Reasonable Charges for Medical Care or Services; 2008 Calendar Year Update, 73063-73064 [E7-24912]

Download as PDF Federal Register / Vol. 72, No. 246 / Wednesday, December 26, 2007 / Notices addressed stamped postcard. Note that all comments received, including any personal information, will be posted and will be available to Internet users, without change, to www.regulations.gov. You may review DOT’s complete Privacy Act Statement in the Federal Register published April 11, 2000, (65 FR 19477), or you may visit www.regulations.gov. Docket: For access to the docket to read background documents and comments received, go to www.regulations.gov at any time. Background documents and comments received may also be viewed at the U.S. Department of Transportation, 1200 New Jersey Avenue, SE., Docket Operations, M–30, West Building, Ground Floor, Room W12–140, Washington, DC 20590–0001 between 9 a.m. and 5 p.m., Monday through Friday, except federal holidays. FOR FURTHER INFORMATION CONTACT: Dave Longo, FTA Office of Communications and Congressional Affairs, (202) 366–0608, or e-mail: David.Longo@dot.gov. Interested parties are invited to send comments regarding any aspect of this information collection, including: (1) The necessity and utility of the information collection for the proper performance of the functions of the FTA; (2) the accuracy of the estimated burden; (3) ways to enhance the quality, utility, and clarity of the collected information; and (4) ways to minimize the collection burden without reducing the quality of the collected information. Comments submitted in response to this notice will be summarized and/or included in the request for OMB approval of this information collection. Title: Customer Satisfaction Survey for FTA’s Public Web site Contact Us Tool. OMB Number: 2132–New. Background: Executive Order 12862, ‘‘Setting Customer Service Standards,’’ requires FTA to identify its customers and determine what they think about FTA’s service. The surveys covered in this request will provide FTA with a means to gather data directly from its customers. The information obtained from the surveys will be used to assess how FTA’s services are perceived by customers and stakeholders, determine opportunities for improvement and ensure FTA’s customers receive the highest level of customer support. The surveys will be limited to data collections that solicit voluntary opinions and will not involve information that is required by regulations. pwalker on PROD1PC71 with NOTICES SUPPLEMENTARY INFORMATION: VerDate Aug<31>2005 17:33 Dec 21, 2007 Jkt 214001 Respondents: General public, State and local government, public and private transit operators, transit constituents, and other stakeholders. Estimated Annual Burden on Respondents: 10 minutes for each of the 1,230 respondents. Estimated Total Annual Burden: 205 hours. Frequency: Annual. Issued: December 17, 2007. Ann M. Linnertz, Associate Administrator for Administration. [FR Doc. E7–24891 Filed 12–21–07; 8:45 am] BILLING CODE 4910–57–P DEPARTMENT OF VETERANS AFFAIRS Reasonable Charges for Medical Care or Services; 2008 Calendar Year Update Department of Veterans Affairs. Notice. AGENCY: ACTION: SUMMARY: Title 38 of the Code of Federal Regulations (CFR), section 17.01 sets forth the Department of Veterans Affairs (VA) medical regulations concerning ‘‘reasonable charges’’ for medical care or services provided or furnished by VA to a veteran for: (1) A non-serviceconnected disability for which the veteran is entitled to care or the payment of expenses for care under a health plan contract; (2) a non-serviceconnected disability incurred incident to the veteran’s employment and covered under a worker’s compensation law or plan that provides reimbursement or indemnification for such care and services; or (3) a nonservice-connected disability incurred as a result of a motor vehicle accident in a State that requires automobile accident reparations insurance. The regulations include methodologies for establishing billed amounts for the following types of charges: Acute inpatient facility charges; skilled nursing facility and sub-acute inpatient facility charges; partial hospitalization facility charges; outpatient facility charges; physician and other professional charges, including professional charges for anesthesia services and dental services; pathology and laboratory charges; observation care facility charges; ambulance and other emergency transportation charges; and charges for durable medical equipment, drugs, injectables, and other medical services, items, and supplies identified by Healthcare Common Procedure Coding System (HCPCS) Level II codes. The PO 00000 Frm 00082 Fmt 4703 Sfmt 4703 73063 regulations also provide that data for calculating actual charge amounts at individual VA facilities based on these methodologies will either be published as a notice in the Federal Register or will be posted on the Internet site of the Veterans Health Administration Chief Business Office, currently at https:// www.va.gov/cbo, under ‘‘Charge Data.’’ Certain charges are hereby updated as described in the SUPPLEMENTARY INFORMATION section of this notice. These changes are effective January 1, 2008. In circumstances when charges for medical care or services provided or furnished at VA expense, by either VA or non-VA providers, have not been established under other provisions or regulations, the method for determining VA’s charges is set forth at 38 CFR 17.101(a)(8). FOR FURTHER INFORMATION CONTACT: Romona Greene, Chief Business Office (168), Veterans Health Administration, Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 254–0361. (This is not a toll free number.) Of the charge types listed in the Summary section of this notice, acute inpatient facility charges and skilled nursing facility/sub-acute inpatient facility charges are not being changed. Acute inpatient facility charges remain the same as set forth in a notice published in the Federal Register on September 28, 2007 (72 FR 57276). VA’s current inpatient charge structure utilizes the methodology set forth in 38 CFR 17.101 and does not itemize inpatient bills. Skilled nursing facility/sub-acute inpatient facility charges also remain the same as set forth in a notice published in the Federal Register on September 28, 2007 (72 FR 57276). Based on the methodologies set forth in 38 CFR 17.101, this document provides an update to charges for 2008 HCPCS Level II and Current Procedural Technology (CPT) codes. Charges are also being updated based on more recent versions of data sources for the following charge types: Partial hospitalization facility charges; outpatient facility charges; physician and other professional charges, including professional charges for anesthesia services and dental services; pathology and laboratory charges; observation care facility charges; ambulance and other emergency transportation charges; and charges for durable medical equipment, drugs, injectables, and other medical services, items, and supplies identified by SUPPLEMENTARY INFORMATION: E:\FR\FM\26DEN1.SGM 26DEN1 73064 Federal Register / Vol. 72, No. 246 / Wednesday, December 26, 2007 / Notices pwalker on PROD1PC71 with NOTICES HCPCS Level II codes. These updated charges are effective January 1, 2008. In this update, we are retaining the table designations used for HCPCS Level II and Current Procedural Technology (CPT) Codes in the notice posted on the Internet site of the Veterans Health Administration Chief Business Office currently at https://www.va.gov/cbo, under ‘‘Charge Data.’’ The effective date of this change was December 22, 2006, and the notice can also be found in the Federal Register (71 FR 77096). Accordingly, the tables identified as being updated by this notice correspond to the applicable tables posted on the VerDate Aug<31>2005 17:33 Dec 21, 2007 Jkt 214001 Internet with the notice, beginning with Table C. VA has updated the list of data sources presented in Supplementary Table 1 to reflect the updated data sources used to establish the updated charges described in this notice. The list of VA medical facility locations has also been updated. As a reminder, in Supplementary Table 3 we set forth the list of VA medical facility locations, which includes the first threedigits of their zip codes and provider based/non-provider based designations. Consistent with the VA’s regulations, the updated data tables and supplementary tables containing the PO 00000 Frm 00083 Fmt 4703 Sfmt 4703 changes described in this notice will be posted on the Internet site of the Veterans Health Administration Chief Business Office, currently at https:// www.va.gov/cbo, under ’’Charge Data (Rates).’’ The updated data tables and supplementary tables containing the changes described will be effective until changed by a subsequent Federal Register notice. Approved: December 17, 2007. Gordon H. Mansfield, Acting Secretary. [FR Doc. E7–24912 Filed 12–21–07; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\26DEN1.SGM 26DEN1

