Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2013 Rates; Hospitals' Resident Caps for Graduate Medical Education Payment Purposes; Quality Reporting Requirements for Specific Providers and for Ambulatory Surgical Centers; Corrections, 60315-60318 [2012-24307]
Download as PDF
Federal Register / Vol. 77, No. 192 / Wednesday, October 3, 2012 / Rules and Regulations
action will not have a substantial direct
effect on States or tribal governments,
on the relationship between the national
government and the States or tribal
governments, or on the distribution of
power and responsibilities among the
various levels of government or between
the Federal Government and Indian
tribes. Thus, the Agency has determined
that Executive Order 13132, entitled
‘‘Federalism’’ (64 FR 43255, August 10,
1999) and Executive Order 13175,
entitled ‘‘Consultation and Coordination
with Indian Tribal Governments’’ (65 FR
67249, November 9, 2000) do not apply
to this final rule. In addition, this final
rule does not impose any enforceable
duty or contain any unfunded mandate
as described under Title II of the
Unfunded Mandates Reform Act of 1995
(UMRA) (2 U.S.C. 1501 et seq.).
This action does not involve any
technical standards that would require
Agency consideration of voluntary
consensus standards pursuant to section
12(d) of the National Technology
Transfer and Advancement Act of 1995
(NTTAA) (15 U.S.C. 272 note).
VII. Congressional Review Act
Pursuant to the Congressional Review
Act (5 U.S.C. 801 et seq.), EPA will
submit a report containing this rule and
other required information to the U.S.
Senate, the U.S. House of
Representatives, and the Comptroller
General of the United States prior to
publication of the rule in the Federal
Register. This action is not a ‘‘major
rule’’ as defined by 5 U.S.C. 804(2).
List of Subjects in 40 CFR Part 180
Environmental protection,
Administrative practice and procedure,
Agricultural commodities, Pesticides
and pests, Reporting and recordkeeping
requirements.
Dated: September 21, 2012.
Daniel J. Rosenblatt,
Acting Director, Registration Division, Office
of Pesticide Programs.
Therefore, 40 CFR chapter I is
amended as follows:
PART 180—[AMENDED]
1. The authority citation for part 180
continues to read as follows:
Authority: 21 U.S.C. 321(q), 346a and 371.
2. Section 180.628 is amended as
follows:
■ i. Remove the entries for crambe, seed;
grain, aspirated fractions; hare’s ear
mustard, seed; jojoba, seed; lesquerella,
seed; milkweed, seed; mustard, seed;
oil, radish, seed; poppy, seed; rapeseed,
seed; rose hip, seed; sesame, seed;
tallowwood, seed; tea oil plant, seed;
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§ 180.628 Chlorantraniliprole; tolerances
for residues.
Parts per
million
Commodity
*
*
*
*
Cattle, fat ..................................
Cattle, meat ..............................
*
*
*
*
*
Cottonseed subgroup 20C .......
*
*
*
*
*
Goat, fat ....................................
Goat, meat ................................
*
*
*
*
*
Grain, aspirated grain fractions
*
640
*
*
*
*
Horse, fat ..................................
Horse, meat ..............................
*
*
*
*
*
Rapeseed subgroup 20B ..........
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
42 CFR Parts 412, 413, 424, and 476
[CMS–1588–CN2]
RIN 0938–AR12
Medicare Program; Hospital Inpatient
Prospective Payment Systems for
Acute Care Hospitals and the LongTerm Care Hospital Prospective
Payment System and Fiscal Year 2013
Rates; Hospitals’ Resident Caps for
Graduate Medical Education Payment
Purposes; Quality Reporting
Requirements for Specific Providers
and for Ambulatory Surgical Centers;
Corrections
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Final rule; correction.
AGENCY:
This document corrects
technical errors in the final rule that
appeared in the August 31, 2012
Federal Register entitled ‘‘Medicare
Program; Hospital Inpatient Prospective
Payment Systems for Acute Care
Hospitals and the Long-Term Care
Hospital Prospective Payment System
and Fiscal Year 2013 Rates; Hospitals’
Resident Caps for Graduate Medical
Education Payment Purposes; Quality
Reporting Requirements for Specific
Providers and for Ambulatory Surgical
Centers.’’
SUMMARY:
*
0.5
0.1
0.3
0.5
0.1
Effective Date: October 1, 2012.
Tzvi
Hefter, (410) 786–4487.
SUPPLEMENTARY INFORMATION:
DATES:
0.5
0.1
*
*
*
*
Sheep, fat .................................
Sheep, meat .............................
*
*
*
*
Vegetable, legume, group 6 .....
Vegetable, foliage of legume,
group 7, forage .....................
