Reasonable Charges for Inpatient MS-DRGs and SNF Medical Services; v3.19, Fiscal Year 2017 Update, 62977-62978 [2016-21959]

Download as PDF Lhorne on DSK30JT082PROD with NOTICES Federal Register / Vol. 81, No. 177 / Tuesday, September 13, 2016 / Notices On September 27, the Committee will be briefed on current directions and priorities for serving the Nation’s war Veterans. The Committee will also be briefed by the Principal Deputy Under Secretary for Health on new directions of care in Veterans Health Administration (VHA) and the coordination of VA healthcare with readjustment counseling. The September 27 will also include briefings on the current activities of the Readjustment Counseling Service (RCS) Vet Centers to include the full scope of outreach and readjustment counseling services provided to combat Veterans, Service members and families. The briefing will focus on the coordination of Vet Center services with VHA health care, mental health, and social work services. The Committee will also receive briefings from VHA mental health program officials focusing on the key role of mental health services for the psychological, social, and economic readjustment of combat Veterans. On September 28, Committee members will conduct onsite visits at two Vet Centers to meet with groups of Veteran consumers and with VHA service providers from the Vet Centers and the support VA medical facilities. On September 29 the Committee will receive briefings from additional VHA program officials representing key programs of specific value for the postwar readjustment of Veterans, Service members and family members. The agenda for September 29 will conclude with a Committee strategic planning session for developing the observations and conclusions for the annual Committee Report. No time will be allocated at this meeting for receiving oral presentations from the public. However, members of the public may direct written questions or submit prepared statements for review by the Committee before the meeting to Mr. Charles M. Flora, L.C.S.W–C., Designated Federal Officer, Readjustment Counseling Service, Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420. Because the meeting will be in a Government building, please provide valid photo identification for check-in. Please allow 30 minutes before the meeting for the check-in process. If you plan to attend or have questions concerning the meeting, please contact Mr. Flora at (202) 461–6525 or by email at charles.flora@va.gov. Dated: September 8, 2016. LaTonya L. Small, Advisory Committee Management Office. [FR Doc. 2016–21926 Filed 9–12–16; 8:45 am] BILLING CODE P VerDate Sep<11>2014 15:27 Sep 12, 2016 Jkt 238001 DEPARTMENT OF VETERANS AFFAIRS Advisory Committee on Prosthetics and Special-Disabilities Programs; Notice of Meeting The Department of Veterans Affairs (VA) gives notice under the Federal Advisory Committee Act, 5 U.S.C. App. 2, that a meeting of the Federal Advisory Committee on Prosthetics and Special-Disabilities Programs will be held on October 4–5, 2016, in Room 630 at VA Central Office, 810 Vermont Avenue NW., Washington, DC 20420. The meeting will convene at 8:30 a.m. on both days, and will adjourn at 4:30 p.m. on October 4 and at 12 noon on October 5. This meeting is open to the public. The purpose of the Committee is to advise the Secretary of VA on VA’s prosthetics programs designed to provide state-of-the-art prosthetics and the associated rehabilitation research, development, and evaluation of such technology. The Committee also provides advice to the Secretary on special-disabilities programs, which are defined as any program administered by the Secretary to serve Veterans with spinal cord injuries, blindness or visual impairments, loss of extremities or loss of function, deafness or hearing impairment, and other serious incapacities in terms of daily life functions. On October 4, the Committee will receive briefings on the National Veterans Sports Programs and Adaptive Sports Grants, Audiology & Speech Pathology, Rehabilitation Research and Development, Prosthetic and Sensory Aids, Blind Rehabilitation Services and Telemedicine. On October 5, the Committee members will receive Ethics Training, discuss administrative matters, and deliberate actions internal to the Committee. No time will be allocated for receiving oral presentations from the public; however, members of the public may direct questions or submit written statements for review by the Committee in advance of the meeting to Judy Schafer, Ph.D., Designated Federal Officer, Veterans Health Administration, Patient Care Services, Rehabilitation and Prosthetic Services (10P4R), VA, 810 Vermont Avenue NW., Washington, DC 20420, or by email at Judy.Schafer@ va.gov. Because the meeting is being held in a government building, a photo I.D. must be presented at the Guard’s Desk as a part of the clearance process. Therefore, you should allow an