Reasonable Charges for Inpatient DRG and SNF Medical Services; 2009; Fiscal Year Update, 57219-57220 [E8-22787]
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Federal Register / Vol. 73, No. 191 / Wednesday, October 1, 2008 / Notices
Affected Public: Businesses or other
for-profit.
Estimated Number of Respondents:
65.
Estimated Number of Responses: 65.
Estimated Frequency of Response:
Other; Once, on becoming an S & L
holding company.
Estimated Total Burden: 520 hours.
Clearance Officer: Ira L. Mills, (202)
906–6531, Office of Thrift Supervision,
1700 G Street, NW., Washington, DC
20552.
Dated: September 25, 2008.
Deborah Dakin,
Senior Deputy Chief Counsel, Regulations and
Legislation Division.
[FR Doc. E8–22984 Filed 9–30–08; 8:45 am]
BILLING CODE 6720–01–P
DEPARTMENT OF VETERANS
AFFAIRS
Reasonable Charges for Inpatient DRG
and SNF Medical Services; 2009; Fiscal
Year Update
Department of Veterans Affairs.
Notice.
AGENCY:
ACTION:
jlentini on PROD1PC65 with NOTICES
SUMMARY: Section 17.101 of Title 38 of
the Code of Federal Regulations sets
forth the Department of Veterans Affairs
(VA) medical regulations concerning
‘‘reasonable charges’’ for medical care or
services provided or furnished by VA to
a veteran:
—For a nonservice-connected disability
for which the veteran is entitled to
care (or the payment of expenses of
care) under a health plan contract;
—For a nonservice-connected disability
incurred incident to the veteran’s
employment and covered under a
worker’s compensation law or plan
that provides reimbursement or
indemnification for such care and
services; or
—For a nonservice-connected disability
incurred as a result of a motor vehicle
accident in a State that requires
automobile accident reparations
insurance.
The regulations include
methodologies for establishing billed
amounts for the following types of
charges: Acute inpatient facility charges;
skilled nursing facility/sub-acute
inpatient facility (SNF) 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
VerDate Aug<31>2005
18:22 Sep 30, 2008
Jkt 214001
transportation charges; and charges for
durable medical equipment, drugs,
injectables, and other medical services,
items, and supplies identified by
Healthcare Common Procedure Coding
System (HCPCS) Level II codes. The
regulations also provide that data for
calculating actual charge amounts at
individual VA facilities based on these
methodologies will either be published
in a notice in the Federal Register or
will be posted on the Internet site of the
Veterans Health Administration Chief
Business Office, currently at https://
www1.va.gov/CBO/apps/rates/
index.asp, under ‘‘Charge Data.’’ Certain
of these charges are hereby updated as
described in the Supplementary
Information section of this notice. These
changes are effective October 1, 2008.
When charges for medical care or
services provided or furnished at VA
expense by either VA or non-VA
providers have not been established
under other provisions of the
regulations, the method for determining
VA’s charges is set forth at 38 CFR
17.101(a)(8).
FOR FURTHER INFORMATION CONTACT:
Romona Greene, Chief Business Office
(168), Veterans Health Administration,
Department of Veterans Affairs, 810
Vermont Avenue, NW., Washington, DC
20420, (202) 254–0361. (This is not a
toll free number.)
SUPPLEMENTARY INFORMATION: Of the
charge types listed in the Summary
section of this notice, only the acute
inpatient facility charges and skilled
nursing facility/sub-acute inpatient
facility charges are being changed.
Charges for the following charge types:
partial hospitalization facility charges;
outpatient facility charges; physician
and other professional charges,
including professional charges for
anesthesia services and dental services;
pathology and laboratory charges;
observation care facility charges;
ambulance and other emergency
transportation charges; and charges for
durable medical equipment, drugs,
injectables, and other medical services,
items, and supplies identified by
HCPCS Level II codes are not being
changed. These Outpatient facility
charges and Professional charges remain
the same as set forth in a notice
published in the Federal Register on
December 26, 2007 (72 FR 246).