Vegetable, foliage of legume,
group 7, hay ..........................
*
*
*
*
*
*
*
*
*
Frm 00031
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II. Summary of Errors and Corrections
Posted on the CMS Web Site
90
[FR Doc. 2012–24152 Filed 10–2–12; 8:45 am]
PO 00000
I. Background
30
*
BILLING CODE 6560–50–P
FOR FURTHER INFORMATION CONTACT:
In FR Doc. 2012–19079 of August 31,
2012 (77 FR 53258), there were a
2.0 number of technical errors that are
identified and corrected in the
*
Correction of Errors section of this
0.5
correcting document. The provisions in
0.1
this correcting document are effective as
if they had been included in the final
*
0.3 rule appearing in the August 31, 2012
Federal Register. Accordingly, the
corrections are effective October 1,
*
2.0 2012.
*
*
*
*
Sunflower subgroup 20C ..........
■
■
vegetable, foliage of legume, except
soybean, subgroup 7A, forage; vegetable,
foliage of legume, except soybean,
subgroup 7A, hay; and vegetable,
legume, group 6, except soybeans; from
the table in paragraph (a).
■ ii. Revise the tolerances for cattle, fat;
cattle, meat; goat, fat; goat, meat; horse,
fat; horse, meat; sheep, fat; sheep, meat;
in the table in paragraph (a).
■ iii. Add alphabetically entries for
cottonseed subgroup 20C, grain,
aspirated grain fractions; rapeseed
subgroup 20A; sunflower subgroup 20B;
vegetable, legume, group 6; vegetable,
foliage of legume, group 7, forage; and
vegetable, foliage of legume, group 7,
hay; to the table in paragraph (a).
■ iv. Remove the entries for soybean,
forage, and soybean, hay, from the table
in paragraph (d).
The added and revised text read as
follows:
60315
A. Errors in the Preamble
On page 53268, in our summary of the
provisions of the Hospital Inpatient
Quality Reporting (IQR) Program, we
inadvertently referenced hospitalacquired condition (HAC) measure sets
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Federal Register / Vol. 77, No. 192 / Wednesday, October 3, 2012 / Rules and Regulations
instead of healthcare-associated
infection (HAI) measures sets. Also on
this page, in our discussion of the cost
and benefits of the Hospital
Readmission Reduction Program, we
made a technical error in the dollar
amount by which the Hospital
Readmission Reduction Program will
reduce payments to hospitals.
On page 53278, we made an
inadvertent typographical error in the
discussion of prospective adjustments
for FY 2010 documentation and coding
effect.
On page 53315, in our discussion of
International Classification of Disease,
Ninth Revisions, Clinical Modification
(ICD–9–CM), we inadvertently reference
ICD–9–CM coding system instead of
ICD–9–CM diagnosis codes.
On pages 53386 and 53392, we made
typographical errors in our summation
of a public comment regarding the
Hospital Readmission Reduction
Program.
On page 53387, we are correcting the
Web site for obtaining the MedPAR files
referenced in our discussion of
aggregate payments for excess
readmissions and aggregate payments
for all discharges under the Hospital
Readmission Reduction Program.
On page 53485, in our discussion of
long-term care hospital (LTCH)
moratorium on the 25-percent payment
adjustment threshold policy, we made
typographical errors in an example.
On page 53508, we made a
grammatical error in our discussion of
the Agency for Healthcare Research and
Quality (AHRQ) indicators.
On page 53545, in our discussion of
validation approaches for the Hospital
IQR Program, we made a typographical
error.
On page 53557, in our discussion of
CDC/NHSN-based HAI measures for the
PPS-Exempt Cancer Hospital Quality
Reporting Program (PCHQR), we made a
grammatical error.
On page 53601, in the table regarding
the final performance standards for the
FY 2015 Hospital Value-Base
Purchasing (HVBP) Program, we
inadvertently omitted a clinical process
of care measure.
On page 53648, in our discussion of
hospital-based inpatient psychiatric
service (HBIPS) under the IPFQR
Program, we made a typographical error.
On page 53655, in our discussion of
the reporting and submission
requirements for 2014 IPFQR payment
determinations, we inadvertently made
technical and typographical errors in a
response to a public comment.
On page 53668, in our discussion of
the information collection requirements
for the LTCH Quality Reporting
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Program, we made two technical errors
in describing the number of hospitals
that report data to the National Health
Safety Network (NHSN).
On page 53669, in our discussion of
the information collection requirements
for the LTCH Quality Reporting
Program, we made a grammatical error
in our response to a comment regarding
the cost associated with reported
pressure ulcer data.
