Reasonable Charges for Inpatient MS-DRGs and SNF Medical Services; v3.19, Fiscal Year 2017 Update
SUMMARY: This document updates the acute inpatient and the skilled nursing facility (SNF)/sub-acute inpatient facility charges. The updated charges are based on the 2017
FOR FURTHER INFORMATION CONTACT:
SUPPLEMENTARY INFORMATION: Section 17.101 of Title 38 of the Code of Federal Regulations (CFR) sets forth the
Based on the methodologies set forth in 38 CFR 17.101(b), this notice updates the acute inpatient facility charges that were based on the 2016 MS-DRGs. Acute inpatient facility charges by MS- DRGs are posted on the VHA Internet site, at http://www.va.gov/CBO/apps/rates/index.asp, under the "Reasonable Charges Data Tables" section, Inpatient Data Table, as Table A (v3.17). This Table A corresponds to the Table A referenced in 80 FR 57051,
Also, this document updates the SNF/sub-acute inpatient facility all-inclusive per diem charge using the methodologies set forth in 38 CFR 17.101(c) and this charge is adjusted by a geographic area factor that is based on the location where the care is provided. For the geographic area factors, see Table N, Acute Inpatient, and Table O, SNF, on the VHA Web site under the v3.18 link in the "Reasonable Charges Data Tables" section. Tables N and O are not being updated by this notice. The SNF/sub-acute inpatient facility per diem charge is posted on the VHA Internet site, at http://www.va.gov/CBO/apps/rates/index.asp, under the "Reasonable Charges Data Tables" section, Table B (v3.17). This Table B corresponds to the Table B referenced in 80 FR 57051,
The charges in this notice for acute inpatient and SNF/sub-acute inpatient facility services are effective
This notice is retaining the table designations used for acute inpatient facility charges by MS-DRGs, which is posted on the VHA Internet site, currently at http://www.va.gov/CBO/apps/rates/index.asp, under "Reasonable Charges Data Tables." This notice is also retaining the table designation used for SNF/sub-acute inpatient facility charges, which is also posted on the VHA Internet site. Accordingly, the tables identified as being updated by this notice correspond to the applicable tables referenced in 80 FR 57051,
The list of data sources presented in Supplementary Table 1 (v3.19) reflects the updated data sources used to establish the updated charges described in this notice, and will be posted on the VHA Internet site, at http://www.va.gov/CBO/apps/rates/index.asp, under the "Reasonable Charges Data Sources" section.
VHA has also updated the list of
Consistent with
The Secretary of
Dated:
Office Program Manager,
Notice.
Citation: "81 FR 62977"
Federal Register Page Number: "62977"
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