Based on the methodologies set forth
in 38 CFR 17.101(b), this document
provides an update to acute inpatient
charges that were based on 2008
diagnosis related group (DRG). Acute
inpatient facility charges by DRG are set
forth in Table A in the September 28,
2007, Federal Register notice (72 FR
PO 00000
Frm 00173
Fmt 4703
Sfmt 4703
57219
188). Table A in this notice provides
updated charges based on 2009 DRGs
and will replace Table A in the
September 28, 2007, notice.
Also, this document provides for an
updated all-inclusive per diem charge
for skilled nursing facility/sub-acute
inpatient facility charge using the
methodologies set forth in 38 CFR
17.101(c) and it is adjusted by a
geographic area factor based on the
location where the care is provided. The
skilled nursing facility/sub-acute
inpatient facility per diem charge is set
forth in Table B in the September 28,
2007, Federal Register notice. Table B
in this notice provides the updated allinclusive nationwide skilled nursing
facility/sub-acute inpatient facility per
diem charge and will replace Table B in
the September 28, 2007, notice.
The charges in this update for acute
inpatient facility and skilled nursing
facility/sub-acute inpatient facility
services are effective October 1, 2008.
In this update, we are retaining the
table designations used for acute
inpatient facility charges by DRGs in the
notice published in the Federal Register
on September 28, 2007. We also are
retaining the table designation used for
skilled nursing facility/sub-acute
inpatient facility charges in the notice
published in the Federal Register on
September 28, 2007. Accordingly, the
tables identified as being updated by
this notice correspond to the applicable
tables published in the September 28,
2007, notice, beginning with Table A
through Table B.
We have updated the list of data
sources presented in Supplementary
Table 1 to reflect the updated data
sources used to establish the updated
charges described in this notice.
We have also updated the list of VA
medical facility locations. As a
reminder, in Supplementary Table 3
posted on the internet site of the
Veterans Health Administration Chief
Business Office, currently at https://
www1.va.gov/CBO/apps/rates/
index.asp, we set forth the list of VA
medical facility locations, which
includes the first three-digits of their
ZIP Codes and provider-based/nonprovider-based designations.
Consistent with 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://www1.va.gov/CBO/
apps/rates/index.asp, under ‘‘Charge
Data.’’
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01OCN1
57220
Federal Register / Vol. 73, No. 191 / Wednesday, October 1, 2008 / Notices
Approved: August 28, 2008.
Gordon H. Mansfield,
Deputy Secretary of Veterans Affairs.
[FR Doc. E8–22787 Filed 9–30–08; 8:45 am]
jlentini on PROD1PC65 with NOTICES
BILLING CODE 8320–01–P
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18:22 Sep 30, 2008
Jkt 214001
PO 00000
Frm 00174
Fmt 4703
Sfmt 4703
E:\FR\FM\01OCN1.SGM
01OCN1
]]>Agencies
[Federal Register Volume 73, Number 191 (Wednesday, October 1, 2008)]
[Notices]
[Pages 57219-57220]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-22787]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
Reasonable Charges for Inpatient DRG and SNF Medical Services;
2009; Fiscal Year Update
AGENCY: Department of Veterans Affairs.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: Section 17.101 of Title 38 of the Code of Federal Regulations
sets forth the Department of Veterans Affairs (VA) medical regulations
concerning ``reasonable charges'' for medical care or services provided
or furnished by VA to a veteran:
--For a nonservice-connected disability for which the veteran is
entitled to care (or the payment of expenses of care) under a health
plan contract;
--For a nonservice-connected disability incurred incident to the
veteran's employment and covered under a worker's compensation law or
plan that provides reimbursement or indemnification for such care and
services; or
--For a nonservice-connected disability incurred as a result of a motor
vehicle accident in a State that requires automobile accident
reparations insurance.
