[Federal Register Volume 72, Number 109 (Thursday, June 7, 2007)]
[Proposed Rules]
[Pages 31507-31540]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 07-2806]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 411, 412, 413, and 489

[CMS-1533-CN]
RIN 0938-A070


Medicare Program; Proposed Changes to the Hospital Inpatient 
Prospective Payment Systems and Fiscal Year 2008 Rates; Correction

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Correction of proposed rule.

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

SUMMARY: This document corrects technical errors that appeared in the 
proposed rule entitled ``Medicare Program; Proposed Changes to the 
Hospital Inpatient Prospective Payment Systems and Fiscal Year 2008 
Rates'' that appeared in the May 3, 2007 Federal Register.

FOR FURTHER INFORMATION CONTACT: Marc Hartstein, (410) 786-4548.

SUPPLEMENTARY INFORMATION:

I. Background

    In FR Doc. 07-1920 of May 3, 2007 (72 FR 24680), there were a 
number of technical errors that are identified and corrected in the 
Correction of Errors section of this notice. We issued the fiscal year 
(FY) 2008 hospital inpatient prospective payment systems (IPPS) 
proposed rule on April 13, 2007. The FY 2008 IPPS proposed rule 
appeared in the May 3, 2007 Federal Register.

II. Summary of Errors

    We recently discovered that an error was made in the calculation of 
the DRG relative weights presented in the FY 2008 IPPS proposed rule. 
We have revised the relative weights to correct the error and have 
recalculated the standardized amounts. These changes increase the 
standardized amounts slightly and reduce the proposed FY 2008 outlier 
threshold by $85. Further, these revisions affect the DRG-specific 
costs thresholds for new technology add-on payments. Therefore, in this 
notice we are correcting the following:
    <bullet> Preamble language regarding the methodology used to 
calculate charge-based and cost-based relative weights.
    <bullet> Outlier threshold.
    <bullet> Recalibration, wage and recalibration, geographic 
reclassification, and rural floor budget neutrality factors.
    <bullet> Tables 1A through 1D, 2, 4A, 4C, 4J, 5, 10.
    <bullet> Impact analysis tables (Tables I and II).

In addition, we have posted these corrected tables on our Web site at 
http://www.cms.hhs.gov/AcuteInpatientPPS/WIFN/list.asp.

III. Correction of Errors

    In FR Doc. 07-1920 of May 3, 2007 (72 FR 24680), make the following 
corrections:

A. Corrections to the Preamble

    1. On page 24711, second column, last paragraph, sixth line from 
the bottom, the figure ``$23,015'' is corrected to read ``$22,930.''
    2. On page 24746, second column,
    a. Third full paragraph, line 9, the phrase, ``in the FY 2005 
MedPAR'' is corrected to read ``in the FY 2006 MedPAR.''
    b. Fifth full paragraph, last line, after the phrase ``cost of 
living adjustment.'', the following sentence is added to read as 
follows:
    ``Beginning with FY 2008, because hospital charges include charges 
for both operating and capital costs, we are proposing to standardize 
total charges to remove the effects of differences in geographic 
adjustment factors, large urban add-on payments, cost-of-living 
adjustment, disproportionate share payments, and IME adjustments under 
the capital IPPS as well.''
    3. On page 24747, first column, third full paragraph, last line, 
after the phrase ``cost of living adjustment.'' and before the phrase 
``Charges were then'', the following sentence is added to read as 
follows:
    ``Beginning with FY 2008, because hospital charges include charges 
for both operating and capital costs, we are proposing to standardize 
total charges to remove the effects of differences in geographic 
adjustment factors, large urban add-on payments, cost-of-living 
adjustment, disproportionate share payments, and IME adjustments under 
the capital IPPS as well.''

B. Corrections to the Addendum

    1. On page 24836,
    a. First column, second full paragraph,
    (1) Line 14, the figure ``0.999317'' is corrected to read 
``0.999367.''
    (2) Lines 19 and 29, the figure ``0.998557'' is corrected to read 
``0.998573.''
    b. Second column, first partial paragraph, line 17, the figure 
``0.991938'' is corrected to read ``0.991925.''
    2. On page 24837, second column, second full paragraph, line 6, the 
figure ``$23,015'' is corrected to read ``$22,930''.
    3. On page 24839, top half of the page, in the table Comparison of 
FY 2007 Standardized Amounts to Proposed FY 2008 Single Standardized 
Amount with Full Update and Reduced Update, the figures in the listed 
entries are corrected to read as follows:

------------------------------------------------------------------------
                                          Full update    Reduced  update
                                         (3.3 percent)    (1.3 percent)
------------------------------------------------------------------------
FY 2008 DRG Recalibrations and Wage            0.999367         0.999367
 Index Budget Neutrality Factor.......
FY 2008 Reclassification Budget                0.991925         0.991925
 Neutrality Factor....................
------------------------------------------------------------------------


[[Page 31508]]

    4. On page 24846, third column, first full paragraph,
    a. Line 38, the figure ``$417.26'' is corrected to read 
``$417.12.''
    b. Line 40, the figure ``$413.87'' is corrected to read 
``$413.73.''
    5. On page 24847,
    a. Middle of the page, in the table Comparison of Factors and 
Adjustments: FY 2007 Capital Federal Rate and Proposed FY 2008 Capital 
Federal Rate for Urban Hospitals, third column, last row, the figure, 
``$413.87'' is corrected to read ``$413.73.''
    b. Lower third of the page, in the table Comparison of Factors and 
Adjustments: FY 2007 Capital Federal Rate and Proposed FY 2008 Capital 
Federal Rate for Rural Hospitals, third column, last row, the figure 
``$417.26'' is corrected to read ``$417.12.''
    6. On page 24848,
    a. First column, fourth full paragraph,
    (1) Line 10, the phrase ``is $197.21'' is corrected to read ``is 
$197.11.''.
    (2) Line 12, the figure ``$195.60'' is corrected to read 
``$195.51.''
    b. Second column, third paragraph, last line, the figure 
``$23,015'' is corrected to read ``$22,930''.
    7. On page 24850, in Table 1A.--National Adjusted Operating 
Standardized Amounts, Labor/Nonlabor (69.7 Percent Labor Share/30.3 
Percent Nonlabor Share If Wage Index Greater Than 1), the table is 
corrected to read as follows:

   Table 1A.--National Adjusted Operating Standardized Amounts, Labor/Nonlabor (69.7 Percent Labor Share/30.3
                              Percent Nonlabor Share If Wage Index Greater Than 1)
----------------------------------------------------------------------------------------------------------------
                Full update (3.3 percent)                              Reduced update (1.3 Percent)
----------------------------------------------------------------------------------------------------------------
       Labor-related               Nonlabor-related              Labor-related             Nonlabor-related
----------------------------------------------------------------------------------------------------------------
             $3,430.41                    $1,491.27                   $3,363.99                   $1,462.40
----------------------------------------------------------------------------------------------------------------

    8. On page 24850, in Table 1B.--National Adjusted Operating 
Standardized Amounts, Labor/Nonlabor (62 Percent Labor Share/38 Percent 
Nonlabor Share If Wage Index Less Than Or Equal To 1), the table is 
corrected to read as follows:

 Table 1B.--National Adjusted Operating Standardized Amounts, Labor/Nonlabor (62 Percent Labor Share/38 Percent
                              Nonlabor Share If Wage Index Less Than or Equal to 1)
----------------------------------------------------------------------------------------------------------------
                Full update (3.3 percent)                              Reduced update (1.3 Percent)
----------------------------------------------------------------------------------------------------------------
       Labor-related               Nonlabor-related              Labor-related             Nonlabor-related
----------------------------------------------------------------------------------------------------------------
             $3,051.44                    $1,870.24                   $2,992.36                   $1,834.03
----------------------------------------------------------------------------------------------------------------