B. Errors in the Addendum
On page 53706, in the table titled
‘‘Comparison of Factors and
Adjustments: FY 2012 Capital Federal
Rate and FY 2013 Capital Federal Rate,’’
there was a typographical error in the
GAF/DRG Adjustment Factor shown for
FY 2012.
On page 53731, we made a technical
error in the number and hospitals that
we estimate will have their base
operating payments reduced by
readmission reduction program.
C. Summary of Errors in and
Corrections to Tables Posted on the CMS
Web site
On pages 53717, we list the tables that
are tables available only through the
Internet. We are correcting the following
errors in Tables 9A, 9C, and 15:
In Table 9A.—Hospital
Reclassifications and Redesignations—
FY 2013, Provider 010164 was
inadvertently omitted.
In Table 9C.—Hospitals Redesignated
as Rural under Section 1886(d)(8)(E) of
the Act—FY 2013, Provider 040118 was
mistakenly listed as a section 401
provider and will be removed. Provider
290009 was inadvertently omitted and
will be listed as a rural reclassification
from CBSA 39900 to CBSA 29.
In addition, we note that the
correction of errors for Tables 9A and
9C require us to make conforming
changes to Tables 2, 4A, 4B, 4C, and 4J,
respectively.
In Table 15.—FY 2013 Final
Readmissions Adjustment Factors, we
inadvertently included Medicare
inpatient claims from the FY 2008
MedPAR file with discharge dates
occurring prior to July 1, 2008 in
determining the base operating DRG
payment amounts in the calculation of
aggregate payments for excess
readmissions and aggregate payments
for all discharges that were used to
calculate the readmissions adjustment
factors published for the FY 2013 IPPS/
LTCH final rule. Under the policy we
adopted in that final rule, for FY 2013,
aggregate payments for excess
readmissions and aggregate payments
for all discharges are calculated using
data from Medicare inpatient MedPAR
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claims with discharge dates occurring
on or after July 1, 2008, and no later
than June 30, 2011.
III. Waiver of Proposed Rulemaking
and Delay in the Effective Date
We ordinarily publish a notice of
proposed rulemaking in the Federal
Register to provide a period for public
comment before the provisions of a rule
take effect in accordance with section
553(b) of the Administrative Procedure
Act (APA) (5 U.S.C. 553(b)). However,
we can waive this notice and comment
procedure if the Secretary finds, for
good cause, that the notice and
comment process is impracticable,
unnecessary, or contrary to the public
interest, and incorporates a statement of
the finding and the reasons therefore in
the notice.
Section 553(d) of the APA ordinarily
requires a 30-day delay in effective date
of final rules after the date of their
publication in the Federal Register.
This 30-day delay in effective date can
be waived, however, if an agency finds
for good cause that the delay is
impracticable, unnecessary, or contrary
to the public interest, and the agency
incorporates a statement of the findings
and its reasons in the rule issued.
In our view, this correcting document
does not constitute a rule that would be
subject to the APA notice and comment
or delayed effective date requirements.
This correcting document corrects
technical errors and typographical
errors in the preamble, regulations text,
tables included in the Addendum of the
FY 2013 IPPS/LTCH PPS final rule, and
tables posted on the CMS Web site but
does not make substantive changes to
the policies or payment methodologies
that were adopted in the final rule. As
a result, this correcting document is
intended to ensure that the preamble,
regulations text, tables included in the
Addendum of the FY 2013 IPPS/LTCH
PPS final rule, and tables posted on the
CMS Web site accurately reflect the
policies adopted in that final rule.
In addition, even if this were a rule to
which the notice and comment and
delayed effective date requirements
applied, we find that there is good cause
to waive such requirements.
Undertaking further notice and
comment procedures to incorporate the
corrections in this document into the
final rule or delaying the effective date
would be contrary to the public interest.
Furthermore, such procedures would be
unnecessary, as we are not altering the
policies that were already subject to
comment and finalized in our final rule.
Therefore, we believe we have good
cause to waive the notice and comment
and effective date requirements.
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Federal Register / Vol. 77, No. 192 / Wednesday, October 3, 2012 / Rules and Regulations
IV. Correction of Errors
In FR Doc. 2012–19079 of August 31,
2012 (77 FR 53258), make the following
corrections:
A. Corrections of Errors in the Preamble
1. On page 53268,
a. First column, first partial
paragraph, line 10, the phrase ‘‘HAC
measures sets’’ is corrected to read ‘‘HAI
measures sets’’.
b. Third column, last paragraph,
second line from the bottom, the figure
‘‘$280’’ is corrected to read ‘‘$290’’.
2. On page 53278, third column, first
partial paragraph, line 32, the phrase
‘‘in FY 2010.’’ is correct to read ‘‘in FY
2013.’’.
