Reasonable Charges for Inpatient MS-DRGs and SNF Medical Services; 2011 Fiscal Year Update, 59329-59330 [2010-24116]
Download as PDF
<![CDATA[
Federal Register / Vol. 75, No. 186 / Monday, September 27, 2010 / Notices
The notices of applications stated in
detail the qualifications, experience,
and medical condition of each applicant
for an exemption from the vision
requirements. That information is
available by consulting the above cited
Federal Register publications.
Interested parties or organizations
possessing information that would
otherwise show that any, or all, of these
drivers are not currently achieving the
statutory level of safety should
immediately notify FMCSA. The
Agency will evaluate any adverse
evidence submitted and, if safety is
being compromised or if continuation of
the exemption would not be consistent
with the goals and objectives of 49
U.S.C. 31136(e) and 31315, FMCSA will
take immediate steps to revoke the
exemption of a driver.
Issued on: September 21, 2010.
Larry W. Minor,
Associate Administrator for Policy and
Program Development.
[FR Doc. 2010–24195 Filed 9–24–10; 8:45 am]
BILLING CODE 4910–EX–P
DEPARTMENT OF VETERANS
AFFAIRS
Reasonable Charges for Inpatient MS–
DRGs and SNF Medical Services; 2011
Fiscal Year Update
Department of Veterans Affairs.
Notice.
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 (VHA)
Chief Business Office, currently at
https://www1.va.gov/CBO/apps/rates/
index.asp, under ‘‘Charge Data.’’ Certain
charges are hereby updated as described
in the Supplementary Information
section of this notice. These changes are
effective October 1, 2010.
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).
AGENCY:
FOR FURTHER INFORMATION CONTACT:
ACTION:
Romona Greene, Chief Business Office
(168), Veterans Health Administration,
Department of Veterans Affairs, 810
Vermont Avenue, NW., Washington, DC
20420, (202) 461–1595. (This is not a
toll free number.)
Section 17.101 of Title 38 of
the Code of Federal Regulations sets
forth the Department of Veterans Affairs
(VA) medical regulations concerning
‘‘Reasonable Charges’’ for medical care
or services provided or furnished by VA
to a veteran:
—For a nonservice-connected disability
for which the veteran is entitled to
care (or the payment of expenses of
care) under a health plan contract;
—For a nonservice-connected disability
incurred incident to the veteran’s
employment and covered under a
worker’s compensation law or plan
that provides reimbursement or
indemnification for such care and
services; or
—For a nonservice-connected disability
incurred as a result of a motor vehicle
accident in a State that requires
automobile accident reparations
insurance.
The regulations include
methodologies for establishing billed
amounts for the following types of
charges: Acute inpatient facility charges;
skilled nursing facility/sub-acute
inpatient facility charges; partial
hospitalization facility charges;
srobinson on DSKHWCL6B1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
17:01 Sep 24, 2010
Jkt 220001
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 28, 2009 (74 FR 247).
SUPPLEMENTARY INFORMATION:
PO 00000
Frm 00124
Fmt 4703
Sfmt 4703
59329
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 2010
Medicare severity diagnosis related
groups (MS–DRGs). Acute inpatient
facility charges by MS–DRGs are set
forth in Table A and are posted on the
Internet site of the VHA Chief Business
Office, currently at https://www1.va.gov/
CBO/apps/rates/index.asp, under
‘‘Charge Data.’’ This Table A
corresponds to the Table A referenced
in the September 17, 2009, Federal
Register Notice. Table A referenced in
this notice provides updated charges
based on 2011 MS–DRGs and will
replace Table A posted on the Internet
site of the VHA Chief Business Office,
which corresponds to the Table A
referenced in the September 17, 2009,
Federal Register 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 and is posted on the
Internet site of the VHA Chief Business
Office, currently at https://www1.va.gov/
CBO/apps/rates/index.asp, under
‘‘Charge Data.’’ This Table B corresponds
to the Table B referenced in the
September 17, 2009, Federal Register
Notice. Table B referenced in this notice
provides updated all-inclusive
nationwide skilled nursing facility/subacute inpatient facility per diem charge
and will replace Table B posted on the
Internet site of the VHA Chief Business
Office, which corresponds to the Table
B referenced in the September 17, 2009,
Federal Register notice.
The charges in this update for acute
inpatient facility and skilled nursing
facility/sub-acute inpatient facility
services are effective October 1, 2010.
In this update, we are retaining the
table designations used for acute
inpatient facility charges by MS–DRGs
which is posted on the Internet site of
the VHA Chief Business Office,
currently at https://www1.va.gov/CBO/
apps/rates/index.asp, under ‘‘Charge
Data.’’ We also are retaining the table
designation used for skilled nursing
facility/sub-acute inpatient facility
charges which is posted on the Internet
site of the VHA Chief Business Office,
currently at https://www1.va.gov/CBO/
apps/rates/index.asp, under ‘‘Charge
Data.’’ Accordingly, the tables identified
as being updated by this notice
correspond to the applicable tables
E:\FR\FM\27SEN1.SGM
27SEN1
59330
Federal Register / Vol. 75, No. 186 / Monday, September 27, 2010 / Notices
srobinson on DSKHWCL6B1PROD with NOTICES
referenced in the September 17, 2009,
notice, beginning with Table A through
Table B.
