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, 15882-15883 [2013-05724]

Download as PDF 15882 Federal Register / Vol. 78, No. 49 / Wednesday, March 13, 2013 / Rules and Regulations Dated: February 26, 2013. G. Jeffrey Herndon, Acting Director, Registration Division, Office of Pesticide Programs. 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. Authority: 21 U.S.C. 321(q), 346a and 371. ■ Therefore, 40 CFR chapter I is amended as follows: § 180.252 Tetrachlorvinphos; tolerances for residues. 2. In § 180.252 revise the table in paragraph (a) to read as follows: (a) * * * PART 180—[AMENDED] 1. The authority citation for part 180 continues to read as follows: ■ Parts per million Commodity Cattle, fat (of which no more than 0.1 ppm is tetrachlorvinphos per se) ............................................................... Cattle, kidney (of which no more than 0.05 ppm is tetrachlorvinphos per se) ....................................................... Cattle, liver (of which no more than 0.05 ppm is tetrachlorvinphos per se) ........................................................... Cattle, meat (of which no more than 2.0 ppm is tetrachlorvinphos per se) ........................................................... Cattle, meat byproducts, except kidney and liver ................................................................................................... Egg (of which no more than 0.05 ppm is tetrachlorvinphos per se) ....................................................................... Hog, fat (of which no more than 0.1 ppm is tetrachlorvinphos per se) .................................................................. Hog, kidney (of which no more than 0.05 ppm is tetrachlorvinphos per se) .......................................................... Hog, liver (of which no more than 0.05 ppm is tetrachlorvinphos per se) .............................................................. Hog, meat (of which no more than 2.0 ppm is tetrachlorvinphos per se) .............................................................. Hog, meat byproducts, except kidney and liver ...................................................................................................... Milk, fat (reflecting negligible residues in whole milk and of which no more than 0.05 ppm is tetrachlorvinphos per se) .................................................................................................................................................................. Poultry, fat (of which no more than 7.0 ppm is tetrachlorvinphos per se) .............................................................. Poultry, liver (of which no more than 0.05 ppm is tetrachlorvinphos per se) ......................................................... Poultry, meat (of which no more than 3.0 ppm is tetrachlorvinphos per se) .......................................................... Poultry, meat byproducts, except liver .................................................................................................................... * * * * * [FR Doc. 2013–05814 Filed 3–12–13; 8:45 am] BILLING CODE 6560–50–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 412, 413, 424, and 476 [CMS–1588–CN4] 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 Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Final rule; correction. emcdonald on DSK67QTVN1PROD with RULES AGENCY: This document corrects technical errors in the correcting document that appeared in the October 3, 2012 Federal Register entitled ‘‘Medicare Program; Hospital Inpatient SUMMARY: VerDate Mar<15>2010 14:47 Mar 12, 2013 Jkt 229001 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; Correction.’’ DATES: Effective date: This correcting document is effective March 12, 2013. Applicability Date: This correcting document is applicable to discharges on or after October 1, 2012. FOR FURTHER INFORMATION CONTACT: Tzvi Hefter, (410) 786–4487. SUPPLEMENTARY INFORMATION: I. Background In the August 31, 2012 Federal Register (77 FR 53258), we published a final rule 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’’ (hereinafter referred to as the FY 2013 IPPS/LTCH PPS final rule). To correct typographical and technical errors in the FY 2013 IPPS/LTCH PPS final rule, we published correcting documents that PO 00000 Frm 00014 Fmt 4700 Sfmt 4700 Expiration/revocation date 0.2 1.0 0.5 2.0 1.0 0.2 0.2 1.0 0.5 2.0 1.0 8/18/13 8/18/13 8/18/13 8/18/13 8/18/13 8/18/13 8/18/13 8/18/13 8/18/13 8/18/13 8/18/13 0.05 7.0 2.0 3.0 2.0 8/18/13 8/18/13 8/18/13 8/18/13 8/18/13 appeared in the October 3, 2012 Federal Register (77 FR 60315); October 17, 2012 Federal Register (77 FR 63751); and the October 29, 2012 Federal Register (77 FR 65495). The October 3, 2012 correcting document (77 FR 60315) included several corrections to figures and data for the Hospital Readmissions Reduction program. Since that time, we have determined that these corrections still contained errors. Therefore, in this correcting document, we will identify and correct the errors related to the Hospital Readmissions Reduction Program included in October 3, 2012 correcting document (FR Doc. 2012– 24307). II. Summary of Errors and Corrections to Tables Posted on the CMS Web Site A. Errors in the October 3, 2012 Correcting Document On page 60317, in corrections to figures regarding the Hospital Readmissions Reduction Program, we made an error in the: (1) Amount by which payments to hospitals would be reduced; and (2) number of hospitals that will have their base operating DRG payments reduced by the readmissions adjustment. E:\FR\FM\13MRR1.SGM 13MRR1 Federal Register / Vol. 78, No. 49 / Wednesday, March 13, 2013 / Rules and Regulations B. Errors in and Corrections to Tables Posted on the CMS Web Site In the August 31, 2012 FY 2013 IPPS/ LTCH PPS final rule Federal Register (77 FR 53717), we list Table 15 as table that is available only through the Internet. In Table 15.