    9. On page 24850, in Table 1C.--Adjusted Operating Standardized 
Amounts For Puerto Rico Labor, Labor/Nonlabor, the table is corrected 
to read as follows:

               Table 1C.--Adjusted Operating Standardized Amounts for Puerto Rico, Labor/Nonlabor
----------------------------------------------------------------------------------------------------------------
                                       Rates if wage index greater than 1     Rates if wage index less than or
                                     --------------------------------------              equal to 1
                                                                           -------------------------------------
                                            Labor             Nonlabor            Labor             Nonlabor
----------------------------------------------------------------------------------------------------------------
National............................          $3,430.41          $1,491.27          $3,363.99          $1,462.40
Puerto Rico.........................           1,442.16             883.90           1,365.40             960.66
----------------------------------------------------------------------------------------------------------------

    10. On page 24850, in Table 1D.--Capital Standard Federal Payment 
Rate, the table is corrected to read as follows:

            Table 1D.--Capital Standard Federal Payment Rate
------------------------------------------------------------------------
                                        Urban rate         Rural rate
------------------------------------------------------------------------
National..........................            $413.73            $417.12
Puerto Rico.......................             195.51             197.11
------------------------------------------------------------------------

    11. On pages 24851 through 24917, in Table 2.--Hospital Case-Mix 
Indexes For Discharges Occurring in Federal Fiscal Year 2006; Hospital 
Wage Indexes For Federal Fiscal Year 2008; Hospital Average Hourly 
Wages For Federal Fiscal Years 2006 (2002 Wage Data), 2007 (2003 Wage 
Data), And 2008 (2004 Wage Data); And 3-Year Average Of Hospital 
Average Hourly Wages, the wage index for the listed provider numbers 
are corrected to read as follows:

[[Page 31509]]



------------------------------------------------------------------------
                                                               FY 2008
                        Provider No.                          wage index
------------------------------------------------------------------------
010012.....................................................       0.9390
010047.....................................................       0.7776
010052.....................................................       0.7701
010109.....................................................       0.8049
010110.....................................................       0.7900
010164.....................................................       0.8042
040014.....................................................       0.8720
040017.....................................................       0.8718
040041.....................................................       0.8720
040071.....................................................       0.8720
040076.....................................................       0.8720
040078.....................................................       0.8720
040100.....................................................       0.8720
040119.....................................................       0.8720
050007.....................................................       1.4907
050008.....................................................       1.4792
050009.....................................................       1.4200
050013.....................................................       1.4200
050016.....................................................       1.2015
050047.....................................................       1.4792
050055.....................................................       1.4792
050070.....................................................       1.4907
050113.....................................................       1.4907
050152.....................................................       1.4792
050228.....................................................       1.4792
050232.....................................................       1.2015
050280.....................................................       1.2826
050289.....................................................       1.4907
050407.....................................................       1.4792
050454.....................................................       1.4792
050457.....................................................       1.4792
050506.....................................................       1.2015
050633.....................................................       1.2015
050667.....................................................       1.4200
050668.....................................................       1.4792
050697.....................................................       1.2826
050707.....................................................       1.4907
050733.....................................................       1.2826
050754.....................................................       1.4907
060010.....................................................       0.9730
060030.....................................................       0.9730
080001.....................................................       1.0777
080003.....................................................       1.0777
100102.....................................................       0.8874
100290.....................................................       0.9331
110107.....................................................       0.9752
110164.....................................................       0.9752
110201.....................................................       0.9752
130066.....................................................       0.9680
130068.....................................................       0.9680
150015.....................................................       0.8904
160030.....................................................       1.0022
180013.....................................................       0.9407
180064.....................................................       0.8131
180066.....................................................       0.9407
180079.....................................................       0.8075
180080.....................................................       0.8042
180124.....................................................       0.9407
190044.....................................................       0.7849
190190.....................................................       0.7752
190246.....................................................       0.7752
200032.....................................................       0.8878
210028.....................................................       0.9429
230036.....................................................       0.9398
230041.....................................................       0.9398
230047.....................................................       1.0091
230080.....................................................       0.9398
230105.....................................................       0.9398
230195.....................................................       1.0091
230204.....................................................       1.0091
230222.....................................................       0.9398
230227.....................................................       1.0091
230257.....................................................       1.0091
230264.....................................................       1.0091
230297.....................................................       1.0091
230299.....................................................       1.0091
230300.....................................................       1.0091
240006.....................................................       1.0760
240010.....................................................       1.0760
240018.....................................................       1.0084
240061.....................................................       1.0760
240069.....................................................       1.0760
240071.....................................................       1.0760
270081.....................................................       0.8574
280065.....................................................       0.9746
310010.....................................................       1.0812
310011.....................................................       1.0864
310014.....................................................       1.0777
310044.....................................................       1.0812
310081.....................................................       1.0777
310092.....................................................       1.0812
310110.....................................................       1.0812
320001.....................................................       0.9739
320005.....................................................       0.9739
320006.....................................................       0.9739
320009.....................................................       0.9739
320011.....................................................       0.9407
320017.....................................................       0.9739
320019.....................................................       0.9739
320021.....................................................       0.9739
320037.....................................................       0.9739
320074.....................................................       0.9739
320079.....................................................       0.9739
320083.....................................................       0.9739
330135.....................................................       1.1528
330205.....................................................       1.1528
330264.....................................................       1.1528
340133.....................................................       0.8916
360044.....................................................       0.8825
370113.....................................................       0.8718
380029.....................................................       1.0479
380051.....................................................       1.0479
380056.....................................................       1.0479
390044.....................................................       1.0777
390096.....................................................       1.0777
390133.....................................................       1.0777
410013.....................................................       1.1793
430012.....................................................       0.9394
430013.....................................................       0.9394
430048.....................................................       0.8398
440011.....................................................       0.8042
440015.....................................................       0.8042
440019.....................................................       0.8042
440030.....................................................       0.7972
440034.....................................................       0.8042
440035.....................................................       0.9407
440056.....................................................       0.8042
440073.....................................................       0.9407
440084.....................................................       0.7949
440110.....................................................       0.8042
440120.....................................................       0.8042
440125.....................................................       0.8042
440144.....................................................       0.9407
440148.....................................................       0.9407
440151.....................................................       0.9407
440153.....................................................       0.7923
440173.....................................................       0.8042
440175.....................................................       0.9407
440192.....................................................       0.9407
440225.....................................................       0.8042
440226.....................................................       0.8042
450370.....................................................       0.8444
450565.....................................................       0.8690
450755.....................................................       0.8498
------------------------------------------------------------------------

    12. On pages 24924, 29426, and 24941, in Table 4A.--Wage Index and 
Capital Geographic Adjustment Factor (GAF) for Urban Areas by CBSA--FY 
2008, the wage index and GAF for the listed CBSAs are corrected to read 
as follows:

------------------------------------------------------------------------
                                                       Wage
      CBSA code                 Urban area            index       GAF
------------------------------------------------------------------------
10740................  Albuquerque, NM............     0.9739     0.9821
                         Bernalillo County, NM
                         Sandoval County, NM
                         Torrance County, NM
                         Valencia County, NM
13020................  Bay City MI................     0.9398     0.9584
                         Bay County, MI
40340................  Rochester, MN..............     1.0760     1.0514
                         Dodge County, MN
                         Olmsted County, MN
                         Wabasha County, MN
------------------------------------------------------------------------