3. On page 53315, third column, last
paragraph, line 4, the phrase ‘‘the ICD–
9–CM coding system’’ is corrected to
read ‘‘the ICD–9–CM diagnosis codes’’.
4. On page 53386, third column, third
paragraph, line 7, the phrase ‘‘for
applicable conditions.’’ is deleted.
5. On page 53387, third column,
second paragraph, lines 37 and 38, the
Web site ‘‘https://www.cms.hhs.gov/
LimitedDataSets/’’ is corrected to read
‘‘https://www.cms.gov/ResearchStatistics-Data-and-Systems/Files-forOrder/LimitedDataSets/’’.
6. On page 53392, lower half of the
page, first column, first paragraph—
a. Line 10, the phrase ‘‘all discharges
for applicable conditions’’ is corrected
to read ‘‘all discharges’’.
b. Lines 12 and 13, the phrase ‘‘all
discharges for applicable conditions.’’ is
corrected to read ‘‘all discharges.’’.
7. On page 53485, second column,
first partial paragraph—
a. Line 26, the phrase ‘‘IPPS Hospital
A’’ is corrected to read ‘‘IPPS Hospital
B’’.
b. Line 29, the phrase ‘‘LTCH B’’ is
corrected to read ‘‘LTCH A’’.
c. Line 31, the phrase
‘‘§ 412.536(a)(3)(1)’’ is corrected to read
‘‘§ 412.536(a)(3)(i)’’.
8. On page 53508, second column, last
paragraph, line 1, the phrase ‘‘We wish
to clarify’’ is corrected to read ‘‘We are
clarifying’’.
9. On page 53545, second column,
first partial paragraph, line 5, the
bracketed phrase ‘‘[or catheter?]’’ is
corrected to read ‘‘or catheter’’.
10. On page 53557, second column,
first full paragraph, line 2, the phrase
‘‘with other our’’ is corrected to read
‘‘with our other’’.
11. On page 53601, bottom of the
page, the table entitled ‘‘FINAL
PERFORMANCE STANDARDS FOR
THE FY 2015 HOSPITAL VBP
PROGRAM CLINICAL PROCESS OF
CARE, OUTCOME, AND EFFICIENCY
DOMAINS,’’ the listed entry is added
after Measure ID AMI–8a to read as
follows:
CLINICAL PROCESS OF CARE MEASURES
Measure ID
Description
Achievement
threshold
Benchmark
HF–1 ................................................
Discharge Instructions ...............................................................................
0.94118
1.00000
12. On page 53648, first column, first
full paragraph, lines 9 and 10, the
phrase ‘‘physical restraint (HBIPS–2)
use’’ is corrected to ‘‘physical restraint
use’’
13. On page 53655, third column,
second paragraph, lines 6 and 7, the
phrase ‘‘behavioral services in the IPF
settings’’ is corrected to read
‘‘behavioral health services in the IPF
setting.’’
14. On page 53668,
a. Second column, second full
paragraph, line 9, the phrase ‘‘over 200’’
is corrected to read ‘‘upwards of 300’’.
b. Third column, first partial
paragraph, lines 17 and 18, the phrase
‘‘321 LTCHs’’ is corrected to read
‘‘upwards of 300 LTCHs’’.
15. On page 53669, third column, first
full paragraph, lines 9 through 11, the
phrase ‘‘to comply with the reporting
pressure ulcer data.’’ is corrected to read
‘‘to report pressure ulcer data.’’.
B. Corrections of Errors in the
Addendum
1. On page 53706, middle of the page,
the table entitled, ‘‘COMPARISON OF
FACTORS AND ADJUSTMENTS: FY
2012 CAPITAL FEDERAL RATE AND
FY 2013 CAPITAL FEDERAL RATE,’’
listed entry is corrected to read as
follows:
FY 2012
FY 2013
Change
Percent
change
1.0004
0.9998
0.9998
¥0.02
GAF/DRG Adjustment Factor 1 ........................................................................
1
The update factor and the GAF/DRG budget neutrality adjustment factors are built permanently into the capital Federal rates. Thus, for example, the incremental change from FY 2012 to FY 2013 resulting from the application of the 0.9998 GAF/DRG budget neutrality adjustment factor for FY 2013 is a net change of 0.9998 (or ¥0.02 percent).
2. On page 53731, first column, first
paragraph, line 28, the figure ‘‘2,206’’ is
corrected to read ‘‘2,217’’.
(Catalog of Federal Domestic Assistance
Program No. 93.773, Medicare—Hospital
Insurance; and Program No. 93.774,
Medicare—Supplementary Medical
Insurance Program)
Dated: September 27, 2012.
Oliver Potts,
Deputy Executive Secretary to the
Department, Department of Health and
Human Services.
