Federal Register - October 20, 2021
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Source: Federal Register
Federal Register / Vol. 86, No. 200 / Wednesday, October 20, 2021 / Rules and Regulations Allison Pompey, 410 7862348, New Technology Add-On Payments Issues.
Julia Venanzi, julia.venanzi@
cms.hhs.gov, Hospital Inpatient Quality Reporting and Hospital Value-Based Purchasing Programs.
SUPPLEMENTARY INFORMATION:
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid Services 42 CFR Parts 412, 413, 425, 455, and 495
CMS1752F2 and CMS1762F2
RIN 0938AU44 and 0938AU56
Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the LongTerm Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2022 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Changes to Medicaid Provider Enrollment; and Changes to the Medicare Shared Savings Program; Corrections Centers for Medicare &
Medicaid Services CMS, Department of Health and Human Services HHS.
ACTION: Final rule; correction and correcting amendment.
AGENCY:
This document corrects technical and typographical errors in the final rule that appeared in the August 13, 2021, issue of the Federal Register titled Medicare Program;
Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2022 Rates;
Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Changes to Medicaid Provider Enrollment; and Changes to the Medicare Shared Savings Program.
DATES:
Effective date: The final rule corrections and correcting amendment are effective on October 19, 2021.
Applicability date: The final rule corrections and correcting amendment are applicable to discharges occurring on or after October 1, 2021.
FOR FURTHER INFORMATION CONTACT:
Donald Thompson, 410 7864487, and Michele Hudson, 410 7864487, Operating Prospective Payment, Wage Index, Hospital Geographic Reclassifications, Medicare Disproportionate Share Hospital DSH
Payment Adjustment, Graduate Medical Education, and Critical Access Hospital CAH Issues. Mady Hue, 410 786
4510, and Andrea Hazeley, 410 786
3543, MSDRG Classification Issues.
lotter on DSK11XQN23PROD with RULES1
SUMMARY:
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I. Background In FR Doc. 202116519 of August 13, 2021 86 FR 44774, there were a number of technical and typographical errors that are identified and corrected in this final rule correction and correcting amendment. The final rule corrections and correcting amendment are applicable to discharges occurring on or after October 1, 2021, as if they had been included in the document that appeared in the August 13, 2021, Federal Register.
II. Summary of Errors A. Summary of Errors in the Preamble On page 44878, we are correcting an inadvertent error in the reference to the number of technologies for which we proposed to allow a one-time extension of new technology add-on payments for fiscal year FY 2022.
On page 44889, we are correcting an inadvertent typographical error in the International Classification of Disease, 10th Revision, Procedure Coding System ICD10PCS procedure code describing the percutaneous endoscopic repair of the esophagus.
On page 44960, in the table displaying the Medicare-Severity Diagnosis Related Groups MSDRGs subject to the policy for replaced devices offered without cost or with a credit for FY 2022, we are correcting inadvertent typographical errors in the MSDRGs describing Hip Replacement with Principal Diagnosis of Hip Fracture with and without MCC, respectively.
On pages 45047, 45048, and 45049, in our discussion of the new technology add-on payments for FY 2022, we are correcting typographical and technical errors in referencing sections of the final rule.
On page 45133, we are correcting an error in the maximum new technology add-on payment for a case involving the use of AprevoTM Intervertebral Body Fusion Device.
On page 45150, we inadvertently omitted ICD10CM codes from the list of diagnosis codes used to identify cases involving the use of the INTERCEPT
Fibrinogen Complex that would be eligible for new technology add-on payments.
On page 45157, we inadvertently omitted the ICD10CM diagnosis codes used to identify cases involving the use of FETROJA for HABP/VABP.
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On page 45158, we inadvertently omitted the ICD10CM diagnosis codes used to identify cases involving the use of RECARBRIOTM for HABP/VABP.
On pages 45291, 45293, and 45294, in three tables that display previously established, newly updated, and estimated performance standards for measures included in the Hospital Value-Based Purchasing Program, we are correcting errors in the numerical values for all measures in the Clinical Outcomes Domain that appear in the three tables.
On page 45312, in our discussion of payments for indirect and direct graduate medical education costs and Intern and Resident Information System IRIS data, we made a typographical error in our response to a comment.
On page 45386, we made an inadvertent typographical error in our discussion of the Hospital Inpatient Quality Reporting IQR Program Severe Hyperglycemia electronic clinical quality measure eCQM.
On page 45400, in our discussion of the Hospital Inpatient Quality Reporting IQR Program measures for fiscal year FY 2024, we mislabeled the table title and inadvertently included a measure not pertaining to the FY 2024 payment determination along with its corresponding footnote.
On page 45404, in our discussion the Hospital Inpatient Quality Reporting IQR Program, we included a table with the measures for the FY 2025 payment determination. In the notes that immediately followed the table, we made a typographical error in the date associated with the voluntary reporting period for the Hybrid Hospital-Wide All-Cause Risk Standardized Mortality HWM measure.
B. Summary of Errors in the Regulations Text On page 45521, in the regulations text for 413.24f5i introductory text and f5iA regarding cost reporting forms and teaching hospitals, we inadvertently omitted revisions that were discussed in the preamble.
C. Summary of Errors in the Addendum In the FY 2022 Hospital Inpatient Prospective Payment Systems and LongTerm Care Hospital Prospective Payment System IPPS/LTCH PPS final rule 85 FR 45166, we stated that we excluded the wage data for critical access hospitals CAHs as discussed in the FY 2004 IPPS final rule 68 FR
45397 through 45398; that is, any hospital that is designated as a CAH by 7 days prior to the publication of the preliminary wage index public use file PUF is excluded from the calculation
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