    13. On pages 24948 through 24951, in Table 4C.--Wage Index And 
Capital Geographic Adjustment Factor (GAF) For Hospitals That Are 
Reclassified By CBSA FY 2008, the wage indices and GAFs for the listed 
areas are corrected to read as follows:

[[Page 31510]]



------------------------------------------------------------------------
                                                       Wage
      CBSA code                    Area               index        GAF
------------------------------------------------------------------------
10740................  Albuquerque, NM............     0.9739     0.9821
13020................  Bay City, MI...............     0.9398     0.9584
22220................  Fayetteville-Springdale-        0.8718     0.9103
                        Rogers, AR-MO.
35980................  Norwich-New London, CT.....     1.1793     1.1196
40340................  Rochester, MN..............     1.0760     1.0514
40660................  Rome, GA...................     0.9390     0.9578
43620................  Sioux Falls, SD............     0.9394     0.9581
------------------------------------------------------------------------

    14. On pages 24952 through 24960, in Table 4J.--Out-Migration 
Adjustment--FY 2008, the entries for the listed providers are corrected 
to read as follows:

----------------------------------------------------------------------------------------------------------------
                                     Reclassified for    Out-migration     Qualifying county
            Provider No.                  FY 2008         adjustment              name             County code
----------------------------------------------------------------------------------------------------------------
010009.............................                 *            0.0092  MORGAN...............             01510
010025.............................                 *            0.0235  CHAMBERS.............             01080
010038.............................  ................            0.0039  CALHOUN..............             01070
010047.............................  ................            0.0178  BUTLER...............             01060
010052.............................  ................            0.0103  TALLAPOOSA...........             01610
010054.............................                 *            0.0092  MORGAN...............             01510
010065.............................                 *            0.0103  TALLAPOOSA...........             01610
010078.............................  ................            0.0039  CALHOUN..............             01070
010085.............................                 *            0.0092  MORGAN...............             01510
010109.............................  ................            0.0451  PICKENS..............             01530
010110.............................  ................            0.0302  BULLOCK..............             01050
010146.............................  ................            0.0039  CALHOUN..............             01070
010150.............................                 *            0.0178  BUTLER...............             01060
050007.............................  ................            0.0141  SAN MATEO............             05510
050008.............................  ................            0.0026  SAN FRANCISCO........             05480
050016.............................  ................            0.0103  SAN LUIS OBISPO......             05500
050047.............................  ................            0.0026  SAN FRANCISCO........             05480
050055.............................  ................            0.0026  SAN FRANCISCO........             05480
050070.............................  ................            0.0141  SAN MATEO............             05510
050076.............................                 *            0.0026  SAN FRANCISCO........             05480
050113.............................  ................            0.0141  SAN MATEO............             05510
050152.............................  ................            0.0026  SAN FRANCISCO........             05480
050194.............................                 *            0.0052  SANTA CRUZ...........             05540
050197.............................                 *            0.0141  SAN MATEO............             05510
050228.............................  ................            0.0026  SAN FRANCISCO........             05480
050232.............................  ................            0.0103  SAN LUIS OBISPO......             05500
050242.............................                 *            0.0052  SANTA CRUZ...........             05540
050289.............................  ................            0.0141  SAN MATEO............             05510
050407.............................  ................            0.0026  SAN FRANCISCO........             05480
050454.............................  ................            0.0026  SAN FRANCISCO........             05480
050457.............................  ................            0.0026  SAN FRANCISCO........             05480
050506.............................  ................            0.0103  SAN LUIS OBISPO......             05500
050541.............................                 *            0.0141  SAN MATEO............             05510
050633.............................  ................            0.0103  SAN LUIS OBISPO......             05500
050668.............................  ................            0.0026  SAN FRANCISCO........             05480
050707.............................  ................            0.0141  SAN MATEO............             05510
050714.............................                 *            0.0052  SANTA CRUZ...........             05540
050754.............................  ................            0.0141  SAN MATEO............             05510
060010.............................  ................            0.0153  LARIMER..............             06340
060030.............................  ................            0.0153  LARIMER..............             06340
080001.............................                 *            0.0063  NEW CASTLE...........             08010
080003.............................                 *            0.0063  NEW CASTLE...........             08010
100102.............................  ................            0.0125  COLUMBIA.............             10110
100156.............................                 *            0.0125  COLUMBIA.............             10110
100290.............................  ................            0.0582  SUMTER...............             10590
110146.............................                 *            0.0805  CAMDEN...............             11170
130049.............................                 *             0.032  KOOTENAI.............             13270
130066.............................  ................             0.032  KOOTENAI.............             13270
130067.............................                 *            0.0696  BINGHAM..............             13050
130068.............................  ................             0.032  KOOTENAI.............             13270
140167.............................                 *            0.1055  IROQUOIS.............             14460
150006.............................                 *            0.0113  LA PORTE.............             15450
150015.............................  ................            0.0113  LA PORTE.............             15450
150146.............................                 *            0.0319  NOBLE................             15560
160030.............................  ................             0.004  STORY................             16840
170137.............................                 *            0.0336  DOUGLAS..............             17220

[[Page 31511]]

 
180064.............................  ................            0.0319  MONTGOMERY...........             18860
180066.............................                 *            0.0449  LOGAN................             18700
180079.............................  ................            0.0263  HARRISON.............             18480
190044.............................  ................            0.0258  ACADIA...............             19000
190099.............................                 *            0.0188  AVOYELLES............             19040
190184.............................                 *            0.0161  CALDWELL.............             19100
190190.............................  ................            0.0161  CALDWELL.............             19100
190246.............................  ................            0.0161  CALDWELL.............             19100
200032.............................  ................            0.0466  OXFORD...............             20080
210028.............................  ................            0.0512  ST. MARY'S...........             21180
230069.............................                 *            0.0209  LIVINGSTON...........             23460
230279.............................                 *            0.0209  LIVINGSTON...........             23460
240018.............................  ................            0.0872  GOODHUE..............             24240
270081.............................  ................            0.0237  MUSSELSHELL..........             27320
300011.............................                 *            0.0069  HILLSBOROUGH.........             30050
300012.............................                 *            0.0069  HILLSBOROUGH.........             30050
300020.............................                 *            0.0069  HILLSBOROUGH.........             30050
300034.............................                 *            0.0069  HILLSBOROUGH.........             30050
310010.............................  ................            0.0092  MERCER...............             31260
310011.............................  ................            0.0115  CAPE MAY.............             31180
310021.............................                 *            0.0092  MERCER...............             31260
310044.............................  ................            0.0092  MERCER...............             31260
310092.............................  ................            0.0092  MERCER...............             31260
310110.............................  ................            0.0092  MERCER...............             31260
320003.............................                 *            0.0629  SAN MIGUEL...........             32230
320011.............................  ................            0.0442  RIO ARRIBA...........             32190
330027.............................                 *            0.0149  NASSAU...............             33400
330106.............................                 *            0.0149  NASSAU...............             33400
330167.............................                 *            0.0149  NASSAU...............             33400
330181.............................                 *            0.0149  NASSAU...............             33400
330182.............................                 *            0.0149  NASSAU...............             33400
330198.............................                 *            0.0149  NASSAU...............             33400
330225.............................                 *            0.0149  NASSAU...............             33400
330259.............................                 *            0.0149  NASSAU...............             33400
330331.............................                 *            0.0149  NASSAU...............             33400
330332.............................                 *            0.0149  NASSAU...............             33400
330372.............................                 *            0.0149  NASSAU...............             33400
340133.............................  ................            0.0308  MARTIN...............             34580
360010.............................                 *            0.0076  TUSCARAWAS...........             36800
360013.............................                 *            0.0136  SHELBY...............             36760
360025.............................                 *            0.0072  ERIE.................             36220
360044.............................  ................            0.0124  DARKE................             36190
360096.............................                 *            0.0072  COLUMBIANA...........             36140
360175.............................                 *            0.0176  CLINTON..............             36130
360185.............................                 *            0.0072  COLUMBIANA...........             36140
380022.............................                 *            0.0068  LINN.................             38210
380029.............................  ................            0.0075  MARION...............             38230
380051.............................  ................            0.0075  MARION...............             38230
380056.............................  ................            0.0075  MARION...............             38230
390030.............................                 *            0.0284  SCHUYLKILL...........             39650
390031.............................                 *            0.0284  SCHUYLKILL...........             39650
390065.............................                 *             0.049  ADAMS................             39000
390138.............................                 *            0.0213  FRANKLIN.............             39350
390151.............................                 *            0.0213  FRANKLIN.............             39350
390162.............................                 *              0.02  NORTHAMPTON..........             39590
390181.............................                 *            0.0284  SCHUYLKILL...........             39650
390183.............................                 *            0.0284  SCHUYLKILL...........             39650
390313.............................                 *            0.0284  SCHUYLKILL...........             39650
420009.............................                 *            0.0113  OCONEE...............             42360
420039.............................                 *            0.0153  UNION................             42430
420062.............................                 *            0.0109  CHESTERFIELD.........             42120
440030.............................  ................            0.0056  HAMBLEN..............             44310
440067.............................                 *            0.0056  HAMBLEN..............             44310
440084.............................  ................            0.0033  MONROE...............             44610
440153.............................  ................            0.0007  COCKE................             44140
450324.............................                 *            0.0132  GRAYSON..............             45564
450370.............................  ................             0.024  COLORADO.............             45312
450393.............................                 *            0.0132  GRAYSON..............             45564
450395.............................                 *            0.0451  POLK.................             45850
450438.............................                 *             0.024  COLORADO.............             45312
450469.............................                 *            0.0132  GRAYSON..............             45564
450565.............................  ................            0.0486  PALO PINTO...........             45841
450755.............................  ................            0.0294  HOCKLEY..............             45652