[FR Doc. 2012–24307 Filed 9–28–12; 4:15 pm]
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60318
Federal Register / Vol. 77, No. 192 / Wednesday, October 3, 2012 / Rules and Regulations
DEPARTMENT OF TRANSPORTATION
Office of the Secretary
49 CFR Part 40
[Docket DOT–OST–2010–0026]
RIN 2105–AE14
Procedures for Transportation
Workplace Drug and Alcohol Testing
Programs: 6-acetylmorphine (6-AM)
Testing
Office of the Secretary, U.S.
Department of Transportation (DOT).
ACTION: Final rule.
AGENCY:
This rule adopts as final,
without change, a May 4, 2012, interim
final rule (IFR) which no longer requires
laboratories and Medical Review
Officers (MRO) to consult with one
another regarding the testing for the
presence of morphine when the
laboratory confirms the presence of 6acetylmorphine (6-AM). Also,
laboratories and MROs will no longer
need to report 6-AM results to the Office
of Drug and Alcohol Policy and
Compliance (ODAPC). This rule also
responds to comments on the IFR.
DATES: The rule is effective October 3,
2012.
FOR FURTHER INFORMATION CONTACT:
Bohdan Baczara, U.S. Department of
Transportation, Office of Drug and
Alcohol Policy and Compliance, 1200
New Jersey Avenue SE., Washington,
DC 20590; 202–366–3784 (voice), 202–
366–3897 (fax), or
bohdan.baczara@dot.gov (email).
SUPPLEMENTARY INFORMATION:
SUMMARY:
Background and Purpose
On August 16, 2010, [75 FR 49850]
the Department published its final rule
to harmonize with many aspects of the
revised Department of Health and
Human Services (HHS) Mandatory
Guidelines [73 FR 71858]. One item
with which the DOT harmonized was
the laboratory testing for 6-
acetylmorphine (6-AM) without a
morphine marker. 6-AM is a unique
metabolite produced when a person
uses the illicit drug heroin. Prior to the
October 1, 2010, rulemaking, both the
HHS and Department of Transportation
(DOT) regulations required the
laboratory to first test for morphine, and
if it detected morphine at the HHS/DOT
cutoff of 2000ng/mL, the lab would then
test for 6-AM.
For the reasons discussed in the DOT
final rule [75 FR 49850], we decided
that, until more experience was gained
with the new testing procedures for 6AM, we would place additional
requirements on laboratories and MROs.
Specifically, when there was a 6-AM
positive result and morphine was not
detected by a laboratory at the 2000ng/
mL cutoff, we added a requirement for
the laboratory and MRO to determine
whether morphine was detected at the
laboratory’s level of detection (LOD). If
morphine was not detected at the
laboratory’s LOD, the laboratory and
MRO were to report that result to DOT’s
Office of Drug and Alcohol Policy and
Compliance (ODAPC). After consulting
with ODAPC, the MRO would make a
verified result determination, keeping in
mind that there is no legitimate
explanation for 6-AM in the employee’s
specimen [see § 40.151(g)]. The
Department would track these results
and discuss them with HHS.
On May 4, 2012, the Department
issued an IFR [77 FR 26471] and
effective July 3, 2012, related to 6-AM
testing. For reasons stated in that IFR,
we removed the requirement for
laboratories and MROs to consult with
one another regarding the testing for the
presence of 6-AM. The IFR also
streamlined the laboratory analysis and
MRO reporting of 6-AM results by not
having either the laboratory or MRO
report the 6-AM information to ODAPC.
The IFR also sought comments to the
IFR which were to be submitted by June
4, 2012. There were two such
comments.
Discussion of Comments to the Docket
There were two comments to the
docket representing three organizations.
One comment was submitted by a large
organization which represents
physicians who are MROs. The other
comment was submitted by a large
medical review officer service and
consortium which provide drug and
alcohol testing services primarily to the
pipeline industry.
Each of the commentors fully
supported the Department’s position on
amending the requirements for testing
and reporting 6-AM test results. Their
support of the IFR further reinforces that
there are no legitimate medical
explanations for the confirmation of 6AM on a DOT drug test and that the
MRO must make positive results
determinations in these cases.
One commenter asked whether we
had noted a spike followed by a decline
in the 6-AM results during the first year
of testing, as they did. They wondered
whether our commissioned study was
designed to shed light on their
observation.
We would note that over time, the
Department has indeed seen an increase
of laboratory-reported 6-AM test results.
However, we found that the largest
semi-annual period rise of 6-AM results,
by number and percentage increase,
came even before the October 2010
effective date of the new rules. This
larger rise was noted when we
compared the July–December 2009
period with the January–June 2010
period. Also, it is important to note that
the number of total drug tests reported
by laboratories has risen during each 6month period, starting with the July–
December 2009 period, and the number
of 6-AM positive results has steadily
risen each period since July–December
2008.
