Reasonable Charges for Inpatient MS-DRGs and SNF Medical Services; V3.17, Fiscal Year 2016 Update, 57051-57052 [2015-23585]
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Federal Register / Vol. 80, No. 182 / Monday, September 21, 2015 / Notices
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Approved: August 19, 2015.
Martha Brinson,
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[FR Doc. 2015–23606 Filed 9–18–15; 8:45 am]
BILLING CODE 4830–01–P
DEPARTMENT OF VETERANS
AFFAIRS
Reasonable Charges for Inpatient MS–
DRGs and SNF Medical Services;
V3.17, Fiscal Year 2016 Update
Department of Veterans Affairs.
Notice.
AGENCY:
ACTION:
This document updates the
acute inpatient and the skilled nursing
facility/sub-acute inpatient facility
charges. The updated charges are based
on the 2016 Medicare severity diagnosis
related groups (MS–DRGs).
FOR FURTHER INFORMATION CONTACT:
Romona Greene, Chief Business Office
(10NB), Veterans Health
Administration, Department of Veterans
rmajette on DSK7SPTVN1PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
15:14 Sep 18, 2015
Jkt 235001
Affairs, 810 Vermont Avenue NW.,
Washington, DC 20420, (202) 382–2521.
(This is not a toll free number.)
SUPPLEMENTARY INFORMATION: Section
17.101 of Title 38 of the Code of Federal
Regulations (CFR) 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 methodologies for
establishing billed amounts for several
types of charges are found in 38 CFR
17.101; however, this notice will only
address the acute inpatient and the
skilled nursing facility/sub-acute
inpatient facility charges.
Based on the methodologies set forth
in 38 CFR 17.101(b), this notice updates
the acute inpatient facility charges that
were based on the 2015 Medicare
severity diagnosis related groups (MS–
DRGs). Acute inpatient facility charges
by MS–DRGs are posted on the Internet
site of the Veterans Health
Administration (VHA) Chief Business
Office, currently at https://www.va.gov/
CBO/apps/rates/index.asp, under the
‘‘Reasonable Charges Data Tables’’
section, v3.15 Inpatient Data Table, as
Table A. This Table A corresponds to
the Table A referenced in 79 FR 58048,
September 26, 2014. Table A referenced
in this notice is v3.17, which provides
updated charges based on the 2016 MS–
DRGs, and it will replace Table A
posted on the Internet site of the VHA
Chief Business Office.
Also, this document updates the
skilled nursing facility/sub-acute
inpatient facility all-inclusive per diem
charge using the methodologies set forth
in 38 CFR 17.101(c) and this charge is
adjusted by a geographic area factor that
is based on the location where the care
is provided. See Table ‘‘N’’ Acute
Inpatient and Table ‘‘O’’ Skilled Nursing
Facility (SNF) for the geographic area
factors on the VHA Chief Business
Office Web site under the v3.16 link in
the ‘‘Reasonable Charges Data Tables’’
section, which are not being updated by
this notice. The skilled nursing facility/
sub-acute inpatient facility per diem
PO 00000
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Fmt 4703
Sfmt 4703
57051
charge is posted on the Internet site of
the VHA’s Chief Business Office,
currently at https://www.va.gov/CBO/
apps/rates/index.asp, under the
‘‘Reasonable Charges Data Tables’’
section, v3.15 as Table B. This Table B
corresponds to the Table B referenced in
79 FR 58048, September 26, 2014. Table
B referenced in this notice is v3.17,
which provides an update to the allinclusive 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.
The charges in this notice for acute
inpatient and skilled nursing facility/
sub-acute inpatient facility services are
effective October 1, 2015.
This notice is 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://www.va.gov/CBO/apps/rates/
index.asp, under ‘‘Reasonable Charges
Data Tables.’’ We also are retaining the
table designation used for skilled
nursing facility/sub-acute inpatient
facility charges, which is also posted on
the Internet site of the VHA Chief
Business Office. Accordingly, the tables
identified as being updated by this
notice correspond to the applicable
tables referenced in 79 FR 58048,
September 26, 2014.