[[Page 31512]]

 
510077.............................                 *            0.0021  MINGO................             51290
----------------------------------------------------------------------------------------------------------------

    15. On pages 24960 through 24977, in Table 5.--List of Proposed 
Medicare Severity-Diagnosis Related Groups (MS-DRGs), Relative 
Weighting Factors, and Geometric and Arithmetic Mean Length of Stay, 
the table is corrected to read as follows:

BILLING CODE 4120-01-P

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BILLING CODE 4120-01-C
    16. On pages 25095 through 25099, in Table 10.--Geometric Mean Plus 
The Lesser of .75 Of The National Adjusted Operating Standardized 
Payment

[[Page 31532]]

Amount (Increased To Reflect The Difference Between Costs And Charges) 
Or .75 Of One Standard Deviation Of Mean Charges By Proposed Medicare 
Severity Diagnosis Related Group (MS-DRG) April 2007,\1\ the table is 
corrected to read as follows:
---------------------------------------------------------------------------

    \1\ Cases taken from the FY 2006 MedPAR file; proposed MS-DRGs 
are from GROUPER Version 25.0.

------------------------------------------------------------------------
                                             Number of
             Proposed MS-DRG                   cases         Threshold
------------------------------------------------------------------------
1.......................................             629        $337,776
2.......................................             328         177,459
3.......................................          23,999         266,199
4.......................................          21,742         162,448
5.......................................             842         159,506
6.......................................             495          90,877
7.......................................             413         130,276
8.......................................             560          92,482
9.......................................           1,358          96,148
10......................................             177          72,498
11......................................           1,289          71,569
12......................................           1,923          51,377
13......................................           1,484          36,890
20......................................             901         138,451
21......................................             558         107,625
22......................................             251          74,547
23......................................           3,112          81,762
24......................................           2,576          60,740
25......................................           8,417          79,522
26......................................          11,626          52,970
27......................................          14,454          41,141
28......................................           1,609          73,994
29......................................           2,862          45,280
30......................................           3,751          30,578
31......................................           1,057          59,862
32......................................           2,987          35,341
33......................................           4,263          30,562
34......................................             813          58,045
35......................................           2,506          42,020
36......................................           7,710          36,365
37......................................           4,777          51,688
38......................................          14,602          33,107
39......................................          55,357          25,687
40......................................           4,549          58,682
41......................................           7,720          39,547
42......................................           5,430          34,186
52......................................           1,156          29,433
53......................................             593          22,836
54......................................           4,664          30,610
55......................................          16,896          24,934
56......................................           7,716          29,072
57......................................          48,432          19,657
58......................................             789          28,525
59......................................           2,639          22,939
60......................................           4,201          17,679
61......................................           1,340          53,318
62......................................           2,288          41,979
63......................................           1,185          36,186
64......................................          55,552          34,358
65......................................         112,189          27,004
66......................................          94,547          21,586
67......................................           1,383          30,616
68......................................          12,393          23,506
69......................................         103,747          18,936
70......................................           7,092          34,031
71......................................          10,001          26,444
72......................................           6,056          20,628
73......................................           8,655          26,844
74......................................          32,523          21,427
75......................................           1,197          33,931
76......................................             874          24,318
77......................................           1,101          32,854
78......................................           1,307          24,933
79......................................             957          20,523
80......................................           2,077          24,135
81......................................           8,190          17,502
82......................................           1,646          33,910
83......................................           1,940          28,383
84......................................           2,591          22,654
85......................................           5,328          35,679
86......................................          10,382          26,404
87......................................          12,152          20,144
88......................................             717          30,107
89......................................           2,641          23,706
90......................................           3,319          17,874
91......................................           6,676          29,690
92......................................          14,890          22,313
93......................................          15,484          17,172
94......................................           1,521          56,938
95......................................           1,088          42,964
96......................................             755          36,338
97......................................           1,252          51,314
98......................................           1,048          35,977
99......................................             642          30,167
100.....................................          15,837          28,714
101.....................................          56,905          19,341
102.....................................           1,352          24,321
103.....................................          15,023          17,133
113.....................................             568          31,544
114.....................................             601          21,640
115.....................................           1,098          25,563
116.....................................             665          23,828
117.....................................           1,400          16,827
121.....................................             587          22,514
122.....................................             674          13,518
123.....................................           2,843          19,108
124.....................................             679          24,153
125.....................................           4,705          16,568
129.....................................           1,374          37,663
130.....................................           1,072          28,539
131.....................................             655          35,824
132.....................................             728          27,050
133.....................................           1,352          31,142
134.....................................           2,661          20,306
135.....................................             781          35,301
136.....................................           1,113          24,451
137.....................................           1,108          28,410
138.....................................           1,370          20,587
139.....................................           2,145          22,300
146.....................................             687          35,060
147.....................................           1,422          25,142
148.....................................             935          18,944
149.....................................          39,248          15,883
150.....................................             939          25,105
151.....................................           6,801          13,607
152.....................................           2,352          22,958
153.....................................          16,028          15,145
154.....................................           1,843          27,851
155.....................................           4,207          22,020
156.....................................           5,140          16,103
157.....................................           1,145          28,232
158.....................................           3,039          21,662
159.....................................           2,418          15,345
163.....................................          13,431          79,829
164.....................................          18,047          47,971
165.....................................          14,553          37,942
166.....................................          20,290          58,779
167.....................................          20,772          40,117
168.....................................           5,758          30,294
175.....................................          11,954          33,475
176.....................................          40,173          26,670
177.....................................          57,179          36,617
178.....................................          71,192          30,381
179.....................................          27,454          24,673
180.....................................          22,474          32,948
181.....................................          32,156          26,822
182.....................................           6,163          22,468
183.....................................           1,654          29,694
184.....................................           4,141          22,561
185.....................................           2,593          15,740
186.....................................           8,533          31,857
187.....................................           9,968          25,761
188.....................................           5,148          20,974
189.....................................         104,531          28,757
190.....................................          57,041          27,770
191.....................................         121,659          24,280
192.....................................         196,903          18,419
193.....................................          88,053          29,668
194.....................................         266,599          24,679
195.....................................         147,744          18,274
196.....................................           5,143          30,999
197.....................................           6,894          25,721
198.....................................           4,943          21,129
199.....................................           3,257          33,231
200.....................................           8,185          23,984
201.....................................           3,523          17,676
202.....................................          31,587          20,635
203.....................................          41,587          15,003
204.....................................          26,039          17,394
205.....................................           5,775          26,368
206.....................................          22,415          18,854
207.....................................          46,165          83,212
208.....................................          79,432          41,398
215.....................................             150         151,502
216.....................................           8,411         165,422
217.....................................           7,609         118,088
218.....................................           3,256          98,470
219.....................................          10,062         132,460
220.....................................          13,481          94,478
221.....................................           8,383          81,144
222.....................................           2,865         149,784
223.....................................           5,770         116,219
224.....................................           1,919         138,213
225.....................................           5,871         109,030
226.....................................           7,048         112,464
227.....................................          50,536          88,444
228.....................................           3,084         126,976
229.....................................           4,128          89,139
230.....................................           1,989          73,311
231.....................................           1,478         138,287
232.....................................           1,795         107,403
233.....................................          16,911         119,988
234.....................................          39,167          86,734
235.....................................           9,628          97,022
236.....................................          32,871          68,172
237.....................................          21,789          85,211
238.....................................          44,929          53,794
239.....................................          13,814          64,168
240.....................................          13,349          43,051
241.....................................           3,350          31,297
242.....................................          17,179          64,273
243.....................................          37,856          50,218
244.....................................          68,201          42,102
245.....................................           6,241          54,054
246.....................................          32,661          64,613
247.....................................         279,972          46,787
248.....................................           5,013          58,218
249.....................................          29,657          41,876
250.....................................           5,739          53,408
251.....................................          39,905          38,200
252.....................................          44,602          48,168
253.....................................          46,864          43,475
254.....................................          59,029          34,550
255.....................................           2,609          39,961
256.....................................           3,833          30,250
257.....................................             774          23,818
258.....................................             598          49,682