The following table displays the
laboratory data for 6-AM before, during
transition, and after full implementation
of the new testing protocols:
Semi-Annual period
2008
July–Dec
2009
Jan–June
2009
July–Dec
2010
Jan–June
2010 *
July–Dec
2011
Jan–June
Total Laboratory Test Results.
6-AM Laboratory Positives ..
2.85 million ...
2.59 million ...
2.57 million ...
2.69 million ...
2.77 million ...
2.82 million ...
2.87 million
121 ...............
158 ...............
173 ...............
281 ...............
298 ...............
371 ...............
429
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E:\FR\FM\03OCR1.SGM
03OCR1
2011
July–Dec
Agencies
[Federal Register Volume 77, Number 192 (Wednesday, October 3, 2012)]
[Rules and Regulations]
[Pages 60315-60318]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-24307]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 412, 413, 424, and 476
[CMS-1588-CN2]
RIN 0938-AR12
Medicare Program; Hospital Inpatient Prospective Payment Systems
for Acute Care Hospitals and the Long-Term Care Hospital Prospective
Payment System and Fiscal Year 2013 Rates; Hospitals' Resident Caps for
Graduate Medical Education Payment Purposes; Quality Reporting
Requirements for Specific Providers and for Ambulatory Surgical
Centers; Corrections
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Final rule; correction.
-----------------------------------------------------------------------
SUMMARY: This document corrects technical errors in the final rule that
appeared in the August 31, 2012 Federal Register entitled ``Medicare
Program; Hospital Inpatient Prospective Payment Systems for Acute Care
Hospitals and the Long-Term Care Hospital Prospective Payment System
and Fiscal Year 2013 Rates; Hospitals' Resident Caps for Graduate
Medical Education Payment Purposes; Quality Reporting Requirements for
Specific Providers and for Ambulatory Surgical Centers.''
DATES: Effective Date: October 1, 2012.
FOR FURTHER INFORMATION CONTACT: Tzvi Hefter, (410) 786-4487.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 2012-19079 of August 31, 2012 (77 FR 53258), there were
a number of technical errors that are identified and corrected in the
Correction of Errors section of this correcting document. The
provisions in this correcting document are effective as if they had
been included in the final rule appearing in the August 31, 2012
Federal Register. Accordingly, the corrections are effective October 1,
2012.
II. Summary of Errors and Corrections Posted on the CMS Web Site
A. Errors in the Preamble
On page 53268, in our summary of the provisions of the Hospital
Inpatient Quality Reporting (IQR) Program, we inadvertently referenced
hospital-acquired condition (HAC) measure sets
[[Page 60316]]
instead of healthcare-associated infection (HAI) measures sets. Also on
this page, in our discussion of the cost and benefits of the Hospital
Readmission Reduction Program, we made a technical error in the dollar
amount by which the Hospital Readmission Reduction Program will reduce
payments to hospitals.
On page 53278, we made an inadvertent typographical error in the
discussion of prospective adjustments for FY 2010 documentation and
coding effect.
On page 53315, in our discussion of International Classification of
Disease, Ninth Revisions, Clinical Modification (ICD-9-CM), we
inadvertently reference ICD-9-CM coding system instead of ICD-9-CM
diagnosis codes.
On pages 53386 and 53392, we made typographical errors in our
summation of a public comment regarding the Hospital Readmission
Reduction Program.
On page 53387, we are correcting the Web site for obtaining the
MedPAR files referenced in our discussion of aggregate payments for
excess readmissions and aggregate payments for all discharges under the
Hospital Readmission Reduction Program.
On page 53485, in our discussion of long-term care hospital (LTCH)
moratorium on the 25-percent payment adjustment threshold policy, we
made typographical errors in an example.
On page 53508, we made a grammatical error in our discussion of the
Agency for Healthcare Research and Quality (AHRQ) indicators.
On page 53545, in our discussion of validation approaches for the
Hospital IQR Program, we made a typographical error.
On page 53557, in our discussion of CDC/NHSN-based HAI measures for
the PPS-Exempt Cancer Hospital Quality Reporting Program (PCHQR), we
made a grammatical error.
On page 53601, in the table regarding the final performance
standards for the FY 2015 Hospital Value-Base Purchasing (HVBP)
Program, we inadvertently omitted a clinical process of care measure.
On page 53648, in our discussion of hospital-based inpatient
psychiatric service (HBIPS) under the IPFQR Program, we made a
typographical error.
