[Federal Register Volume 66, Number 42 (Friday, March 2, 2001)]
[Rules and Regulations]
[Pages 13021-13022]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-5107]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

42 CFR Parts 410, 412, 413, and 485

[HCFA-1118-CN1]
RIN 0938-AK09


Medicare Program; Changes to the Hospital Inpatient Prospective 
Payment Systems and Fiscal Year 2001 Rates; Correction

AGENCY: Health Care Financing Administration (HCFA), HHS.

ACTION: Final rule; correction notice.

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SUMMARY: In the August 1, 2000 issue of the Federal Register (65 FR 
47054), we published a final rule that revised the Medicare hospital 
inpatient prospective payment systems for operating costs and capital-
related costs to implement necessary changes arising from our 
continuing experience with the system. This document corrects errors 
made in that final rule.

EFFECTIVE DATE: October 1, 2000.

FOR FURTHER INFORMATION CONTACT: Anne Tayloe, (410) 786-4546.

SUPPLEMENTARY INFORMATION:  This document corrects a limited number of 
values to address technical errors in preparing tables 3C and 4A 
through 4D for publication in the August 1, 2000 Federal Register. 
Table 3C reflects changes to the wage data and tables 4A through 4D 
reflect changes in the actual payments due to hospital reclassification 
with the exception of the change in table 4A for MSA 0240 (Allentown-
Bethlehem-Easton, PA).
    The August 1, 2000 final rule also contained other technical and 
typographical errors. Therefore, we are making the following 
corrections:
    1. On page 47144, in Table 3C--Hospital Case Mix Indexes for 
Discharges Occurring in Federal Fiscal Year 1999; Hospital Average 
Hourly Wage for Federal Fiscal Year 2001 Wage Index, the average hourly 
wages for the specified providers is corrected to read as follows:

------------------------------------------------------------------------
                                                                Average
                     Provider                        Case mix    hourly
                                                      index       wage
------------------------------------------------------------------------
390263............................................     1.3571      20.69
------------------------------------------------------------------------

    2. On pages 47149 and 47151, in Table 4A--Wage Index and Capital 
Geographic Adjustment Factor (GAF) for Urban Areas, the wage indexes 
and GAFs for the specified urban areas are corrected to read as 
follows:

[[Page 13022]]



------------------------------------------------------------------------
                                  Urban area           Wage
                            (constituent counties)    index       GAF
------------------------------------------------------------------------
0240.....................  Allentown-Bethlehem-        0.9925     0.9949
                            Easton, PA; Carbon,
                            PA; Lehigh, PA.
3040.....................  Great Falls, MT;            0.9330     0.9536
                            Cascade, MT.
------------------------------------------------------------------------

    3. On page 47156, in Table 4B--Wage Index and Capital Geographic 
Adjustment Factor (GAF) for Rural Areas, the wage index and GAF for the 
specified nonurban area is corrected to read as follows:

------------------------------------------------------------------------
                                                       Wage
                   Nonurban area                      index       GAF
------------------------------------------------------------------------
Vermont...........................................     0.9409     0.9591
------------------------------------------------------------------------

    4. On page 47156 through 47157, in Table 4C--Wage Index and Capital 
Geographic Adjustment Factor (GAF) for Hospitals that are Reclassified, 
the wage indexes and GAFs for the specified areas are added or 
corrected to read as follows:

------------------------------------------------------------------------
                                                       Wage
                       Area                           index       GAF
------------------------------------------------------------------------
Barnstable-Yarmouth, MA...........................     1.3583     1.2333
Burlington, VT....................................     1.0236     1.0161
Great Falls, MT...................................     0.9330     0.9536
Kalamazoo-Battlecreek, MI.........................     1.0291     1.0198
Newburgh, NY-PA...................................     1.0317     1.0216
------------------------------------------------------------------------

    5. On page 47157, in Table 4D--Average Hourly Wage for Urban Areas, 
the average hourly wage for the specified urban area is corrected to 
read as follows:

------------------------------------------------------------------------
                                                               Average
                         Urban area                             hourly
                                                                 wage
------------------------------------------------------------------------
Allentown-Bethlehem-Easton, PA.............................      21.6065
------------------------------------------------------------------------

    6. On pages 47160 and 47167, in Table 5--List of Diagnosis Related 
Groups (DRGs), Relative Weighting Factors, Geometric and Arithmetic 
Mean Length of Stay, the fourth column (DRG title) is amended as 
follows:
    a. DRG 27, ``Traumatic Stupor & Coma, Coma 1 hr'' is corrected to 
read ``Traumatic Stupor & Coma, Coma >1 hr.''
    b. DRG 29, ``Traumatic Stupor & Coma, Coma 1 hr Age <ls-thn-eq>17 
W/O CC'' is corrected to read ``Traumatic Stupor & Coma, Coma 1 hr Age> 
17 W/O CC.''
    c. DRG 425, ``Acute Adjustment Reaction & Psychological 
Dysfunction'' is corrected to read ``Acute Adjustment Reaction & 
Psychosocial Dysfunction.''
    7. On page 47171, in Table 6C--Invalid Diagnosis Codes the 
following entry is added before the first line of the table to read as 
follows:

----------------------------------------------------------------------------------------------------------------
           Diagnosis code                           Description                   CC          MDC         DRG
----------------------------------------------------------------------------------------------------------------
282.5...............................  Anemia in chronic illness.............          N          16    395, 396
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(Catalog of Federal Domestic Assistance Program No. 93.773 
Medicare--Hospital Insurance)


    Dated: February 22, 2001.
William E. Clark,
Acting, Deputy Assistant Secretary for Information Resource Management.
[FR Doc. 01-5107 Filed 3-1-01; 8:45 am]
BILLING CODE 4120-01-P