[[Page 31533]]

 
259.....................................           7,328          35,034
260.....................................             867          47,446
261.....................................           2,804          28,303
262.....................................           3,378          23,301
263.....................................             788          29,053
264.....................................          30,137          39,708
280.....................................          60,735          36,717
281.....................................          57,734          28,584
282.....................................          60,951          23,031
283.....................................          15,852          30,928
284.....................................           4,911          23,409
285.....................................           3,254          17,351
286.....................................          23,282          40,266
287.....................................         172,488          28,923
288.....................................           3,245          50,617
289.....................................           1,423          36,464
290.....................................             484          28,249
291.....................................         183,774          29,157
292.....................................         217,052          24,421
293.....................................         226,688          17,810
294.....................................           1,704          21,989
295.....................................           1,658          13,805
296.....................................           1,730          26,654
297.....................................             943          20,306
298.....................................             554          12,889
299.....................................          17,443          28,063
300.....................................          46,820          21,997
301.....................................          39,910          15,712
302.....................................           7,873          23,741
303.....................................          81,458          15,192
304.....................................           2,084          24,110
305.....................................          35,646          15,139
306.....................................           1,379          27,644
307.....................................           6,447          18,857
308.....................................          33,528          27,255
309.....................................          79,751          20,827
310.....................................         160,738          14,816
311.....................................          24,867          13,364
312.....................................         169,247          18,273
313.....................................         220,769          14,894
314.....................................          60,053          30,750
315.....................................          30,730          23,629
316.....................................          20,101          16,823
326.....................................          11,567          88,786
327.....................................          10,901          49,818
328.....................................           9,333          32,074
329.....................................          48,135          80,371
330.....................................          66,303          47,127
331.....................................          31,391          35,021
332.....................................           1,890          74,102
333.....................................           6,196          46,130
334.....................................           4,023          34,266
335.....................................           7,161          68,407
336.....................................          12,516          43,200
337.....................................           8,835          32,563
338.....................................           1,499          58,047
339.....................................           3,192          39,795
340.....................................           3,607          30,753
341.....................................             874          42,806
342.....................................           2,536          31,921
343.....................................           6,875          24,258
344.....................................             898          51,426
345.....................................           2,915          33,636
346.....................................           2,909          27,779
347.....................................           1,568          36,443
348.....................................           3,985          27,800
349.....................................           5,787          19,265
350.....................................           1,669          41,035
351.....................................           3,997          28,329
352.....................................           8,419          19,894
353.....................................           3,182          44,303
354.....................................           9,118          30,612
355.....................................          17,451          23,281
356.....................................           8,366          58,953
357.....................................           8,046          40,130
358.....................................           2,714          31,167
368.....................................           3,052          31,502
369.....................................           4,005          25,728
370.....................................           3,914          20,084
371.....................................          16,843          32,446
372.....................................          22,903          26,907
373.....................................          14,897          20,598
374.....................................           9,414          34,760
375.....................................          19,730          26,563
376.....................................           4,816          22,403
377.....................................          50,503          30,943
378.....................................          84,806          24,936
379.....................................         128,748          19,140
380.....................................           2,917          32,583
381.....................................           4,894          26,915
382.....................................           5,445          20,581
383.....................................           1,303          28,065
384.....................................           8,664          21,556
385.....................................           2,107          33,476
386.....................................           7,221          25,067
387.....................................           5,230          20,543
388.....................................          18,267          29,699
389.....................................          46,328          23,347
390.....................................          48,052          16,336
391.....................................          47,511          24,761
392.....................................         306,515          17,829
393.....................................          23,917          28,925
394.....................................          45,952          23,434
395.....................................          26,460          17,594
405.....................................           3,903          83,940
406.....................................           5,241          49,125
407.....................................           2,310          36,497
408.....................................           1,644          67,203
409.....................................           1,713          46,400
410.....................................             722          35,648
411.....................................             978          65,359
412.....................................           1,063          47,834
413.....................................             881          37,325
414.....................................           5,596          59,660
415.....................................           6,847          40,610
416.....................................           6,222          30,251
417.....................................          16,671          46,291
418.....................................          27,563          36,466
419.....................................          38,264          28,533
420.....................................             714          61,258
421.....................................           1,091          36,437
422.....................................             364          28,520
423.....................................           1,500          63,840
424.....................................             912          44,260
425.....................................             157          35,667
432.....................................          16,259          30,416
433.....................................           9,022          22,852
434.....................................             945          17,210
435.....................................          11,908          32,613
436.....................................          13,987          26,367
437.....................................           4,357          23,539
438.....................................          14,426          31,691
439.....................................          24,816          25,250
440.....................................          27,346          18,913
441.....................................          13,912          29,122
442.....................................          12,756          23,365
443.....................................           6,698          18,374
444.....................................          12,447          31,276
445.....................................          16,757          25,851
446.....................................          16,849          20,274
453.....................................             846         162,178
454.....................................           1,496         110,006
455.....................................           1,875          85,089
456.....................................             764         132,358
457.....................................           1,763          93,955
458.....................................           1,534          78,607
459.....................................           3,180          93,067
460.....................................          50,317          61,555
461.....................................           1,062          78,144
462.....................................          14,234          58,820
463.....................................           5,283          64,018
464.....................................           6,322          42,171
465.....................................           2,942          31,102
466.....................................           4,152          70,822
467.....................................          10,818          52,840
468.....................................          28,701          44,445
469.....................................          29,730          57,143
470.....................................         410,173          41,440
471.....................................           2,227          71,285
472.....................................           6,218          48,040
473.....................................          22,546          39,667
474.....................................           2,829          51,053
475.....................................           3,530          35,636
476.....................................           1,698          26,070
477.....................................           2,257          57,109
478.....................................           7,144          41,570
479.....................................          10,267          33,395
480.....................................          25,866          50,686
481.....................................          59,136          38,146
482.....................................          64,739          33,332
483.....................................           5,729          44,536
484.....................................          17,949          37,665
485.....................................             967          55,459
486.....................................           1,535          40,900
487.....................................           1,214          33,214
488.....................................           1,551          33,205
489.....................................           3,866          26,495
490.....................................          19,803          34,057
491.....................................          58,396          24,028
492.....................................           4,700          48,148
493.....................................          15,248          36,196
494.....................................          30,563          28,910
495.....................................           1,867          51,435
496.....................................           5,049          34,292
497.....................................           7,519          27,156
498.....................................           1,177          36,767
499.....................................           1,245          22,858
500.....................................           1,349          47,836
501.....................................           3,679          30,766
502.....................................           6,825          23,032
503.....................................             736          38,112
504.....................................           2,155          30,857
505.....................................           3,214          24,352
506.....................................             909          25,023
507.....................................             779          33,035
508.....................................           2,722          26,249
509.....................................             465          25,608
510.....................................             957          38,420
511.....................................           4,008          30,072
512.....................................          11,961          23,087
513.....................................           1,287          29,502
514.....................................           1,339          20,718
515.....................................           3,577          51,402
516.....................................          10,963          37,292
517.....................................          18,263          30,388
533.....................................             828          27,486
534.....................................           3,634          15,819
535.....................................           6,844          27,022
536.....................................          34,321          15,408
537.....................................             654          20,405
538.....................................           1,164          12,954
539.....................................           3,379          34,667
540.....................................           4,187          27,375
541.....................................           1,858          22,002
542.....................................           6,158          33,306
543.....................................          18,413          25,124
544.....................................          12,644          18,008
545.....................................           4,016          34,451
546.....................................           5,881          24,102