We have updated the list of data
sources presented in Supplementary
Table 1 posted on the Internet site of the
VHA Chief Business Office, currently at
https://www1.va.gov/CBO/apps/rates/
index.asp 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
VerDate Mar<15>2010
17:01 Sep 24, 2010
Jkt 220001
reminder, in Supplementary Table 3
posted on the internet site of the VHA
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 their three-digit 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
PO 00000
Frm 00125
Fmt 4703
Sfmt 9990
in this notice will be posted on the
Internet site of the VHA Chief Business
Office, currently at https://www1.va.gov/
CBO/apps/rates/index.asp, under
‘‘Charge Data.’’
Approved: August 25, 2010.
John R. Gingrich,
Chief of Staff, Department of Veterans Affairs.
[FR Doc. 2010–24116 Filed 9–24–10; 8:45 am]
BILLING CODE P
E:\FR\FM\27SEN1.SGM
27SEN1
]]>Agencies
[Federal Register Volume 75, Number 186 (Monday, September 27, 2010)]
[Notices]
[Pages 59329-59330]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-24116]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
Reasonable Charges for Inpatient MS-DRGs and SNF Medical
Services; 2011 Fiscal Year Update
AGENCY: Department of Veterans Affairs.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: Section 17.101 of Title 38 of the Code of Federal Regulations
sets forth the Department of Veterans Affairs (VA) medical regulations
concerning ``Reasonable Charges'' for medical care or services provided
or furnished by VA to a veteran:
--For a nonservice-connected disability for which the veteran is
entitled to care (or the payment of expenses of care) under a health
plan contract;
--For a nonservice-connected disability incurred incident to the
veteran's employment and covered under a worker's compensation law or
plan that provides reimbursement or indemnification for such care and
services; or
--For a nonservice-connected disability incurred as a result of a motor
vehicle accident in a State that requires automobile accident
reparations insurance.
The regulations include methodologies for establishing billed
amounts for the following types of charges: Acute inpatient facility
charges; skilled nursing facility/sub-acute inpatient facility charges;
partial hospitalization facility charges; outpatient facility charges;
physician and other professional charges, including professional
charges for anesthesia services and dental services; pathology and
laboratory charges; observation care facility charges; ambulance and
other emergency 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 (VHA) Chief Business Office, currently at https://www1.va.gov/CBO/apps/rates/index.asp, under ``Charge Data.'' Certain
charges are hereby updated as described in the Supplementary
Information section of this notice. These changes are effective October
1, 2010.
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) 461-1595. (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 28, 2009 (74 FR 247).
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 2010 Medicare severity diagnosis related groups (MS-DRGs). Acute
inpatient facility charges by MS-DRGs are set forth in Table A and are
posted on the Internet site of the VHA Chief Business Office, currently
at https://www1.va.gov/CBO/apps/rates/index.asp, under ``Charge Data.''
This Table A corresponds to the Table A referenced in the September 17,
2009, Federal Register Notice. Table A referenced in this notice
provides updated charges based on 2011 MS-DRGs and will replace Table A
posted on the Internet site of the VHA Chief Business Office, which
corresponds to the Table A referenced in the September 17, 2009,
Federal Register 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 and is posted on the
Internet site of the VHA Chief Business Office, currently at https://www1.va.gov/CBO/apps/rates/index.asp, under ``Charge Data.'' This Table
B corresponds to the Table B referenced in the September 17, 2009,
Federal Register Notice. Table B referenced in this notice provides
updated all-inclusive nationwide skilled nursing facility/sub-acute
inpatient facility per diem charge and will replace Table B posted on
the Internet site of the VHA Chief Business Office, which corresponds
to the Table B referenced in the September 17, 2009, Federal Register
notice.
The charges in this update for acute inpatient facility and skilled
nursing facility/sub-acute inpatient facility services are effective
October 1, 2010.
In this update, we are retaining the table designations used for
acute inpatient facility charges by MS-DRGs which is posted on the
Internet site of the VHA Chief Business Office, currently at https://www1.va.gov/CBO/apps/rates/index.asp, under ``Charge Data.'' We also
are retaining the table designation used for skilled nursing facility/
sub-acute inpatient facility charges which is posted on the Internet
site of the VHA Chief Business Office, currently at https://www1.va.gov/CBO/apps/rates/index.asp, under ``Charge Data.'' Accordingly, the
tables identified as being updated by this notice correspond to the
applicable tables
[[Page 59330]]
referenced in the September 17, 2009, notice, beginning with Table A
through Table B.
We have updated the list of data sources presented in Supplementary
Table 1 posted on the Internet site of the VHA Chief Business Office,
currently at https://www1.va.gov/CBO/apps/rates/index.asp 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
VHA 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 their three-digit 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 VHA Chief Business Office,
currently at https://www1.va.gov/CBO/apps/rates/index.asp, under
``Charge Data.''
Approved: August 25, 2010.
John R. Gingrich,
Chief of Staff, Department of Veterans Affairs.
[FR Doc. 2010-24116 Filed 9-24-10; 8:45 am]
BILLING CODE P
