]
[GRAPHIC] [TIFF OMITTED] TP07JN07.013
[[Page 31527]]
[GRAPHIC] [TIFF OMITTED] TP07JN07.014
[[Page 31528]]
[GRAPHIC] [TIFF OMITTED] TP07JN07.015
[[Page 31529]]
[GRAPHIC] [TIFF OMITTED] TP07JN07.016
[[Page 31530]]
[GRAPHIC] [TIFF OMITTED] TP07JN07.017
[[Page 31531]]
[GRAPHIC] [TIFF OMITTED] TP07JN07.018
BILLING CODE 4120-01-C
16. On pages 25095 through 25099, in Table 10.--Geometric Mean Plus
The Lesser of .75 Of The National Adjusted Operating Standardized
Payment
[[Page 31532]]
Amount (Increased To Reflect The Difference Between Costs And Charges)
Or .75 Of One Standard Deviation Of Mean Charges By Proposed Medicare
Severity Diagnosis Related Group (MS-DRG) April 2007,\1\ the table is
corrected to read as follows:
---------------------------------------------------------------------------
\1\ Cases taken from the FY 2006 MedPAR file; proposed MS-DRGs
are from GROUPER Version 25.0.
------------------------------------------------------------------------
Number of
Proposed MS-DRG cases Threshold
------------------------------------------------------------------------
1....................................... 629 $337,776
2....................................... 328 177,459
3....................................... 23,999 266,199
4....................................... 21,742 162,448
5....................................... 842 159,506
6....................................... 495 90,877
7....................................... 413 130,276
8....................................... 560 92,482
9....................................... 1,358 96,148
10...................................... 177 72,498
11...................................... 1,289 71,569
12...................................... 1,923 51,377
13...................................... 1,484 36,890
20...................................... 901 138,451
21...................................... 558 107,625
22...................................... 251 74,547
23...................................... 3,112 81,762
24...................................... 2,576 60,740
25...................................... 8,417 79,522
26...................................... 11,626 52,970
27...................................... 14,454 41,141
28...................................... 1,609 73,994
29...................................... 2,862 45,280
30...................................... 3,751 30,578
31...................................... 1,057 59,862
32...................................... 2,987 35,341
33...................................... 4,263 30,562
34...................................... 813 58,045
35...................................... 2,506 42,020
36...................................... 7,710 36,365
37...................................... 4,777 51,688
38...................................... 14,602 33,107
39...................................... 55,357 25,687
40...................................... 4,549 58,682
41...................................... 7,720 39,547
42...................................... 5,430 34,186
52...................................... 1,156 29,433
53...................................... 593 22,836
54...................................... 4,664 30,610
55...................................... 16,896 24,934
56...................................... 7,716 29,072
57...................................... 48,432 19,657
58...................................... 789 28,525
59...................................... 2,639 22,939
60...................................... 4,201 17,679
61...................................... 1,340 53,318
62...................................... 2,288 41,979
63...................................... 1,185 36,186
64...................................... 55,552 34,358
65...................................... 112,189 27,004
66...................................... 94,547 21,586
67...................................... 1,383 30,616
68...................................... 12,393 23,506
69...................................... 103,747 18,936
70...................................... 7,092 34,031
71...................................... 10,001 26,444
72...................................... 6,056 20,628
73...................................... 8,655 26,844
74...................................... 32,523 21,427
75...................................... 1,197 33,931
76...................................... 874 24,318
77...................................... 1,101 32,854
78...................................... 1,307 24,933
79...................................... 957 20,523
80...................................... 2,077 24,135
81...................................... 8,190 17,502
82...................................... 1,646 33,910
83...................................... 1,940 28,383
84...................................... 2,591 22,654
85...................................... 5,328 35,679
86...................................... 10,382 26,404
87...................................... 12,152 20,144
88...................................... 717 30,107
89...................................... 2,641 23,706
90...................................... 3,319 17,874
91...................................... 6,676 29,690
92...................................... 14,890 22,313
93...................................... 15,484 17,172
94...................................... 1,521 56,938
95...................................... 1,088 42,964
96...................................... 755 36,338
97...................................... 1,252 51,314
98...................................... 1,048 35,977
99...................................... 642 30,167
100..................................... 15,837 28,714
101..................................... 56,905 19,341
102..................................... 1,352 24,321
103..................................... 15,023 17,133
113..................................... 568 31,544
114..................................... 601 21,640
115..................................... 1,098 25,563
116..................................... 665 23,828
117..................................... 1,400 16,827