[[Page 31534]]

 
547.....................................           4,880          18,469
548.....................................             591          33,006
549.....................................           1,077          25,270
550.....................................             904          18,381
551.....................................           9,502          29,646
552.....................................          87,859          18,492
553.....................................           2,790          24,265
554.....................................          20,253          14,944
555.....................................           1,995          22,555
556.....................................          19,168          14,428
557.....................................           3,184          29,321
558.....................................          14,178          19,372
559.....................................           1,635          28,972
560.....................................           3,979          20,901
561.....................................           7,617          13,636
562.....................................           4,996          26,929
563.....................................          36,056          15,451
564.....................................           1,606          27,237
565.....................................           3,237          21,478
566.....................................           2,779          15,695
573.....................................           5,687          46,949
574.....................................          12,100          33,325
575.....................................           6,468          25,393
576.....................................             558          44,896
577.....................................           2,179          31,142
578.....................................           3,299          23,686
579.....................................           3,088          44,811
580.....................................           6,766          31,460
581.....................................           5,288          23,941
582.....................................           8,972          24,930
583.....................................          15,549          19,001
584.....................................           1,431          27,897
585.....................................           2,818          20,786
592.....................................           3,982          30,226
593.....................................          12,832          23,538
594.....................................           2,955          16,562
595.....................................           1,082          29,610
596.....................................           5,755          19,571
597.....................................             548          29,514
598.....................................           1,483          23,497
599.....................................             350          15,943
600.....................................             572          21,988
601.....................................             865          15,125
602.....................................          21,307          26,948
603.....................................         130,923          18,145
604.....................................           2,627          25,150
605.....................................          22,672          16,152
606.....................................           1,363          22,966
607.....................................           7,169          14,791
614.....................................           1,376          44,346
615.....................................           1,626          32,541
616.....................................           1,132          61,354
617.....................................           6,822          37,382
618.....................................             343          28,522
619.....................................             663          60,076
620.....................................           1,877          41,119
621.....................................           6,556          35,242
622.....................................           1,234          45,937
623.....................................           3,268          33,291
624.....................................             487          24,889
625.....................................           1,098          40,232
626.....................................           2,522          27,537
627.....................................          14,305          19,134
628.....................................           3,267          51,514
629.....................................           3,958          40,808
630.....................................             684          31,392
637.....................................          16,283          26,892
638.....................................          40,811          20,070
639.....................................          41,135          14,010
640.....................................          55,690          23,971
641.....................................         188,104          16,575
642.....................................           1,542          23,138
643.....................................           5,014          31,125
644.....................................          11,845          24,210
645.....................................           8,402          18,520
652.....................................          10,437          57,281
653.....................................           1,585          86,150
654.....................................           3,231          54,167
655.....................................           1,650          40,670
656.....................................           3,721          56,568
657.....................................           7,359          38,736
658.....................................           8,479          32,186
659.....................................           4,442          51,032
660.....................................           7,444          36,348
661.....................................           4,745          29,748
662.....................................             988          41,594
663.....................................           2,131          29,231
664.....................................           4,676          23,754
665.....................................             690          46,858
666.....................................           2,213          30,439
667.....................................           3,948          19,910
668.....................................           3,757          39,537
669.....................................          12,491          27,870
670.....................................          13,411          19,410
671.....................................             884          28,518
672.....................................             965          19,128
673.....................................          12,577          43,111
674.....................................          10,503          40,270
675.....................................          11,704          31,229
682.....................................          75,827          30,254
683.....................................         112,129          25,615
684.....................................          43,451          19,020
685.....................................           2,493          19,996
686.....................................           1,581          31,234
687.....................................           3,322          24,255
688.....................................           1,198          18,441
689.....................................          55,398          25,904
690.....................................         200,059          18,352
691.....................................             898          31,887
692.....................................             654          25,534
693.....................................           2,235          27,712
694.....................................          19,213          17,667
695.....................................             974          24,032
696.....................................          10,565          14,808
697.....................................             575          17,475
698.....................................          21,061          27,909
699.....................................          22,820          23,309
700.....................................          15,089          17,723
707.....................................           4,874          35,532
708.....................................          17,015          29,281
709.....................................             755          34,020
710.....................................           2,037          27,689
711.....................................             921          34,145
712.....................................             819          20,449
713.....................................          11,755          25,154
714.....................................          32,745          15,644
715.....................................             638          34,191
716.....................................           1,382          26,921
717.....................................             634          31,538
718.....................................             633          19,455
722.....................................             871          28,980
723.....................................           2,037          23,777
724.....................................             666          15,999
725.....................................             802          23,413
726.....................................           3,940          16,420
727.....................................           1,098          26,180
728.....................................           6,176          16,848
729.....................................             578          22,426
730.....................................             552          14,387
734.....................................           1,470          39,650
735.....................................           1,328          26,263
736.....................................             840          68,822
737.....................................           3,429          39,321
738.....................................             954          28,973
739.....................................             975          48,200
740.....................................           4,366          31,584
741.....................................           6,554          24,119
742.....................................          10,705          29,966
743.....................................          35,310          21,122
744.....................................           1,498          28,762
745.....................................           2,189          20,066
746.....................................           2,486          27,713
747.....................................          11,218          20,664
748.....................................          21,171          19,841
749.....................................           1,037          42,792
750.....................................             484          24,671
754.....................................           1,083          31,715
755.....................................           3,152          24,245
756.....................................             831          16,790
757.....................................           1,322          31,004
758.....................................           1,597          24,623
759.....................................           1,186          19,161
760.....................................           1,703          19,848
761.....................................           1,918          13,557
765.....................................           2,497          22,146
766.....................................           2,634          14,889
767.....................................             119          15,750
768.....................................              10          28,201
769.....................................              86          29,901
770.....................................             181          18,191
774.....................................           1,442          12,637
775.....................................           5,224           9,066
776.....................................             491          15,413
777.....................................             177          19,480
778.....................................             489           8,798
779.....................................             107          14,082
780.....................................              47           5,638
781.....................................           3,004          13,343
782.....................................             125           8,369
794.....................................               7           2,880
799.....................................             623          76,151
800.....................................             699          45,583
801.....................................             602          35,355
802.....................................             691          51,739
803.....................................           1,003          33,630
804.....................................             996          25,527
808.....................................           8,315          34,115
809.....................................          15,527          24,895
810.....................................           3,818          21,504
811.....................................          18,344          24,532
812.....................................          83,082          18,156
813.....................................          15,031          25,132
814.....................................           1,631          29,730
815.....................................           3,337          23,820
816.....................................           2,355          18,234
820.....................................           1,481          83,993
821.....................................           2,529          40,735
822.....................................           2,139          28,780
823.....................................           2,436          64,907
824.....................................           3,039          40,522
825.....................................           2,009          29,739
826.....................................             562          77,350
827.....................................           1,318          40,156
828.....................................             872          29,232
829.....................................           1,374          44,261
830.....................................             531          25,785
834.....................................           5,257          51,445
835.....................................           1,469          30,879
836.....................................           1,526          23,524
837.....................................           1,623          85,432
838.....................................             900          41,508
839.....................................           1,385          26,968
840.....................................          15,152          38,374
841.....................................          11,012          29,060
842.....................................           7,678          22,849
843.....................................           1,477          32,639
844.....................................           2,854          25,034
845.....................................           1,008          21,623
846.....................................           2,480          37,292