The list of data sources presented in
Supplementary Table 1 will be posted
on the Internet site of the VHA Chief
Business Office, currently at https://
www.va.gov/CBO/apps/rates/index.asp,
under ‘‘Reasonable Charges Data
Sources’’ section, v3.15, 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://www.va.gov/CBO/apps/rates/
index.asp, under the VA Medical
Facility Locations, v3.16 (January,
2015), in the ‘‘VA Medical Facility
Locations’’ section, we set forth the list
of VA medical facility locations, which
includes the first three digits of their zip
codes and provider-based/non-providerbased 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, ‘‘Reasonable Charges (Rates)
Information’’ Web page currently at
https://www.va.gov/CBO/apps/rates/
index.asp.
E:\FR\FM\21SEN1.SGM
21SEN1
57052
Federal Register / Vol. 80, No. 182 / Monday, September 21, 2015 / Notices
Signing Authority
The Secretary of Veterans Affairs, or
designee, approved this document and
authorized the undersigned to sign and
submit the document to the Office of the
Federal Register for publication
electronically as an official document of
the Department of Veterans Affairs.
Robert L. Nabors II, Chief of Staff,
Department of Veterans Affairs,
approved this document on September
15, 2015, for publication.
Dated: September 16, 2015.
Michael Shores,
Chief Impact Analyst, Office of Regulation
Policy & Management, Office of the General
Counsel, Department of Veterans Affairs.
[FR Doc. 2015–23585 Filed 9–18–15; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
rmajette on DSK7SPTVN1PROD with NOTICES
Commission on Care; Notice of
Meeting
In accordance with the Federal
Advisory Committee Act, 5 U.S.C., App.
2, the Commission on Care gives notice
that it will meet on Tuesday, October 6,
2015 at the Capital Hilton, 1001 16th
Street NW., Washington, DC 20036. The
meeting will convene at 8:30 a.m. and
end at 5:30 p.m. The meeting is open to
the public.
The purpose of the Commission, as
described in section 202 of the Veterans
Access, Choice, and Accountability Act
of 2014 (VACAA), is to examine the
access of Veterans to health care from
the Department of Veterans Affairs (VA)
and strategically examine how best to
organize the Veterans Health
Administration (VHA), locate health
care resources, and deliver health care
to Veterans during the next 20 years. In
undertaking this assessment, the
Commission will evaluate and assess
the results of the Independent
Assessment conducted by CMS Alliance
to Modernize Healthcare (CAMH) in
accordance with section 201 of VACAA.
On October 6, the Commission will
hear from VHA and other Department
officials as well as other experts on the
feasibility, advisability, and cost
implications of recommendations in the
CAMH Independent Assessment.
No time will be allocated at this
meeting for receiving oral presentations
from the public. However, the public
may submit written statements for the
Commission’s review to Sharon Gilles,
Designated Federal Officer, Commission
on Care, 1575 I (Eye) Street NW., Suite
240, Washington, DC 20005, or email at
sharon.gilles@va.gov. Any member of
VerDate Sep<11>2014
16:13 Sep 18, 2015
Jkt 235001
the public wanting to attend may
contact Ms. Gilles.
Dated: September 16, 2015.
Sharon Gilles,
Designated Federal Officer, Commission on
Care.
Dated: September 16, 2015.
Rebecca Schiller,
Federal Advisory Committee Management
Officer.
[FR Doc. 2015–23628 Filed 9–18–15; 8:45 am]
BILLING CODE P
[FR Doc. 2015–23576 Filed 9–18–15; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
DEPARTMENT OF VETERANS
AFFAIRS
Advisory Committee on Former
Prisoners of War; Notice of Meeting
Veterans’ Advisory Committee on
Education; Notice of Meeting
The Department of Veterans Affairs
(VA) gives notice under the Federal
Advisory Committee Act, 5 U.S.C. App.