Agencies

DEPARTMENT OF VETERANS AFFAIRS

[Federal Register Volume 72, Number 246 (Wednesday, December 26, 2007)]
[Notices]
[Pages 73063-73064]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-24912]


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DEPARTMENT OF VETERANS AFFAIRS


Reasonable Charges for Medical Care or Services; 2008 Calendar 
Year Update

AGENCY: Department of Veterans Affairs.

ACTION: Notice.

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

SUMMARY: Title 38 of the Code of Federal Regulations (CFR), section 
17.01 sets forth the Department of Veterans Affairs (VA) medical 
regulations concerning ``reasonable charges'' for medical care or 
services provided or furnished by VA to a veteran for: (1) A non-
service-connected disability for which the veteran is entitled to care 
or the payment of expenses for care under a health plan contract; (2) a 
non-service-connected disability incurred incident to the veteran's 
employment and covered under a worker's compensation law or plan that 
provides reimbursement or indemnification for such care and services; 
or (3) a non-service-connected disability incurred as a result of a 
motor vehicle accident in a State that requires automobile accident 
reparations insurance.
    The regulations include methodologies for establishing billed 
amounts for the following types of charges: Acute inpatient facility 
charges; skilled nursing facility and sub-acute inpatient facility 
charges; partial hospitalization facility charges; outpatient facility 
charges; physician and other professional charges, including 
professional charges for anesthesia services and dental services; 
pathology and laboratory charges; observation care facility charges; 
ambulance and other emergency transportation charges; and charges for 
durable medical equipment, drugs, injectables, and other medical 
services, items, and supplies identified by Healthcare Common Procedure 
Coding System (HCPCS) Level II codes. The regulations also provide that 
data for calculating actual charge amounts at individual VA facilities 
based on these methodologies will either be published as a notice in 
the Federal Register or will be posted on the Internet site of the 
Veterans Health Administration Chief Business Office, currently at 
https://www.va.gov/cbo, under ``Charge Data.'' Certain charges are 
hereby updated as described in the SUPPLEMENTARY INFORMATION section of 
this notice. These changes are effective January 1, 2008.
    In circumstances when charges for medical care or services provided 
or furnished at VA expense, by either VA or non-VA providers, have not 
been established under other provisions or regulations, the method for 
determining VA's charges is set forth at 38 CFR 17.101(a)(8).

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

SUPPLEMENTARY INFORMATION: Of the charge types listed in the Summary 
section of this notice, acute inpatient facility charges and skilled 
nursing facility/sub-acute inpatient facility charges are not being 
changed. Acute inpatient facility charges remain the same as set forth 
in a notice published in the Federal Register on September 28, 2007 (72 
FR 57276). VA's current inpatient charge structure utilizes the 
methodology set forth in 38 CFR 17.101 and does not itemize inpatient 
bills. Skilled nursing facility/sub-acute inpatient facility charges 
also remain the same as set forth in a notice published in the Federal 
Register on September 28, 2007 (72 FR 57276).
    Based on the methodologies set forth in 38 CFR 17.101, this 
document provides an update to charges for 2008 HCPCS Level II and 
Current Procedural Technology (CPT) codes. Charges are also being 
updated based on more recent versions of data sources for the following 
charge types: Partial hospitalization facility charges; outpatient 
facility charges; physician and other professional charges, including 
professional charges for anesthesia services and dental services; 
pathology and laboratory charges; observation care facility charges; 
ambulance and other emergency transportation charges; and charges for 
durable medical equipment, drugs, injectables, and other medical 
services, items, and supplies identified by

[[Page 73064]]

HCPCS Level II codes. These updated charges are effective January 1, 
2008.
    In this update, we are retaining the table designations used for 
HCPCS Level II and Current Procedural Technology (CPT) Codes in the 
notice posted on the Internet site of the Veterans Health 
Administration Chief Business Office currently at https://www.va.gov/
cbo, under ``Charge Data.'' The effective date of this change was 
December 22, 2006, and the notice can also be found in the Federal 
Register (71 FR 77096). Accordingly, the tables identified as being 
updated by this notice correspond to the applicable tables posted on 
the Internet with the notice, beginning with Table C.
    VA has updated the list of data sources presented in Supplementary 
Table 1 to reflect the updated data sources used to establish the 
updated charges described in this notice.
    The list of VA medical facility locations has also been updated. As 
a reminder, in Supplementary Table 3 we set forth the list of VA 
medical facility locations, which includes the first three-digits of 
their zip codes and provider based/non-provider based designations.
    Consistent with the VA's regulations, the updated data tables and 
supplementary tables containing the changes described in this notice 
will be posted on the Internet site of the Veterans Health 
Administration Chief Business Office, currently at https://www.va.gov/
cbo, under ''Charge Data (Rates).'' The updated data tables and 
supplementary tables containing the changes described will be effective 
until changed by a subsequent Federal Register notice.

    Approved: December 17, 2007.
Gordon H. Mansfield,
Acting Secretary.
 [FR Doc. E7-24912 Filed 12-21-07; 8:45 am]
BILLING CODE 8320-01-P

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