[[Page 31535]]

 
847.....................................          23,667          25,136
848.....................................           1,699          20,748
849.....................................           1,498          26,843
853.....................................          31,444          77,914
854.....................................           6,881          50,010
855.....................................             467          36,089
856.....................................           6,187          69,506
857.....................................          10,059          36,989
858.....................................           3,500          28,786
862.....................................           7,425          33,012
863.....................................          21,807          21,882
864.....................................          19,826          20,564
865.....................................           2,019          27,840
866.....................................           9,406          16,786
867.....................................           5,306          38,488
868.....................................           2,369          24,746
869.....................................           1,100          20,520
870.....................................          13,710          90,935
871.....................................         203,702          33,685
872.....................................          92,118          25,456
876.....................................             968          40,268
880.....................................          10,494          15,328
881.....................................           4,576          11,727
882.....................................           1,656          12,481
883.....................................             786          17,701
884.....................................          21,619          19,048
885.....................................          77,763          16,598
886.....................................             376          14,393
887.....................................             423          18,850
894.....................................           4,480           8,389
895.....................................           6,474          16,201
896.....................................           5,369          25,303
897.....................................          35,835          13,689
901.....................................             917          48,598
902.....................................           2,135          31,632
903.....................................           1,739          24,530
904.....................................             941          39,574
905.....................................             798          25,597
906.....................................             745          23,573
907.....................................           8,098          53,982
908.....................................           7,884          35,453
909.....................................           5,971          26,248
913.....................................             813          26,149
914.....................................           6,958          16,346
915.....................................             915          24,023
916.....................................           5,369          10,725
917.....................................          14,155          28,466
918.....................................          34,847          14,539
919.....................................          10,569          27,881
920.....................................          12,135          22,284
921.....................................          11,659          15,316
922.....................................           1,005          26,606
923.....................................           4,211          16,053
927.....................................             182         181,306
928.....................................             794          60,107
929.....................................             459          32,721
933.....................................             155          31,143
934.....................................             694          23,842
935.....................................           2,179          21,397
939.....................................             423          43,099
940.....................................             690          32,755
941.....................................           1,077          26,227
945.....................................           5,053          21,694
946.....................................           3,199          17,198
947.....................................           6,544          23,445
948.....................................          34,325          15,485
949.....................................             742          18,955
950.....................................             476          12,079
951.....................................             990          14,489
955.....................................             446          82,175
956.....................................           3,718          55,062
957.....................................           1,157         102,443
958.....................................             737          70,330
959.....................................             816          53,566
963.....................................           1,395          46,322
964.....................................           1,578          32,525
965.....................................           2,016          27,560
969.....................................             598          75,122
970.....................................             231          47,821
974.....................................           7,276          34,615
975.....................................           3,463          29,344
976.....................................           2,728          23,762
977.....................................           4,871          23,005
981.....................................          26,280          77,452
982.....................................          18,594          53,442
983.....................................           6,766          38,481
984.....................................             669          55,818
985.....................................           1,048          38,813
986.....................................             890          27,837
987.....................................           8,036          54,475
988.....................................          11,880          36,064
989.....................................           6,537          26,243
999.....................................              18          16,006
------------------------------------------------------------------------

    17. On pages 25118 through 25123, in Table I.--Impact Analysis of 
Proposed Changes For FY 2008, the listed entries and footnotes are 
corrected to read as follows:

BILLING CODE 4120-01-P

[[Page 31536]]

[GRAPHIC] [TIFF OMITTED] TP07JN07.019


[[Page 31537]]


[GRAPHIC] [TIFF OMITTED] TP07JN07.020


[[Page 31538]]


[GRAPHIC] [TIFF OMITTED] TP07JN07.021

BILLING CODE 4120-01-C
    18. On page  25124,
---------------------------------------------------------------------------

    \6\ Shown here are the tentative effects of geographic 
reclassifications by the Medicare Geographic Classification Review 
Board (MGCRB). The effects demonstrate the FY 2008 payment impact of 
going from no reclassifications to the reclassifications scheduled 
to be in effect for FY 2008. Reclassification for prior years has no 
bearing on the payment impacts shown here. This column reflect the 
geographic budget neutrality factor of 0.991925.
    \7\ This column displays the effects of the proposed changes in 
the rural floor budget neutrality adjustment applied on the wage 
index instead of on the standardized amount. The column reflects a 
proposed rural floor budget neutrality factor of 0.997080.
    \11\ This column shows tentative changes in payments from FY 
2007 to FY 2008 including a 0.976 case mix index adjustment for 
coding and documentation improvements that are anticipated with the 
adoption of the MS-DRGs prior to the assumed growth occurring. In 
incorporates all of the changes displayed in Columns 4, 5, 6, 7, 8, 
9, 10 and (the changes displayed in Columns 2 and 3 are included in 
Column 4).
    \12\ This column shows tentative changes in payments from FY 
2007 to FY 2008 with a case mix index adjustment and the assumed 
growth for improvements in documentation and coding. It incorporates 
all of the changes displayed in Columns 4, 5, 6, 7, 8, 9, 10 and 
(the changes displayed in Columns 2 and 3 are included in Column 4). 
It also reflects the impact of the proposed FY 2008 update, and 
changes in hospitals' reclassification status in FY 2008 compared to 
FY 2007. The sum of these impacts may be different from the 
percentage changes shown here due to rounding and interactive 
effects.