2, that the meeting of the Advisory
Committee on Former Prisoners of War
(FPOW), previously scheduled to be
held at the Audie Murphy VA Medical
Center, 7400 Merton Minter Blvd., San
Antonio, TX, on October 5–7, 2015, has
been cancelled.
For more information, please contact
Mr. Eric Robinson, Designated Federal
Officer at (202) 443–6016 or via email at
eric.robinson3@va.gov.
The Department of Veterans Affairs
(VA) gives notice under the Federal
Advisory Committee Act, 5 U.S.C. App.
2, that the Veterans’ Advisory
Committee on Education will meet on
October 21–22, 2015 at the American
Council on Education (ACE) located at
One Dupont Circle, Washington, DC
20004. On October 21, the meeting will
be held in Conference Rooms A&B
located on floor 1B. On October 22, the
meeting will be held in the Kellogg
Room on the 8th floor. The meeting
session begins at 8:00 a.m. and ends at
5:00 p.m. on both days. The meeting is
open to the public.
The purpose of the Committee is to
advise the Secretary of Veterans Affairs
on the administration of education and
training programs for Veterans,
Servicepersons, Reservists, and
Dependents of Veterans under Chapters
30, 32, 33, 35, and 36 of title 38, and
Chapter 1606 of title 10, United States
Code.
The purpose of the meeting is to assist
in the evaluation of existing GI Bill
programs and services, review recent
legislative and administrative changes
to GI Bill benefits, and submit their
recommendations to the Secretary.
On October 21st, the Committee will
receive presentations about the
administration of VA’s education and
training programs. Oral statements will
be heard from 3:45 p.m. to 4:30 p.m.
On October 22nd, the Committee will
review and summarize issues raised
throughout the meeting and discuss
Committee work groups and next steps.
The public may submit written
statements for the Committee’s review
to Mr. Barrett Y. Bogue, Designated
Federal Officer, Department of Veterans
Affairs, Veterans Benefits
Administration (223D), 810 Vermont
Avenue NW., Washington, DC 20420 or
via email at Barrett.Bogue@va.gov. Any
member of the public wishing to attend
the meeting or seeking additional
information should contact Mr. Bogue at
(202) 461–9800.
PO 00000
Frm 00093
Fmt 4703
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Dated: September 16, 2015.
Jelessa Burney,
Federal Advisory Committee Management
Officer.
[FR Doc. 2015–23615 Filed 9–18–15; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
MyVA Federal Advisory Committee;
Notice of Meeting
The Department of Veterans Affairs
(VA) gives notice under the Federal
Advisory Committee Act, 5 U.S.C.
App.2., that the MyVA Advisory
Committee (MVAC) will meet October
14 and 15, 2015 at the Department of
Veterans Affairs, James A. Haley
Veterans Hospital, 13000 Bruce B.
Downs Blvd., Tampa, FL 33612, and the
James A. Haley Veterans Hospital
Primary Care Annex, 13515 Lake
Terrace Lane, Tampa, FL 33637.
The purpose of the Committee is to
advise the Secretary, through the
Executive Director, My VA Task Force
Office regarding the My VA initiative
and VA’s ability to rebuild trust with
Veterans and other stakeholders,
improve service delivery with a focus
on Veteran outcomes, and set the course
for longer-term excellence and reform of
VA.
On October 14 from 8:00 a.m. to 1:00
p.m., the Committee will convene a
closed session in order to protect patient
privacy as the Committee tours the VA
Sunshine Healthcare Network, Patient
E:\FR\FM\21SEN1.SGM
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Agencies
[Federal Register Volume 80, Number 182 (Monday, September 21, 2015)]
[Notices]
[Pages 57051-57052]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-23585]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
Reasonable Charges for Inpatient MS-DRGs and SNF Medical
Services; V3.17, Fiscal Year 2016 Update
AGENCY: Department of Veterans Affairs.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This document updates the acute inpatient and the skilled
nursing facility/sub-acute inpatient facility charges. The updated
charges are based on the 2016 Medicare severity diagnosis related
groups (MS-DRGs).