On page 53655, in our discussion of the reporting and submission
requirements for 2014 IPFQR payment determinations, we inadvertently
made technical and typographical errors in a response to a public
comment.
On page 53668, in our discussion of the information collection
requirements for the LTCH Quality Reporting Program, we made two
technical errors in describing the number of hospitals that report data
to the National Health Safety Network (NHSN).
On page 53669, in our discussion of the information collection
requirements for the LTCH Quality Reporting Program, we made a
grammatical error in our response to a comment regarding the cost
associated with reported pressure ulcer data.
B. Errors in the Addendum
On page 53706, in the table titled ``Comparison of Factors and
Adjustments: FY 2012 Capital Federal Rate and FY 2013 Capital Federal
Rate,'' there was a typographical error in the GAF/DRG Adjustment
Factor shown for FY 2012.
On page 53731, we made a technical error in the number and
hospitals that we estimate will have their base operating payments
reduced by readmission reduction program.
C. Summary of Errors in and Corrections to Tables Posted on the CMS Web
site
On pages 53717, we list the tables that are tables available only
through the Internet. We are correcting the following errors in Tables
9A, 9C, and 15:
In Table 9A.--Hospital Reclassifications and Redesignations--FY
2013, Provider 010164 was inadvertently omitted.
In Table 9C.--Hospitals Redesignated as Rural under Section
1886(d)(8)(E) of the Act--FY 2013, Provider 040118 was mistakenly
listed as a section 401 provider and will be removed. Provider 290009
was inadvertently omitted and will be listed as a rural
reclassification from CBSA 39900 to CBSA 29.
In addition, we note that the correction of errors for Tables 9A
and 9C require us to make conforming changes to Tables 2, 4A, 4B, 4C,
and 4J, respectively.
In Table 15.--FY 2013 Final Readmissions Adjustment Factors, we
inadvertently included Medicare inpatient claims from the FY 2008
MedPAR file with discharge dates occurring prior to July 1, 2008 in
determining the base operating DRG payment amounts in the calculation
of aggregate payments for excess readmissions and aggregate payments
for all discharges that were used to calculate the readmissions
adjustment factors published for the FY 2013 IPPS/LTCH final rule.
Under the policy we adopted in that final rule, for FY 2013, aggregate
payments for excess readmissions and aggregate payments for all
discharges are calculated using data from Medicare inpatient MedPAR
claims with discharge dates occurring on or after July 1, 2008, and no
later than June 30, 2011.
III. Waiver of Proposed Rulemaking and Delay in the Effective Date
We ordinarily publish a notice of proposed rulemaking in the
Federal Register to provide a period for public comment before the
provisions of a rule take effect in accordance with section 553(b) of
the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we
can waive this notice and comment procedure if the Secretary finds, for
good cause, that the notice and comment process is impracticable,
unnecessary, or contrary to the public interest, and incorporates a
statement of the finding and the reasons therefore in the notice.
Section 553(d) of the APA ordinarily requires a 30-day delay in
effective date of final rules after the date of their publication in
the Federal Register. This 30-day delay in effective date can be
waived, however, if an agency finds for good cause that the delay is
impracticable, unnecessary, or contrary to the public interest, and the
agency incorporates a statement of the findings and its reasons in the
rule issued.
In our view, this correcting document does not constitute a rule
that would be subject to the APA notice and comment or delayed
effective date requirements. This correcting document corrects
technical errors and typographical errors in the preamble, regulations
text, tables included in the Addendum of the FY 2013 IPPS/LTCH PPS
final rule, and tables posted on the CMS Web site but does not make
substantive changes to the policies or payment methodologies that were
adopted in the final rule. As a result, this correcting document is
intended to ensure that the preamble, regulations text, tables included
in the Addendum of the FY 2013 IPPS/LTCH PPS final rule, and tables
posted on the CMS Web site accurately reflect the policies adopted in
that final rule.
In addition, even if this were a rule to which the notice and
comment and delayed effective date requirements applied, we find that
there is good cause to waive such requirements. Undertaking further
notice and comment procedures to incorporate the corrections in this
document into the final rule or delaying the effective date would be
contrary to the public interest. Furthermore, such procedures would be
unnecessary, as we are not altering the policies that were already
subject to comment and finalized in our final rule. Therefore, we
believe we have good cause to waive the notice and comment and
effective date requirements.
[[Page 60317]]
IV. Correction of Errors
In FR Doc. 2012-19079 of August 31, 2012 (77 FR 53258), make the
following corrections:
A. Corrections of Errors in the Preamble
1. On page 53268,
a. First column, first partial paragraph, line 10, the phrase ``HAC
measures sets'' is corrected to read ``HAI measures sets''.
b. Third column, last paragraph, second line from the bottom, the
figure ``$280'' is corrected to read ``$290''.