additional 30 minutes before the meeting begins. Any member of the PO 00000 Frm 00124 Fmt 4703 Sfmt 4703 62977 public wishing to attend the meeting should contact Dr. Schafer at (202) 461– 7315. Dated: September 8, 2016. LaTonya L. Small, Advisory Committee Management Office. [FR Doc. 2016–21965 Filed 9–12–16; 8:45 am] BILLING CODE P DEPARTMENT OF VETERANS AFFAIRS Reasonable Charges for Inpatient MS– DRGs and SNF Medical Services; v3.19, Fiscal Year 2017 Update Department of Veterans Affairs. Notice. AGENCY: ACTION: This document updates the acute inpatient and the skilled nursing facility (SNF)/sub-acute inpatient facility charges. The updated charges are based on the 2017 Medicare severity diagnosis related groups (MS–DRG). FOR FURTHER INFORMATION CONTACT: Romona Greene, Office of Community Care, Revenue Operations, Consolidated Patient Account Center (CPAC) Rates and Charges (10D1C), Veterans Health Administration (VHA), 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 SNF/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 2016 MS–DRGs. Acute inpatient facility charges by MS– SUMMARY: E:\FR\FM\13SEN1.SGM 13SEN1 62978 Federal Register / Vol. 81, No. 177 / Tuesday, September 13, 2016 / Notices Lhorne on DSK30JT082PROD with NOTICES DRGs are posted on the VHA Internet site, at http://www.va.gov/CBO/apps/ rates/index.asp, under the ‘‘Reasonable Charges Data Tables’’ section, Inpatient Data Table, as Table A (v3.17). This Table A corresponds to the Table A referenced in 80 FR 57051, September 21, 2015. Table A referenced in this notice is v3.19, which provides updated charges based on the 2017 MS–DRGs, and it will replace Table A (v3.17) posted on the VHA Internet site. Also, this document updates the SNF/ 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. For the geographic area factors, see Table N, Acute Inpatient, and Table O, SNF, on the VHA Web site under the v3.18 link in the ‘‘Reasonable Charges Data Tables’’ section. Tables N and O are not being updated by this notice. The SNF/sub-acute inpatient facility per diem charge is posted on the VHA Internet site, at http://www.va.gov/CBO/ apps/rates/index.asp, under the ‘‘Reasonable Charges Data Tables’’ section, Table B (v3.17). This Table B corresponds to the Table B referenced in 80 FR 57051, September 21, 2015. Table B referenced in this notice is v3.19, which provides an update to the all- VerDate Sep<11>2014 15:27 Sep 12, 2016 Jkt 238001 inclusive nationwide SNF/sub-acute inpatient facility per diem charge and will replace Table B posted on the VHA Internet site. The charges in this notice for acute inpatient and SNF/sub-acute inpatient facility services are effective October 1, 2016. This notice is retaining the table designations used for acute inpatient facility charges by MS–DRGs, which is posted on the VHA Internet site, currently at http://www.va.gov/CBO/ apps/rates/index.asp, under ‘‘Reasonable Charges Data Tables.’’ This notice is also retaining the table designation used for SNF/sub-acute inpatient facility charges, which is also posted on the VHA Internet site. Accordingly, the tables identified as being updated by this notice correspond to the applicable tables referenced in 80 FR 57051, September 21, 2015. The list of data sources presented in Supplementary Table 1 (v3.19) reflects the updated data sources used to establish the updated charges described in this notice, and will be posted on the VHA Internet site, at http://www.va.gov/ CBO/apps/rates/index.asp, under the ‘‘Reasonable Charges Data Sources’’ section. VHA has also updated the list of VA medical facility locations. As a reminder, in Supplementary Table 3, posted on the VHA Internet site, CPAC PO 00000 Frm 00125 Fmt 4703 Sfmt 9990 Rates and Charges and Billing, at http:// www.va.gov/CBO/apps/rates/index.asp, under the VA Medical Facility Locations section, VHA 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 VHA Internet site, at http://www.va.gov/CBO/ apps/rates/index.asp, under the ‘‘CPAC Rates and Charges and Billing, Reasonable Charges Information’’ section. 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. Gina S. Farrisee, Deputy Chief of Staff, Department of Veterans Affairs, approved this document on September 6, 2016, for publication. Dated: September 6, 2016. Jeffrey Martin, Office Program Manager, Office of Regulation Policy & Management, Office of the Secretary, Department of Veterans Affairs. [FR Doc. 2016–21959 Filed 9–12–16; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\13SEN1.SGM 13SEN1

Agencies

[Federal Register Volume 81, Number 177 (Tuesday, September 13, 2016)]
[Notices]
[Pages 62977-62978]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-21959]


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DEPARTMENT OF VETERANS AFFAIRS


Reasonable Charges for Inpatient MS-DRGs and SNF Medical 
Services; v3.19, Fiscal Year 2017 Update

AGENCY: Department of Veterans Affairs.