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: Section 17.101 of Title 38 of the Code of
Federal Regulations (CFR) 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 methodologies for establishing
billed amounts for several types of charges are found in 38 CFR 17.101;
however, this notice will only address the acute inpatient and the
skilled nursing facility/sub-acute inpatient facility charges.
Based on the methodologies set forth in 38 CFR 17.101(b), this
notice updates the acute inpatient facility charges that were based on
the 2015 Medicare severity diagnosis related groups (MS-DRGs). Acute
inpatient facility charges by MS-DRGs are posted on the Internet site
of the Veterans Health Administration (VHA) Chief Business Office,
currently at https://www.va.gov/CBO/apps/rates/index.asp, under the
``Reasonable Charges Data Tables'' section, v3.15 Inpatient Data Table,
as Table A. This Table A corresponds to the Table A referenced in 79 FR
58048, September 26, 2014. Table A referenced in this notice is v3.17,
which provides updated charges based on the 2016 MS-DRGs, and it will
replace Table A posted on the Internet site of the VHA Chief Business
Office.
Also, this document updates the skilled nursing facility/sub-acute
inpatient facility all-inclusive per diem charge using the
methodologies set forth in 38 CFR 17.101(c) and this charge is adjusted
by a geographic area factor that is based on the location where the
care is provided. See Table ``N'' Acute Inpatient and Table ``O''
Skilled Nursing Facility (SNF) for the geographic area factors on the
VHA Chief Business Office Web site under the v3.16 link in the
``Reasonable Charges Data Tables'' section, which are not being updated
by this notice. The skilled nursing facility/sub-acute inpatient
facility per diem charge is posted on the Internet site of the VHA's
Chief Business Office, currently at https://www.va.gov/CBO/apps/rates/index.asp, under the ``Reasonable Charges Data Tables'' section, v3.15
as Table B. This Table B corresponds to the Table B referenced in 79 FR
58048, September 26, 2014. Table B referenced in this notice is v3.17,
which provides an update to the 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.
The charges in this notice for acute inpatient and skilled nursing
facility/sub-acute inpatient facility services are effective October 1,
2015.
This notice is 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://www.va.gov/CBO/apps/rates/index.asp, under ``Reasonable Charges Data Tables.'' We
also are retaining the table designation used for skilled nursing
facility/sub-acute inpatient facility charges, which is also posted on
the Internet site of the VHA Chief Business Office. Accordingly, the
tables identified as being updated by this notice correspond to the
applicable tables referenced in 79 FR 58048, September 26, 2014.
The list of data sources presented in Supplementary Table 1 will be
posted on the Internet site of the VHA Chief Business Office, currently
at https://www.va.gov/CBO/apps/rates/index.asp, under ``Reasonable
Charges Data Sources'' section, v3.15, 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://www.va.gov/CBO/apps/rates/index.asp, under the VA Medical Facility Locations, v3.16
(January, 2015), in the ``VA Medical Facility Locations'' section, we
set forth the list of VA medical facility locations, which includes the
first three digits of their zip codes and provider-based/non-provider-
based designations.
Consistent with VA's regulations, the updated data tables and
supplementary tables containing the changes described in this notice
will be posted on the Internet site of the VHA Chief Business Office,
``Reasonable Charges (Rates) Information'' Web page currently at https://www.va.gov/CBO/apps/rates/index.asp.
[[Page 57052]]
Signing Authority
The Secretary of Veterans Affairs, or designee, approved this
document and authorized the undersigned to sign and submit the document
to the Office of the Federal Register for publication electronically as
an official document of the Department of Veterans Affairs. Robert L.
Nabors II, Chief of Staff, Department of Veterans Affairs, approved
this document on September 15, 2015, for publication.
Dated: September 16, 2015.
Michael Shores,
Chief Impact Analyst, Office of Regulation Policy & Management, Office
of the General Counsel, Department of Veterans Affairs.
[FR Doc. 2015-23585 Filed 9-18-15; 8:45 am]
BILLING CODE 8320-01-P