Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 31507 

attainment for the 8-hour ozone 

NAAQS, the associated maintenance 

plan, the 2002 base-year inventory, and 

the MVEBs identified in the 

maintenance plan, does not impose an 

information collection burden under the 

provisions of the Paperwork Reduction 

Act of 1995 (44 U.S.C. 3501 et seq.). 

List of Subjects 

40 CFR Part 52 

Environmental protection, Air 

pollution control, Nitrogen dioxide, 

Ozone, Reporting and recordkeeping 

requirements, Volatile organic 

compounds. 

40 CFR Part 81 

Air pollution control, National parks, 

Wilderness areas. 

Authority: 42 U.S.C. 7401 et seq. 

Dated: May 31, 2007. 

William T. Wisniewski, 

Acting Regional Administrator, Region III. 

[FR Doc. E7–11019 Filed 6–6–07; 8:45 am] 

BILLING CODE 6560–50–P 

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: 

• Preamble language regarding the 

methodology used to calculate chargebased and cost-based relative weights. 

• Outlier threshold. 

• Recalibration, wage and 

recalibration, geographic 

reclassification, and rural floor budget 

neutrality factors. 

• Tables 1A through 1D, 2, 4A, 4C, 4J, 

5, 10. 

• 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 

(3.3 percent) 

Reduced 

update 

(1.3 percent) 

FY 2008 DRG Recalibrations and Wage Index Budget Neutrality Factor .......................................................... 0.999367 0.999367 

FY 2008 Reclassification Budget Neutrality Factor ............................................................................................. 0.991925 0.991925 


jlentini on PROD1PC65 with PROPOSALS
31508 Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 

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: 


jlentini on PROD1PC65 with PROPOSALS
Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 31509 

Provider No. FY 2008 

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 

Provider No. FY 2008 

wage index 

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 

Provider No. FY 2008 

wage index 

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: 

CBSA code Urban area Wage 

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: 


jlentini on PROD1PC65 with PROPOSALS
31510 Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 

CBSA code Area Wage 

index GAF 

10740 ....... Albuquerque, NM .............................................................................................................................................. 0.9739 0.9821 

13020 ....... Bay City, MI ...................................................................................................................................................... 0.9398 0.9584 

22220 ....... Fayetteville-Springdale-Rogers, AR-MO ........................................................................................................... 0.8718 0.9103 

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: 

Provider No. Reclassified for 

FY 2008 

Out-migration 

adjustment Qualifying county 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 


jlentini on PROD1PC65 with PROPOSALS
Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 31511 

Provider No. Reclassified for 

FY 2008 

Out-migration 

adjustment Qualifying county name County code 

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 


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Provider No. Reclassified for 

FY 2008 

Out-migration 

adjustment Qualifying county name County code 

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 


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1Cases taken from the FY 2006 MedPAR file; 

proposed MS–DRGs are from GROUPER Version 

25.0. 

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: 

Proposed 

MS–DRG 

Number of 

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 

Proposed 

MS–DRG 

Number of 

cases Threshold 

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 

Proposed 

MS–DRG 

Number of 

cases Threshold 

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 


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Proposed 

MS–DRG 

Number of 

cases Threshold 

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 

Proposed 

MS–DRG 

Number of 

cases Threshold 

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 

Proposed 

MS–DRG 

Number of 

cases Threshold 

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 


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31534 Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 

Proposed 

MS–DRG 

Number of 

cases Threshold 

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 

Proposed 

MS–DRG 

Number of 

cases Threshold 

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 

Proposed 

MS–DRG 

Number of 

cases Threshold 

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 


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Proposed 

MS–DRG 

Number of 

cases Threshold 

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 

Proposed 

MS–DRG 

Number of 

cases Threshold 

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 

Proposed 

MS–DRG 

Number of 

cases Threshold 

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 


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31538 Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 

6Shown 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. 

7This 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. 

11This 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). 

12This 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 

BILLING CODE 4120–01–C 

18. On page 25124, 


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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. 

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] 

Number of 

hospitals 

Published average proposed FY 

2008 payment 

per case 1

Corrected average proposed FY 

2008 payment 

per case 1

Published all 

proposed FY 

2008 changes 

Corrected all 

proposed FY 

2008 changes 

(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 (populations over 1 million) ........... 1409 10156 10157 4.2 4.2 

Other urban areas (populations of 1 million or fewer) 1131 9103 9107 2.8 2.9 

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 (populations over 1 million) ........... 1436 10127 10128 4.1 4.1 

Other urban areas (populations of 1 million or fewer) 1183 9034 9038 2.8 2.8 

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 


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31540 Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Proposed Rules 

TABLE II.—IMPACT ANALYSIS OF PROPOSED CHANGES FOR FY 2008 OPERATING PROSPECTIVE PAYMENT SYSTEM

(PAYMENTS PER CASE)—Continued 

[Percent changes in payments per case] 

Number of 

hospitals 

Published average proposed FY 

2008 payment 

per case 1

Corrected average proposed FY 

2008 payment 

per case 1

Published all 

proposed FY 

2008 changes 

Corrected all 

proposed FY 

2008 changes 

(1) (3) (3) (4) (4) 

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 FY 2008 .............................. 801 8938 8937 2.8 2.8 

All Non-Reclassified Hospitals FY 2008 ....................... 2734 9417 9416 3.4 3.4 

Urban Reclassified Hospitals FY 2008 ......................... 434 9581 9595 3.3 3.4 

Urban Non-reclassified Hospitals FY 2008 .................. 2105 9701 9705 3.6 3.7 

Rural Reclassified Hospitals FY 2008 .......................... 367 7669 7663 1.5 1.4 

Rural Nonreclassified Hospitals FY 2008 ..................... 568 6392 6374 ¥0.3 ¥0.6 

All Section 401 Reclassified Hospitals ......................... 31 8799 8787 1.8 1.6 

Other Reclassified Hospitals (Section 1886(d)(8)(B)) .. 61 6729 6710 1.4 1.1 

Former Section 508 Hospitals ...................................... 107 9814 9823 0.5 0.6 

Specialty Hospitals 

Cardiac Specialty Hospitals .......................................... 22 10676 10727 ¥0.6 ¥0.1 

1These 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 

DEPARTMENT OF HOMELAND 

SECURITY 

Federal Emergency Management 

Agency 

44 CFR Part 67 

[Docket No. FEMA–D–7800] 

Proposed Flood Elevation 

Determinations 

AGENCY: Federal Emergency 

Management Agency, DHS. 

ACTION: Proposed rule. 

SUMMARY: Technical information or 

comments are requested on the 

proposed Base (1% annual chance) 

Flood Elevations (BFEs) and proposed 

BFEs modifications for the communities 

listed below. The BFEs are the basis for 

the floodplain management measures 

that the community is required either to 

adopt or to show evidence of being 

already in effect in order to qualify or 

remain qualified for participation in the 

National Flood Insurance Program 

(NFIP). 

DATES: The comment period is ninety 

(90) days following the second 

publication of this proposed rule in a 

newspaper of local circulation in each 

community. 

ADDRESSES: The proposed BFEs for each 

community are available for inspection 

at the office of the Chief Executive 


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