Cost-Based and Inter-Agency Billing Rates for Medical Care or Services Provided by the Department of Veterans Affairs, 65479-65480 [2014-26148]

Download as PDF 65479 Federal Register / Vol. 79, No. 213 / Tuesday, November 4, 2014 / Notices each January 1. Quarterly revisions will be made if the annual average, on a moving basis, changes by 2 percentage points. The rate for calendar year 2015 reflects the average investment rates for the 12-month period that ended September 30, 2014. DEPARTMENT OF THE TREASURY Fiscal Service Rate for Federal Debt Collection, Discount and Rate Evaluation Bureau of the Fiscal Service, Treasury. ACTION: Notice of rate to be used for Federal debt collection, and discount and rebate evaluation. AGENCY: Dated: October 29, 2014. John B. Hill, Assistant Commissioner Payment Management and Chief Disbursing Officer. The Secretary of the Treasury is responsible for computing and publishing the percentage rate that is to be used in assessing interest charges for outstanding debts owed to the Government (The Debt Collection Act of 1982, as amended (codified at 31 U.S.C. Section 3717)). This rate is also to be used by agencies as a comparison point in evaluating the cost-effectiveness of a cash discount. In addition, this rate is to be used in determining when agencies should pay purchase card invoices when the card issuer offers a rebate (5 CFR 1315.8). Notice is hereby given that the applicable rate for calendar year 2015 is 1.00 percent. DATES: January 1, 2015 through December 31, 2015. FOR FURTHER INFORMATION CONTACT: ECommerce Division, Bureau of the Fiscal Service, Department of the Treasury, 401 14th Street SW., Washington, DC 20227 (Telephone: 202–874–9428). SUPPLEMENTARY INFORMATION: The rate reflects the current value of funds to the Treasury for use in connection with Federal Cash Management systems and is based on investment rates set for purposes of Public Law 95–147, 91 Stat. 1227. Computed each year by averaging Treasury Tax and Loan (TT&L) investment rates for the 12-month period ending every September 30, rounded to the nearest whole percentage, for applicability effective SUMMARY: [FR Doc. 2014–26171 Filed 11–3–14; 8:45 am] BILLING CODE 4810–35–P DEPARTMENT OF VETERANS AFFAIRS Cost-Based and Inter-Agency Billing Rates for Medical Care or Services Provided by the Department of Veterans Affairs Department of Veterans Affairs. Notice. AGENCY: ACTION: This document updates the Cost-Based and Inter-Agency billing rates for medical care or services provided by the U.S. Department of Veterans Affairs (VA). DATES: Effective Date: The rates set forth in this notice are effective November 4, 2014 and until further notice. FOR FURTHER INFORMATION CONTACT: Romona Greene, Chief Business Office (10NB), Veterans Health Administration, Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 382–2521. (This is not a toll free number.) SUPPLEMENTARY INFORMATION: VA’s methodology for computing Cost-Based and Inter-Agency billing rates for medical care or services provided by VA is set forth in 38 CFR 17.102(h). Two sets of rates are obtained by applying this methodology, Cost-Based rates and Inter-Agency rates. Cost-Based rates SUMMARY: apply to medical care and services that are provided by VA: (a) In error or based on tentative eligibility; (b) In a medical emergency; (c) To pensioners of allied nations; or (d) For research purposes in circumstances under which VA medical care appropriation is to be reimbursed by VA research appropriation. Inter-Agency rates apply to medical care and services that are provided by VA to beneficiaries of the Department of Defense (DoD) or other Federal agencies, when the care or services provided is not covered by an applicable sharing agreement. The Inter-Agency rates contained in this notice do not apply to sharing agreements between VA and DoD unless otherwise stated. The calculations for the Cost-Based and Inter-Agency rates are the same with two exceptions. Inter-Agency rates are all inclusive and are not broken down into three components (Physician; Ancillary; and Nursing, Room and Board), and Inter-Agency rates do not include standard fringe benefit costs that cover government employee retirement, disability costs, and return on fixed assets. When VA pays for medical care or services from a non-VA source under circumstances in which the Cost-Based or Inter-Agency Rates would apply if the care or services had been provided by VA, the charge for such care or services will be the actual amount paid by VA for the care or services. Inpatient charges will be at the per diem rates shown for the type of bed section or discrete treatment unit providing the care. The following table depicts the Cost Based and Inter-Agency Rates which are effective upon publication of this notice. These rates supersede those established by the Federal Register notice published on July 11, 2011 at 76 FR 40749. rmajette on DSK3VPTVN1PROD with NOTICES Cost-based rates A. Hospital Care per inpatient day General Medicine: All Inclusive Rate ....................................................................................................................................... Physician ................................................................................................................................................... Ancillary ..................................................................................................................................................... Nursing Room and Board ......................................................................................................................... Neurology: All Inclusive Rate ....................................................................................................................................... Physician ................................................................................................................................................... Ancillary ..................................................................................................................................................... Nursing Room and Board ......................................................................................................................... Rehabilitation Medicine: All Inclusive Rate ....................................................................................................................................... Physician ................................................................................................................................................... Ancillary ..................................................................................................................................................... Nursing Room and Board ......................................................................................................................... Blind Rehabilitation: VerDate Sep<11>2014 15:39 Nov 03, 2014 Jkt 235001 PO 00000 Frm 00108 Fmt 4703 Sfmt 4703 E:\FR\FM\04NON1.SGM 04NON1 Inter-agency rates $3,313 397 863 2,053 $3,142 ........................ ........................ ........................ 3,152 461 832 1,859 2,993 ........................ ........................ ........................ 2,480 282 758 1,440 2,353 ........................ ........................ ........................ 65480 Federal Register / Vol. 79, No. 213 / Tuesday, November 4, 2014 / Notices Cost-based rates All Inclusive Rate ....................................................................................................................................... Physician ................................................................................................................................................... Ancillary ..................................................................................................................................................... Nursing Room and Board ......................................................................................................................... Spinal Cord Injury: All Inclusive Rate ....................................................................................................................................... Physician .......................................................................................................................................................... Ancillary ..................................................................................................................................................... Nursing Room and Board ......................................................................................................................... Surgery: All Inclusive Rate ....................................................................................................................................... Physician ................................................................................................................................................... Ancillary ..................................................................................................................................................... Nursing Room and Board ......................................................................................................................... General Psychiatry: All Inclusive Rate ....................................................................................................................................... Physician ................................................................................................................................................... Ancillary ..................................................................................................................................................... Nursing Room and Board ......................................................................................................................... Substance Abuse (Alcohol and Drug Treatment): All Inclusive Rate ....................................................................................................................................... Physician ................................................................................................................................................... Ancillary ..................................................................................................................................................... Nursing Room and Board ......................................................................................................................... Psychosocial Residential Rehabilitation Program: All Inclusive Rate ....................................................................................................................................... Physician ................................................................................................................................................... Ancillary ..................................................................................................................................................... Nursing Room and Board ......................................................................................................................... Intermediate Medicine: All Inclusive Rate ....................................................................................................................................... Physician ................................................................................................................................................... Ancillary ..................................................................................................................................................... Nursing Room and Board ......................................................................................................................... Polytrauma Inpatient: All Inclusive Rate ....................................................................................................................................... Physician ................................................................................................................................................... Ancillary ..................................................................................................................................................... Nursing Room and Board ......................................................................................................................... B. Nursing Home Care, Per Day All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. C. Outpatient Medical Treatments Outpatient Visit (to include Ineligible Dental Care) .......................................................................................... Physical Medicine & Rehabilitation Service Outpatient Visit ........................................................................... Outpatient Polytrauma/Traumatic Brain Injury ................................................................................................. Dated: October 30, 2014. By Direction of the Secretary. William F. Russo, Acting Director, Office of Regulation Policy and Management, Office of the General Counsel, U.S. Department of Veterans Affairs. [FR Doc. 2014–26148 Filed 11–3–14; 8:45 am] rmajette on DSK3VPTVN1PROD with NOTICES BILLING CODE 8320–01–P VerDate Sep<11>2014 15:39 Nov 03, 2014 Jkt 235001 PO 00000 Frm 00109 Fmt 4703 Sfmt 9990 E:\FR\FM\04NON1.SGM 04NON1 Inter-agency rates 1,641 132 815 694 1,557 ........................ ........................ ........................ 2,201 273 554 1,374 2,089 ........................ ........................ ........................ 5,165 569 1,567 3,029 4,899 ........................ ........................ ........................ 1,611 152 254 1,205 1,527 ........................ ........................ ........................ 1,363 130 315 918 1,294 ........................ ........................ ........................ 650 41 68 541 616 ........................ ........................ ........................ 2,249 111 330 1,808 2,135 ........................ ........................ ........................ 3,217 365 983 1,869 3,058 ........................ ........................ ........................ 1,082 34 146 902 1,025 236 443 586 222 419 561