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

[[Page 31539]]

    a. First column, second full paragraph, line 25, the figure 
``0.999317'' is corrected to read ``0.999367.''
    b. Second column, last paragraph, line 3, the figure ``0.999317'' 
is corrected to read ``0.999367.''
    19. On page 25125,
    a. First column, last paragraph, line 5, the figure ``0.991938'' is 
corrected to read ``0.991925.''
    b. Second column, first full paragraph, line 17, the figure 
``0.997084'' is corrected to read ``0.997080.''
    20. On pages 25126 through 25128, in Table II.--Impact Analysis of 
Proposed Changes For FY 2008 Operating Prospective Payment System, the 
listed entries are corrected to read as follows:

  Table II.--Impact Analysis of Proposed Changes for FY 2008 Operating Prospective Payment System (Payments per
                                                      Case)
                                     [Percent changes in payments per case]
----------------------------------------------------------------------------------------------------------------
                                                     Published       Corrected
                                                      average         average      Published all   Corrected all
                                     Number of      proposed FY     proposed FY     proposed FY     proposed FY
                                     hospitals     2008 payment    2008 payment    2008 changes    2008 changes
                                                   per case \1\    per case \1\
                                             (1)             (3)             (3)             (4)             (4)
----------------------------------------------------------------------------------------------------------------
All hospitals...................            3535            9299            9299             3.3             3.3
By Geographic Location:
    Urban hospitals.............            2540            9678            9680             3.6             3.6
    Large urban areas                       1409           10156           10157             4.2             4.2
     (populations over 1
     million)...................
    Other urban areas                       1131            9103            9107             2.8             2.9
     (populations of 1 million
     or fewer)..................
    Rural hospitals.............             995            7123            7110             0.9             0.7
Bed Size (Urban):
     0-99 beds..................             632            7263            7261             0.4             0.3
    100-199 beds................             849            8170            8159             3.4             3.2
    200-299 beds................             480            9120            9117             3.5             3.4
    300-499 beds................             412           10136           10143             4.0             4.0
    500 or more beds............             167           12234           12254             4.0             4.2
Bed Size (Rural):
     0-49 beds..................             342            6065            6045            -1.6            -1.9
    50-99 beds..................             369            6588            6572             0.5             0.2
    100-149 beds................             172            6960            6945             1.3             1.1
    150-199 beds................              67            7735            7727             1.4             1.3
    200 or more beds............              45            8938            8937             2.0             2.0
Urban by Region:
    New England.................             126           10001           10004             2.6             2.6
    Middle Atlantic.............             350           10529           10532             2.8             2.8
    South Atlantic..............             388            9175            9176             4.2             4.3
    East North Central..........             395            9197            9199             3.4             3.5
    East South Central..........             166            8784            8786             3.2             3.2
    West North Central..........             156            9321            9334             2.8             3.0
    West South Central..........             358            9174            9175             4.0             4.0
    Mountain....................             153            9826            9836             3.3             3.5
    Pacific.....................             395           11657           11656             4.7             4.7
    Puerto Rico.................              53            4525            4511             3.6             3.3
Rural by Region:
    New England.................              19            9714            9716             0.4             0.4
    Middle Atlantic.............              72            7525            7514             0.8             0.6
    South Atlantic..............             173            6700            6683             1.8             1.6
    East North Central..........             124            7574            7567             0.7             0.6
    East South Central..........             177            6479            6462             1.2             1.0
    West North Central..........             115            7792            7786             0.6             0.6
    West South Central..........             194            6339            6322            -0.7            -0.9
    Mountain....................              80            7834            7822             0.9             0.7
    Pacific.....................              41            8896            8881             2.0             1.8
By Payment Classification:
    Urban hospitals.............            2619            9629            9631             3.6             3.6
    Large urban areas                       1436           10127           10128             4.1             4.1
     (populations over 1
     million)...................
    Other urban areas                       1183            9034            9038             2.8             2.8
     (populations of 1 million
     or fewer)..................
    Rural areas.................             916            7242            7230             0.9             0.8
Teaching Status:
    Non-teaching................            2479            7851            7844             2.7             2.6
    Fewer than 100 Residents....             816            9384            9385             3.5             3.5
    100 or more Residents.......             240           13533           13555             4.1             4.2
Urban DSH:
    Non-DSH.....................             879            8307            8314             2.0             2.1
    100 or more beds............            1527           10182           10183             4.0             4.0

[[Page 31540]]

 
    Less than 100 beds..........             359            6697            6682             1.9             1.6
Rural DSH:
    SCH.........................             391            7013            6994             0.3             0.0
    RRC.........................             189            7818            7809             1.7             1.6
    100 or more beds............              36            6028            6010             2.1             1.8
    Less than 100 beds..........             154            5353            5335             0.4             0.0
Urban teaching and DSH:
    Both teaching and DSH.......             805           11185           11192             4.0             4.1
    Teaching and no DSH.........             192            9078            9089             2.5             2.6
    No teaching and DSH.........            1081            8283            8273             3.7             3.5
    No teaching and no DSH......             541            7812            7817             1.9             2.0
Rural Hospital Types:
    RRC.........................              59            8358            8359             2.5             2.5
    SCH.........................              45            9301            9296             0.8             0.8
    MDH.........................              21            6339            6319             0.3             0.0
    SCH and RRC.................              17           10239           10236             2.7             2.7
    MDH and RRC.................               1            9674            9677            -0.8            -0.8
Type of Ownership:
    Voluntary...................            2069            9424            9427             3.2             3.2
    Proprietary.................             823            8478            8471             3.7             3.6
    Government..................             598            9593            9589             3.5             3.4
Medicare Utilization as a
 Percent of Inpatient Days:
    0-25........................             230           13443           13434             5.6             5.5
    25-50.......................            1292           10570           10576             4.0             4.1
    50-65.......................            1453            8116            8113             2.6             2.5
    Over 65.....................             441            7331            7325             1.2             1.2
Hospitals Reclassified by the
 Medicare Geographic
 Classification Review Board: FY
 2008 Reclassifications:
    All Reclassified Hospitals               801            8938            8937             2.8             2.8
     FY 2008....................
    All Non-Reclassified                    2734            9417            9416             3.4             3.4
     Hospitals FY 2008..........
    Urban Reclassified Hospitals             434            9581            9595             3.3             3.4
     FY 2008....................
    Urban Non-reclassified                  2105            9701            9705             3.6             3.7
     Hospitals FY 2008..........
    Rural Reclassified Hospitals             367            7669            7663             1.5             1.4
     FY 2008....................
    Rural Nonreclassified                    568            6392            6374            -0.3            -0.6
     Hospitals FY 2008..........
    All Section 401 Reclassified              31            8799            8787             1.8             1.6
     Hospitals..................
    Other Reclassified Hospitals              61            6729            6710             1.4             1.1
     (Section 1886(d)(8)(B))....
    Former Section 508 Hospitals             107            9814            9823             0.5             0.6
Specialty Hospitals
    Cardiac Specialty Hospitals.              22           10676           10727            -0.6           -0.1
----------------------------------------------------------------------------------------------------------------
\1\ These payment amounts per case do not reflect any estimates of annual case-mix increase.


(Catalog of Federal Domestic Assistance Program No. 93.773, 
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)
    Dated: June 1, 2007.
Ann C. Agnew,
Executive Secretary to the Department.
[FR Doc. 07-2806 Filed 6-1-07; 2:04 pm]
BILLING CODE 4120-01-P