The regulations include methodologies for establishing billed
amounts for the following types of charges: Acute inpatient facility
charges; skilled nursing facility/sub-acute inpatient facility (SNF)
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 in a notice in
the Federal Register or will be posted on the Internet site of the
Veterans Health Administration Chief Business Office, currently at
https://www1.va.gov/CBO/apps/rates/index.asp, under ``Charge Data.''
Certain of these charges are hereby updated as described in the
Supplementary Information section of this notice. These changes are
effective October 1, 2008.
When charges for medical care or services provided or furnished at
VA expense by either VA or non-VA providers have not been established
under other provisions of the regulations, the method for determining
VA's charges is set forth at 38 CFR 17.101(a)(8).
FOR FURTHER INFORMATION CONTACT: Romona Greene, Chief Business Office
(168), Veterans Health Administration, Department of Veterans Affairs,
810 Vermont Avenue, NW., Washington, DC 20420, (202) 254-0361. (This is
not a toll free number.)
SUPPLEMENTARY INFORMATION: Of the charge types listed in the Summary
section of this notice, only the acute inpatient facility charges and
skilled nursing facility/sub-acute inpatient facility charges are being
changed. Charges for the following charge types: partial
hospitalization facility charges; outpatient facility charges;
physician and other professional charges, including professional
charges for anesthesia services and dental services; pathology and
laboratory charges; observation care facility charges; ambulance and
other emergency transportation charges; and charges for durable medical
equipment, drugs, injectables, and other medical services, items, and
supplies identified by HCPCS Level II codes are not being changed.
These Outpatient facility charges and Professional charges remain the
same as set forth in a notice published in the Federal Register on
December 26, 2007 (72 FR 246).
Based on the methodologies set forth in 38 CFR 17.101(b), this
document provides an update to acute inpatient charges that were based
on 2008 diagnosis related group (DRG). Acute inpatient facility charges
by DRG are set forth in Table A in the September 28, 2007, Federal
Register notice (72 FR 188). Table A in this notice provides updated
charges based on 2009 DRGs and will replace Table A in the September
28, 2007, notice.
Also, this document provides for an updated all-inclusive per diem
charge for skilled nursing facility/sub-acute inpatient facility charge
using the methodologies set forth in 38 CFR 17.101(c) and it is
adjusted by a geographic area factor based on the location where the
care is provided. The skilled nursing facility/sub-acute inpatient
facility per diem charge is set forth in Table B in the September 28,
2007, Federal Register notice. Table B in this notice provides the
updated all-inclusive nationwide skilled nursing facility/sub-acute
inpatient facility per diem charge and will replace Table B in the
September 28, 2007, notice.
The charges in this update for acute inpatient facility and skilled
nursing facility/sub-acute inpatient facility services are effective
October 1, 2008.
In this update, we are retaining the table designations used for
acute inpatient facility charges by DRGs in the notice published in the
Federal Register on September 28, 2007. We also are retaining the table
designation used for skilled nursing facility/sub-acute inpatient
facility charges in the notice published in the Federal Register on
September 28, 2007. Accordingly, the tables identified as being updated
by this notice correspond to the applicable tables published in the
September 28, 2007, notice, beginning with Table A through Table B.
We have updated the list of data sources presented in Supplementary
Table 1 to reflect the updated data sources used to establish the
updated charges described in this notice.
We have also updated the list of VA medical facility locations. As
a reminder, in Supplementary Table 3 posted on the internet site of the
Veterans Health Administration Chief Business Office, currently at
https://www1.va.gov/CBO/apps/rates/index.asp, 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 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://www1.va.gov/
CBO/apps/rates/index.asp, under ``Charge Data.''
[[Page 57220]]
Approved: August 28, 2008.
Gordon H. Mansfield,
Deputy Secretary of Veterans Affairs.
[FR Doc. E8-22787 Filed 9-30-08; 8:45 am]
BILLING CODE 8320-01-P