Agencies

[Federal Register Volume 79, Number 213 (Tuesday, November 4, 2014)]
[Notices]
[Pages 65479-65480]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-26148]


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DEPARTMENT OF VETERANS AFFAIRS


Cost-Based and Inter-Agency Billing Rates for Medical Care or 
Services Provided by the Department of Veterans Affairs

AGENCY: Department of Veterans Affairs.

ACTION: Notice.

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

SUMMARY: This document updates the Cost-Based and Inter-Agency billing 
rates for medical care or services provided by the U.S. Department of 
Veterans Affairs (VA).

DATES: Effective Date: The rates set forth in this notice are effective 
November 4, 2014 and until further notice.

FOR FURTHER INFORMATION CONTACT: Romona Greene, Chief Business Office 
(10NB), Veterans Health Administration, Department of Veterans Affairs, 
810 Vermont Avenue NW., Washington, DC 20420, (202) 382-2521. (This is 
not a toll free number.)

SUPPLEMENTARY INFORMATION: VA's methodology for computing Cost-Based 
and Inter-Agency billing rates for medical care or services provided by 
VA is set forth in 38 CFR 17.102(h). Two sets of rates are obtained by 
applying this methodology, Cost-Based rates and Inter-Agency rates. 
Cost-Based rates apply to medical care and services that are provided 
by VA:
    (a) In error or based on tentative eligibility;
    (b) In a medical emergency;
    (c) To pensioners of allied nations; or
    (d) For research purposes in circumstances under which VA medical 
care appropriation is to be reimbursed by VA research appropriation.
    Inter-Agency rates apply to medical care and services that are 
provided by VA to beneficiaries of the Department of Defense (DoD) or 
other Federal agencies, when the care or services provided is not 
covered by an applicable sharing agreement. The Inter-Agency rates 
contained in this notice do not apply to sharing agreements between VA 
and DoD unless otherwise stated.
    The calculations for the Cost-Based and Inter-Agency rates are the 
same with two exceptions. Inter-Agency rates are all inclusive and are 
not broken down into three components (Physician; Ancillary; and 
Nursing, Room and Board), and Inter-Agency rates do not include 
standard fringe benefit costs that cover government employee 
retirement, disability costs, and return on fixed assets. When VA pays 
for medical care or services from a non-VA source under circumstances 
in which the Cost-Based or Inter-Agency Rates would apply if the care 
or services had been provided by VA, the charge for such care or 
services will be the actual amount paid by VA for the care or services. 
Inpatient charges will be at the per diem rates shown for the type of 
bed section or discrete treatment unit providing the care.
    The following table depicts the Cost Based and Inter-Agency Rates 
which are effective upon publication of this notice. These rates 
supersede those established by the Federal Register notice published on 
July 11, 2011 at 76 FR 40749.

------------------------------------------------------------------------
                                            Cost-based     Inter-agency
                                               rates           rates
------------------------------------------------------------------------
A. Hospital Care per inpatient day
    General Medicine:
        All Inclusive Rate..............          $3,313          $3,142
        Physician.......................             397  ..............
        Ancillary.......................             863  ..............
        Nursing Room and Board..........           2,053  ..............
    Neurology:
        All Inclusive Rate..............           3,152           2,993
        Physician.......................             461  ..............
        Ancillary.......................             832  ..............
        Nursing Room and Board..........           1,859  ..............
    Rehabilitation Medicine:
        All Inclusive Rate..............           2,480           2,353
        Physician.......................             282  ..............
        Ancillary.......................             758  ..............
        Nursing Room and Board..........           1,440  ..............
    Blind Rehabilitation:

[[Page 65480]]

 
        All Inclusive Rate..............           1,641           1,557
        Physician.......................             132  ..............
        Ancillary.......................             815  ..............
        Nursing Room and Board..........             694  ..............
    Spinal Cord Injury:
        All Inclusive Rate..............           2,201           2,089
    Physician...........................             273  ..............
        Ancillary.......................             554  ..............
        Nursing Room and Board..........           1,374  ..............
    Surgery:
        All Inclusive Rate..............           5,165           4,899
        Physician.......................             569  ..............
        Ancillary.......................           1,567  ..............
        Nursing Room and Board..........           3,029  ..............
    General Psychiatry:
        All Inclusive Rate..............           1,611           1,527
        Physician.......................             152  ..............
        Ancillary.......................             254  ..............
        Nursing Room and Board..........           1,205  ..............
    Substance Abuse (Alcohol and Drug
     Treatment):
        All Inclusive Rate..............           1,363           1,294
        Physician.......................             130  ..............
        Ancillary.......................             315  ..............
        Nursing Room and Board..........             918  ..............
    Psychosocial Residential
     Rehabilitation Program:
        All Inclusive Rate..............             650             616
        Physician.......................              41  ..............
        Ancillary.......................              68  ..............
        Nursing Room and Board..........             541  ..............
    Intermediate Medicine:
        All Inclusive Rate..............           2,249           2,135
        Physician.......................             111  ..............
        Ancillary.......................             330  ..............
        Nursing Room and Board..........           1,808  ..............
    Polytrauma Inpatient:
        All Inclusive Rate..............           3,217           3,058
        Physician.......................             365  ..............
        Ancillary.......................             983  ..............
        Nursing Room and Board..........           1,869  ..............
B. Nursing Home Care, Per Day
    All Inclusive Rate..................           1,082           1,025
    Physician...........................              34  ..............
    Ancillary...........................             146  ..............
    Nursing Room and Board..............             902  ..............
C. Outpatient Medical Treatments
    Outpatient Visit (to include                     236             222
     Ineligible Dental Care)............
    Physical Medicine & Rehabilitation               443             419
     Service Outpatient Visit...........
    Outpatient Polytrauma/Traumatic                  586             561
     Brain Injury.......................
------------------------------------------------------------------------


    Dated: October 30, 2014.
    By Direction of the Secretary.
William F. Russo,
Acting Director, Office of Regulation Policy and Management, Office of 
the General Counsel, U.S. Department of Veterans Affairs.
[FR Doc. 2014-26148 Filed 11-3-14; 8:45 am]
BILLING CODE 8320-01-P