ACTION: Notice.

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

SUMMARY: This document updates the acute inpatient and the skilled 
nursing facility (SNF)/sub-acute inpatient facility charges. The 
updated charges are based on the 2017 Medicare severity diagnosis 
related groups (MS-DRG).

FOR FURTHER INFORMATION CONTACT: Romona Greene, Office of Community 
Care, Revenue Operations, Consolidated Patient Account Center (CPAC) 
Rates and Charges (10D1C), Veterans Health Administration (VHA), 
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 SNF/
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 2016 MS-DRGs. Acute inpatient facility charges by MS-

[[Page 62978]]

DRGs are posted on the VHA Internet site, at http://www.va.gov/CBO/apps/rates/index.asp, under the ``Reasonable Charges Data Tables'' 
section, Inpatient Data Table, as Table A (v3.17). This Table A 
corresponds to the Table A referenced in 80 FR 57051, September 21, 
2015. Table A referenced in this notice is v3.19, which provides 
updated charges based on the 2017 MS-DRGs, and it will replace Table A 
(v3.17) posted on the VHA Internet site.
    Also, this document updates the SNF/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. For the 
geographic area factors, see Table N, Acute Inpatient, and Table O, 
SNF, on the VHA Web site under the v3.18 link in the ``Reasonable 
Charges Data Tables'' section. Tables N and O are not being updated by 
this notice. The SNF/sub-acute inpatient facility per diem charge is 
posted on the VHA Internet site, at http://www.va.gov/CBO/apps/rates/index.asp, under the ``Reasonable Charges Data Tables'' section, Table 
B (v3.17). This Table B corresponds to the Table B referenced in 80 FR 
57051, September 21, 2015. Table B referenced in this notice is v3.19, 
which provides an update to the all-inclusive nationwide SNF/sub-acute 
inpatient facility per diem charge and will replace Table B posted on 
the VHA Internet site.
    The charges in this notice for acute inpatient and SNF/sub-acute 
inpatient facility services are effective October 1, 2016.
    This notice is retaining the table designations used for acute 
inpatient facility charges by MS-DRGs, which is posted on the VHA 
Internet site, currently at http://www.va.gov/CBO/apps/rates/index.asp, 
under ``Reasonable Charges Data Tables.'' This notice is also retaining 
the table designation used for SNF/sub-acute inpatient facility 
charges, which is also posted on the VHA Internet site. Accordingly, 
the tables identified as being updated by this notice correspond to the 
applicable tables referenced in 80 FR 57051, September 21, 2015.
    The list of data sources presented in Supplementary Table 1 (v3.19) 
reflects the updated data sources used to establish the updated charges 
described in this notice, and will be posted on the VHA Internet site, 
at http://www.va.gov/CBO/apps/rates/index.asp, under the ``Reasonable 
Charges Data Sources'' section.
    VHA has also updated the list of VA medical facility locations. As 
a reminder, in Supplementary Table 3, posted on the VHA Internet site, 
CPAC Rates and Charges and Billing, at http://www.va.gov/CBO/apps/rates/index.asp, under the VA Medical Facility Locations section, VHA 
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 VHA Internet site, at http://www.va.gov/CBO/apps/rates/index.asp, under the ``CPAC Rates and Charges and Billing, 
Reasonable Charges Information'' section.
    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. Gina S. 
Farrisee, Deputy Chief of Staff, Department of Veterans Affairs, 
approved this document on September 6, 2016, for publication.

    Dated: September 6, 2016.
Jeffrey Martin,
Office Program Manager, Office of Regulation Policy & Management, 
Office of the Secretary, Department of Veterans Affairs.
[FR Doc. 2016-21959 Filed 9-12-16; 8:45 am]
 BILLING CODE 8320-01-P