2. On page 53278, third column, first partial paragraph, line 32,
the phrase ``in FY 2010.'' is correct to read ``in FY 2013.''.
3. On page 53315, third column, last paragraph, line 4, the phrase
``the ICD-9-CM coding system'' is corrected to read ``the ICD-9-CM
diagnosis codes''.
4. On page 53386, third column, third paragraph, line 7, the phrase
``for applicable conditions.'' is deleted.
5. On page 53387, third column, second paragraph, lines 37 and 38,
the Web site ``https://www.cms.hhs.gov/LimitedDataSets/'' is corrected
to read ``https://www.cms.gov/Research-Statistics-Data-and-Systems/Files-for-Order/LimitedDataSets/''.
6. On page 53392, lower half of the page, first column, first
paragraph--
a. Line 10, the phrase ``all discharges for applicable conditions''
is corrected to read ``all discharges''.
b. Lines 12 and 13, the phrase ``all discharges for applicable
conditions.'' is corrected to read ``all discharges.''.
7. On page 53485, second column, first partial paragraph--
a. Line 26, the phrase ``IPPS Hospital A'' is corrected to read
``IPPS Hospital B''.
b. Line 29, the phrase ``LTCH B'' is corrected to read ``LTCH A''.
c. Line 31, the phrase ``Sec. 412.536(a)(3)(1)'' is corrected to
read ``Sec. 412.536(a)(3)(i)''.
8. On page 53508, second column, last paragraph, line 1, the phrase
``We wish to clarify'' is corrected to read ``We are clarifying''.
9. On page 53545, second column, first partial paragraph, line 5,
the bracketed phrase ``[or catheter?]'' is corrected to read ``or
catheter''.
10. On page 53557, second column, first full paragraph, line 2, the
phrase ``with other our'' is corrected to read ``with our other''.
11. On page 53601, bottom of the page, the table entitled ``FINAL
PERFORMANCE STANDARDS FOR THE FY 2015 HOSPITAL VBP PROGRAM CLINICAL
PROCESS OF CARE, OUTCOME, AND EFFICIENCY DOMAINS,'' the listed entry is
added after Measure ID AMI-8a to read as follows:
Clinical Process of Care Measures
----------------------------------------------------------------------------------------------------------------
Achievement
Measure ID Description threshold Benchmark
----------------------------------------------------------------------------------------------------------------
HF-1...................................... Discharge Instructions............ 0.94118 1.00000
----------------------------------------------------------------------------------------------------------------
12. On page 53648, first column, first full paragraph, lines 9 and
10, the phrase ``physical restraint (HBIPS-2) use'' is corrected to
``physical restraint use''
13. On page 53655, third column, second paragraph, lines 6 and 7,
the phrase ``behavioral services in the IPF settings'' is corrected to
read ``behavioral health services in the IPF setting.''
14. On page 53668,
a. Second column, second full paragraph, line 9, the phrase ``over
200'' is corrected to read ``upwards of 300''.
b. Third column, first partial paragraph, lines 17 and 18, the
phrase ``321 LTCHs'' is corrected to read ``upwards of 300 LTCHs''.
15. On page 53669, third column, first full paragraph, lines 9
through 11, the phrase ``to comply with the reporting pressure ulcer
data.'' is corrected to read ``to report pressure ulcer data.''.
B. Corrections of Errors in the Addendum
1. On page 53706, middle of the page, the table entitled,
``COMPARISON OF FACTORS AND ADJUSTMENTS: FY 2012 CAPITAL FEDERAL RATE
AND FY 2013 CAPITAL FEDERAL RATE,'' listed entry is corrected to read
as follows:
----------------------------------------------------------------------------------------------------------------
FY 2012 FY 2013 Change Percent change
----------------------------------------------------------------------------------------------------------------
GAF/DRG Adjustment Factor \1\............... 1.0004 0.9998 0.9998 -0.02
----------------------------------------------------------------------------------------------------------------
\1\ The update factor and the GAF/DRG budget neutrality adjustment factors are built permanently into the
capital Federal rates. Thus, for example, the incremental change from FY 2012 to FY 2013 resulting from the
application of the 0.9998 GAF/DRG budget neutrality adjustment factor for FY 2013 is a net change of 0.9998
(or -0.02 percent).
2. On page 53731, first column, first paragraph, line 28, the
figure ``2,206'' is corrected to read ``2,217''.
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)
Dated: September 27, 2012.
Oliver Potts,
Deputy Executive Secretary to the Department, Department of Health and
Human Services.
[FR Doc. 2012-24307 Filed 9-28-12; 4:15 pm]
BILLING CODE 4120-01-P