Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2008 Rates; Correction, 31507-31540 [07-2806]

Download as PDF 31507 Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules attainment for the 8-hour ozone NAAQS, the associated maintenance plan, the 2002 base-year inventory, and the MVEBs identified in the maintenance plan, does not impose an information collection burden under the provisions of the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.). List of Subjects 40 CFR Part 52 Environmental protection, Air pollution control, Nitrogen dioxide, Ozone, Reporting and recordkeeping requirements, Volatile organic compounds. 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 ............................................................................................. VerDate Aug<31>2005 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00035 Fmt 4702 Sfmt 4702 E:\FR\FM\07JNP1.SGM 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 16:51 Jun 06, 2007 Jkt 211001 $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 PO 00000 Frm 00036 Fmt 4702 Sfmt 4702 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 ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... 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 ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... 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 ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... 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) VerDate Aug<31>2005 16:51 Jun 06, 2007 Jkt 211001 For Hospitals That Are Reclassified By CBSA FY 2008, the wage indices and PO 00000 Frm 00037 Fmt 4702 Sfmt 4702 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 ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... ...................................................... 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 * * ............................ ............................ ............................ * * ............................ * ............................ ............................ ............................ * ............................ ............................ ............................ ............................ ............................ ............................ * ............................ ............................ * * ............................ ............................ * ............................ ............................ ............................ ............................ ............................ * ............................ ............................ ............................ * ............................ ............................ ............................ * * ............................ * ............................ * * ............................ * ............................ * * ............................ * ............................ * 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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VerDate Aug<31>2005 16:51 Jun 06, 2007 Jkt 211001 Out-migration adjustment ............................ * ............................ ............................ * * ............................ ............................ ............................ ............................ * * ............................ ............................ * * * * ............................ ............................ * ............................ ............................ ............................ * ............................ * * * * * * * * * * * ............................ * * * ............................ * * * * ............................ ............................ ............................ * * * * * * * * * * * * ............................ * ............................ ............................ * ............................ * * * * ............................ ............................ PO 00000 Frm 00039 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 Sfmt 4702 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– VerDate Aug<31>2005 16:51 Jun 06, 2007 Jkt 211001 Out-migration adjustment 0.0021 Qualifying county name MINGO ..................................................... DRGs), Relative Weighting Factors, and Geometric and Arithmetic Mean Length PO 00000 Fmt 4702 Sfmt 4702 51290 of Stay, the table is corrected to read as follows: BILLING CODE 4120–01–P Frm 00040 County code E:\FR\FM\07JNP1.SGM 07JNP1 VerDate Aug<31>2005 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00041 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 31513 EP07JN07.000</GPH> jlentini on PROD1PC65 with PROPOSALS Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules VerDate Aug<31>2005 Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00042 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 EP07JN07.001</GPH> jlentini on PROD1PC65 with PROPOSALS 31514 VerDate Aug<31>2005 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00043 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 31515 EP07JN07.002</GPH> jlentini on PROD1PC65 with PROPOSALS Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules VerDate Aug<31>2005 Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00044 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 EP07JN07.003</GPH> jlentini on PROD1PC65 with PROPOSALS 31516 VerDate Aug<31>2005 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00045 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 31517 EP07JN07.004</GPH> jlentini on PROD1PC65 with PROPOSALS Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules VerDate Aug<31>2005 Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00046 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 EP07JN07.005</GPH> jlentini on PROD1PC65 with PROPOSALS 31518 VerDate Aug<31>2005 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00047 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 31519 EP07JN07.006</GPH> jlentini on PROD1PC65 with PROPOSALS Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules VerDate Aug<31>2005 Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00048 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 EP07JN07.007</GPH> jlentini on PROD1PC65 with PROPOSALS 31520 VerDate Aug<31>2005 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00049 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 31521 EP07JN07.008</GPH> jlentini on PROD1PC65 with PROPOSALS Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules VerDate Aug<31>2005 Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00050 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 EP07JN07.009</GPH> jlentini on PROD1PC65 with PROPOSALS 31522 VerDate Aug<31>2005 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00051 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 31523 EP07JN07.010</GPH> jlentini on PROD1PC65 with PROPOSALS Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules VerDate Aug<31>2005 Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00052 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 EP07JN07.011</GPH> jlentini on PROD1PC65 with PROPOSALS 31524 VerDate Aug<31>2005 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00053 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 31525 EP07JN07.012</GPH> jlentini on PROD1PC65 with PROPOSALS Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules VerDate Aug<31>2005 Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00054 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 EP07JN07.013</GPH> jlentini on PROD1PC65 with PROPOSALS 31526 VerDate Aug<31>2005 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00055 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 31527 EP07JN07.014</GPH> jlentini on PROD1PC65 with PROPOSALS Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules VerDate Aug<31>2005 Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00056 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 EP07JN07.015</GPH> jlentini on PROD1PC65 with PROPOSALS 31528 VerDate Aug<31>2005 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00057 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 31529 EP07JN07.016</GPH> jlentini on PROD1PC65 with PROPOSALS Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules VerDate Aug<31>2005 Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00058 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 EP07JN07.017</GPH> jlentini on PROD1PC65 with PROPOSALS 31530 BILLING CODE 4120–01–C VerDate Aug<31>2005 16:51 Jun 06, 2007 16. On pages 25095 through 25099, in Table 10.—Geometric Mean Plus The Jkt 211001 PO 00000 Frm 00059 Fmt 4702 Sfmt 4702 31531 Lesser of .75 Of The National Adjusted Operating Standardized Payment E:\FR\FM\07JNP1.SGM 07JNP1 EP07JN07.018</GPH> jlentini on PROD1PC65 with PROPOSALS Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 31532 Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 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 16:51 Jun 06, 2007 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 E:\FR\FM\07JNP1.SGM 07JNP1 VerDate Aug<31>2005 Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00064 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 EP07JN07.019</GPH> jlentini on PROD1PC65 with PROPOSALS 31536 VerDate Aug<31>2005 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00065 Fmt 4702 Sfmt 4725 E:\FR\FM\07JNP1.SGM 07JNP1 31537 EP07JN07.020</GPH> jlentini on PROD1PC65 with PROPOSALS Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 31538 BILLING CODE 4120–01–C jlentini on PROD1PC65 with PROPOSALS 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 16:51 Jun 06, 2007 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 PO 00000 Frm 00066 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 07JNP1 EP07JN07.021</GPH> Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 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 Jkt 211001 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 Frm 00067 Fmt 4702 Sfmt 4702 from the percentage changes shown here due to rounding and interactive effects. E:\FR\FM\07JNP1.SGM 07JNP1 31540 Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 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) VerDate Aug<31>2005 16:51 Jun 06, 2007 Jkt 211001 PO 00000 Frm 00068 Fmt 4702 Sfmt 4702 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 07JNP1

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]


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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

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