121..................................... 587 22,514
122..................................... 674 13,518
123..................................... 2,843 19,108
124..................................... 679 24,153
125..................................... 4,705 16,568
129..................................... 1,374 37,663
130..................................... 1,072 28,539
131..................................... 655 35,824
132..................................... 728 27,050
133..................................... 1,352 31,142
134..................................... 2,661 20,306
135..................................... 781 35,301
136..................................... 1,113 24,451
137..................................... 1,108 28,410
138..................................... 1,370 20,587
139..................................... 2,145 22,300
146..................................... 687 35,060
147..................................... 1,422 25,142
148..................................... 935 18,944
149..................................... 39,248 15,883
150..................................... 939 25,105
151..................................... 6,801 13,607
152..................................... 2,352 22,958
153..................................... 16,028 15,145
154..................................... 1,843 27,851
155..................................... 4,207 22,020
156..................................... 5,140 16,103
157..................................... 1,145 28,232
158..................................... 3,039 21,662
159..................................... 2,418 15,345
163..................................... 13,431 79,829
164..................................... 18,047 47,971
165..................................... 14,553 37,942
166..................................... 20,290 58,779
167..................................... 20,772 40,117
168..................................... 5,758 30,294
175..................................... 11,954 33,475
176..................................... 40,173 26,670
177..................................... 57,179 36,617
178..................................... 71,192 30,381
179..................................... 27,454 24,673
180..................................... 22,474 32,948
181..................................... 32,156 26,822
182..................................... 6,163 22,468
183..................................... 1,654 29,694
184..................................... 4,141 22,561
185..................................... 2,593 15,740
186..................................... 8,533 31,857
187..................................... 9,968 25,761
188..................................... 5,148 20,974
189..................................... 104,531 28,757
190..................................... 57,041 27,770
191..................................... 121,659 24,280
192..................................... 196,903 18,419
193..................................... 88,053 29,668
194..................................... 266,599 24,679
195..................................... 147,744 18,274
196..................................... 5,143 30,999
197..................................... 6,894 25,721
198..................................... 4,943 21,129
199..................................... 3,257 33,231
200..................................... 8,185 23,984
201..................................... 3,523 17,676
202..................................... 31,587 20,635
203..................................... 41,587 15,003
204..................................... 26,039 17,394
205..................................... 5,775 26,368
206..................................... 22,415 18,854
207..................................... 46,165 83,212
208..................................... 79,432 41,398
215..................................... 150 151,502
216..................................... 8,411 165,422
217..................................... 7,609 118,088
218..................................... 3,256 98,470
219..................................... 10,062 132,460
220..................................... 13,481 94,478
221..................................... 8,383 81,144
222..................................... 2,865 149,784
223..................................... 5,770 116,219
224..................................... 1,919 138,213
225..................................... 5,871 109,030
226..................................... 7,048 112,464
227..................................... 50,536 88,444
228..................................... 3,084 126,976
229..................................... 4,128 89,139
230..................................... 1,989 73,311
231..................................... 1,478 138,287
232..................................... 1,795 107,403
233..................................... 16,911 119,988
234..................................... 39,167 86,734
235..................................... 9,628 97,022
236..................................... 32,871 68,172
237..................................... 21,789 85,211
238..................................... 44,929 53,794
239..................................... 13,814 64,168
240..................................... 13,349 43,051
241..................................... 3,350 31,297
242..................................... 17,179 64,273
243..................................... 37,856 50,218
244..................................... 68,201 42,102
245..................................... 6,241 54,054
246..................................... 32,661 64,613
247..................................... 279,972 46,787
248..................................... 5,013 58,218
249..................................... 29,657 41,876
250..................................... 5,739 53,408
251..................................... 39,905 38,200
252..................................... 44,602 48,168
253..................................... 46,864 43,475
254..................................... 59,029 34,550
255..................................... 2,609 39,961