—FY 2013 Final Readmissions Adjustment Factors, we are correcting technical errors in the calculation of the readmissions adjustment factors published for the FY 2013 IPPS/LTCH PPS final rule. For the FY 2013 IPPS/LTCH PPS final rule and for the subsequent October 3, 2012 correcting document, we inadvertently failed to properly include all of Medicare inpatient claims from the FY 2008 MedPAR file and the FY 2009 MedPAR file 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. 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 MedPAR claims with discharge dates that are on or after July 1, 2008, and no later than June 30, 2011. The corrections to Tables 15 discussed in this section of the correction document will be posted on the CMS Web site at http://www.cms. hhs.gov/AcuteInpatientPPS/01_ overview.asp. Click on the link on the left side of the screen titled, ‘‘FY 2013 IPPS Final Rule Home Page’’ or ‘‘Acute Inpatient—Files for Download.’’ emcdonald on DSK67QTVN1PROD with RULES III. Waiver of Proposed Rulemaking and Delay of 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(b) 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 VerDate Mar<15>2010 14:47 Mar 12, 2013 Jkt 229001 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 rulemaking that would be subject to the APA notice and comment or delayed effective date requirements. This correcting document corrects technical errors regarding the Hospital Readmissions Reduction Program in the October 3, 2012 correcting document and Table 15 of the Addendum of the FY 2013 IPPS/LTCH PPS final rule and 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 and the Addendum of the FY 2013 IPPS/LTCH PPS final rule accurately reflect the policies adopted in that rule. In addition, even if this were a rulemaking 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. IV. Correction of Errors In FR Doc. 2012–24307 of October 3, 2012 (77 FR 60315), make the following corrections: 1. On page 60317, a. Top half of the page, first column, third full paragraph (section IV.A.1.b. of the correcting document), last line 3, the figure ‘‘$290’’ is corrected to read ‘‘$280’’. b. Bottom half of the page following the table, first column, last paragraph (section IV.B.2. of the correcting document), line 29, the figure ‘‘2,217’’ is corrected to read ‘‘2,214’’. (Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance; and Program No. 93.774, Medicare—Supplementary Medical Insurance Program) Dated: March 7, 2013. Jennifer M. Cannistra, Executive Secretary to the Department, Department of Health and Human Services. [FR Doc. 2013–05724 Filed 3–12–13; 8:45 am] BILLING CODE 4120–01–P PO 00000 Frm 00015 Fmt 4700 Sfmt 4700 15883 DEPARTMENT OF TRANSPORTATION Office of the Secretary 49 CFR Part 71 [Docket No. DOT–OST–2012–0159] RIN 2105–AE20 Standard Time Zone Boundaries Office of the Secretary (OST), Department of Transportation (DOT). ACTION: Final rule. AGENCY: This final rule updates and amends the Department’s standard time zone boundaries regulations to reflect changes that Congress made to the Uniform Time Act. The purpose of this update is to ensure that the Department’s regulations accurately reflect other Federal law and to reduce confusion over ambiguous language and inconsistencies. DATES: This rule is effective March 13, 2013. FOR FURTHER INFORMATION CONTACT: Jill Laptosky, Attorney-Advisor, Office of General Counsel, 1200 New Jersey Avenue SE., Washington, DC 20590. She may also be reached by telephone at 202–493–0308 or by email at jill.laptosky@dot.gov. SUMMARY: SUPPLEMENTARY INFORMATION: Background Since 2000, Congress has made several amendments to the Uniform Time Act, 15 U.S.C. 260–267. Consequently, the Department’s regulations on standard time zone boundaries, 49 CFR Part 71, need to be updated in order to ensure their consistency with Federal law. Therefore, the Department is issuing this final rule to make the necessary updates and to revise the language for clarity. This final rule is published under the authority of 15 U.S.C. 260–267, which authorized the Secretary of Transportation to prescribe regulations related to the observance of a uniform standard of time. The Administrative Procedure Act (5 U.S.C. 553) contains a ‘‘good cause’’ exemption, which allows agencies to dispense with notice and comment if those procedures are impracticable, unnecessary, or contrary to the public interest. We have determined that under 5 U.S.C. 553(b)(3)(B), good cause exists for dispensing with a notice of proposed rulemaking and public comment as this rule is implementing statutory changes and clarifying language without imposing any new requirements. E:\FR\FM\13MRR1.SGM 13MRR1

Agencies

[Federal Register Volume 78, Number 49 (Wednesday, March 13, 2013)]
[Rules and Regulations]
[Pages 15882-15883]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-05724]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 412, 413, 424, and 476

[CMS-1588-CN4]
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 correcting 
document that appeared in the October 3, 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; Correction.''