256..................................... 3,833 30,250
257..................................... 774 23,818
258..................................... 598 49,682
[[Page 31533]]
259..................................... 7,328 35,034
260..................................... 867 47,446
261..................................... 2,804 28,303
262..................................... 3,378 23,301
263..................................... 788 29,053
264..................................... 30,137 39,708
280..................................... 60,735 36,717
281..................................... 57,734 28,584
282..................................... 60,951 23,031
283..................................... 15,852 30,928
284..................................... 4,911 23,409
285..................................... 3,254 17,351
286..................................... 23,282 40,266
287..................................... 172,488 28,923
288..................................... 3,245 50,617
289..................................... 1,423 36,464
290..................................... 484 28,249
291..................................... 183,774 29,157
292..................................... 217,052 24,421
293..................................... 226,688 17,810
294..................................... 1,704 21,989
295..................................... 1,658 13,805
296..................................... 1,730 26,654
297..................................... 943 20,306
298..................................... 554 12,889
299..................................... 17,443 28,063
300..................................... 46,820 21,997
301..................................... 39,910 15,712
302..................................... 7,873 23,741
303..................................... 81,458 15,192
304..................................... 2,084 24,110
305..................................... 35,646 15,139
306..................................... 1,379 27,644
307..................................... 6,447 18,857
308..................................... 33,528 27,255
309..................................... 79,751 20,827
310..................................... 160,738 14,816
311..................................... 24,867 13,364
312..................................... 169,247 18,273
313..................................... 220,769 14,894
314..................................... 60,053 30,750
315..................................... 30,730 23,629
316..................................... 20,101 16,823
326..................................... 11,567 88,786
327..................................... 10,901 49,818
328..................................... 9,333 32,074
329..................................... 48,135 80,371
330..................................... 66,303 47,127
331..................................... 31,391 35,021
332..................................... 1,890 74,102
333..................................... 6,196 46,130
334..................................... 4,023 34,266
335..................................... 7,161 68,407
336..................................... 12,516 43,200
337..................................... 8,835 32,563
338..................................... 1,499 58,047
339..................................... 3,192 39,795
340..................................... 3,607 30,753
341..................................... 874 42,806
342..................................... 2,536 31,921
343..................................... 6,875 24,258
344..................................... 898 51,426
345..................................... 2,915 33,636
346..................................... 2,909 27,779
347..................................... 1,568 36,443
348..................................... 3,985 27,800
349..................................... 5,787 19,265
350..................................... 1,669 41,035
351..................................... 3,997 28,329
352..................................... 8,419 19,894
353..................................... 3,182 44,303
354..................................... 9,118 30,612
355..................................... 17,451 23,281
356..................................... 8,366 58,953
357..................................... 8,046 40,130
358..................................... 2,714 31,167
368..................................... 3,052 31,502
369..................................... 4,005 25,728
370..................................... 3,914 20,084
371..................................... 16,843 32,446
372..................................... 22,903 26,907
373..................................... 14,897 20,598
374..................................... 9,414 34,760
375..................................... 19,730 26,563
376..................................... 4,816 22,403
377..................................... 50,503 30,943
378..................................... 84,806 24,936
379..................................... 128,748 19,140
380..................................... 2,917 32,583
381..................................... 4,894 26,915
382..................................... 5,445 20,581
383..................................... 1,303 28,065
384..................................... 8,664 21,556
385..................................... 2,107 33,476
386..................................... 7,221 25,067
387..................................... 5,230 20,543
388..................................... 18,267 29,699
389..................................... 46,328 23,347
390..................................... 48,052 16,336
391..................................... 47,511 24,761
392..................................... 306,515 17,829
393..................................... 23,917 28,925
394..................................... 45,952 23,434
395..................................... 26,460 17,594
405..................................... 3,903 83,940
406..................................... 5,241 49,125
407..................................... 2,310 36,497
408..................................... 1,644 67,203
409..................................... 1,713 4