DATES: Effective date: This correcting document is effective March 12, 
2013.
    Applicability Date: This correcting document is applicable to 
discharges on or after October 1, 2012.

FOR FURTHER INFORMATION CONTACT: Tzvi Hefter, (410) 786-4487.

SUPPLEMENTARY INFORMATION:

I. Background

    In the August 31, 2012 Federal Register (77 FR 53258), we published 
a final rule 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'' (hereinafter referred to as the FY 2013 
IPPS/LTCH PPS final rule). To correct typographical and technical 
errors in the FY 2013 IPPS/LTCH PPS final rule, we published correcting 
documents that appeared in the October 3, 2012 Federal Register (77 FR 
60315); October 17, 2012 Federal Register (77 FR 63751); and the 
October 29, 2012 Federal Register (77 FR 65495).
    The October 3, 2012 correcting document (77 FR 60315) included 
several corrections to figures and data for the Hospital Readmissions 
Reduction program. Since that time, we have determined that these 
corrections still contained errors. Therefore, in this correcting 
document, we will identify and correct the errors related to the 
Hospital Readmissions Reduction Program included in October 3, 2012 
correcting document (FR Doc. 2012-24307).

II. Summary of Errors and Corrections to Tables Posted on the CMS Web 
Site

A. Errors in the October 3, 2012 Correcting Document

    On page 60317, in corrections to figures regarding the Hospital 
Readmissions Reduction Program, we made an error in the: (1) Amount by 
which payments to hospitals would be reduced; and (2) number of 
hospitals that will have their base operating DRG payments reduced by 
the readmissions adjustment.

[[Page 15883]]

B. Errors in and Corrections to Tables Posted on the CMS Web Site

    In the August 31, 2012 FY 2013 IPPS/LTCH PPS final rule Federal 
Register (77 FR 53717), we list Table 15 as table that is available 
only through the Internet.
    In Table 15.--FY 2013 Final Readmissions Adjustment Factors, we are 
correcting technical errors in the calculation of the readmissions 
adjustment factors published for the FY 2013 IPPS/LTCH PPS final rule. 
For the FY 2013 IPPS/LTCH PPS final rule and for the subsequent October 
3, 2012 correcting document, we inadvertently failed to properly 
include all of Medicare inpatient claims from the FY 2008 MedPAR file 
and the FY 2009 MedPAR file 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. 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 MedPAR claims with discharge dates that are on or after 
July 1, 2008, and no later than June 30, 2011.
    The corrections to Tables 15 discussed in this section of the 
correction document will be posted on the CMS Web site at http://www.cms.hhs.gov/AcuteInpatientPPS/01_overview.asp. Click on the link 
on the left side of the screen titled, ``FY 2013 IPPS Final Rule Home 
Page'' or ``Acute Inpatient--Files for Download.''

III. Waiver of Proposed Rulemaking and Delay of 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(b) 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 
rulemaking that would be subject to the APA notice and comment or 
delayed effective date requirements. This correcting document corrects 
technical errors regarding the Hospital Readmissions Reduction Program 
in the October 3, 2012 correcting document and Table 15 of the Addendum 
of the FY 2013 IPPS/LTCH PPS final rule and 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 and the Addendum of the FY 2013 IPPS/LTCH PPS 
final rule accurately reflect the policies adopted in that rule.
    In addition, even if this were a rulemaking 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.

IV. Correction of Errors

    In FR Doc. 2012-24307 of October 3, 2012 (77 FR 60315), make the 
following corrections:
    1. On page 60317,
    a. Top half of the page, first column, third full paragraph 
(section IV.A.1.b. of the correcting document), last line 3, the figure 
``$290'' is corrected to read ``$280''.
    b. Bottom half of the page following the table, first column, last 
paragraph (section IV.B.2. of the correcting document), line 29, the 
figure ``2,217'' is corrected to read ``2,214''.

(Catalog of Federal Domestic Assistance Program No. 93.773, 
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)

    Dated: March 7, 2013.
Jennifer M. Cannistra,
Executive Secretary to the Department, Department of Health and Human 
Services.
[FR Doc. 2013-05724 Filed 3-12-13; 8:45 am]
BILLING CODE 4120-01-P