82_FR_44885 82 FR 44701 - Reasonable Charges for Inpatient MS-DRGs and SNF Medical Services; v3.22, Fiscal Year 2018 Update

82 FR 44701 - Reasonable Charges for Inpatient MS-DRGs and SNF Medical Services; v3.22, Fiscal Year 2018 Update

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 82, Issue 184 (September 25, 2017)

Page Range44701-44702
FR Document2017-20423

This document updates the acute inpatient and the skilled nursing facility (SNF)/sub-acute inpatient facility charges. The updated charges are based on the 2018 Medicare severity diagnosis related groups (MS-DRG).

Federal Register, Volume 82 Issue 184 (Monday, September 25, 2017) 
[Federal Register Volume 82, Number 184 (Monday, September 25, 2017)]
[Notices]
[Pages 44701-44702]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-20423]


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DEPARTMENT OF VETERANS AFFAIRS


Reasonable Charges for Inpatient MS-DRGs and SNF Medical 
Services; v3.22, Fiscal Year 2018 Update

AGENCY: Department of Veterans Affairs.

ACTION: Notice.

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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 2018 Medicare severity diagnosis 
related groups (MS-DRG).

FOR FURTHER INFORMATION CONTACT: Romona Greene, Office of Community 
Care, Revenue Operations, Payer Relations and Services, Rates and 
Charges (10D1C1), Veterans Health Administration (VHA), Department of 
Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 
382-2521. (This is not a toll free number.)

SUPPLEMENTARY INFORMATION: Section 17.101 of Title 38 of the Code of 
Federal Regulations (CFR) sets forth the Department of Veterans Affairs 
(VA) medical regulations concerning ``Reasonable Charges'' for medical 
care or services provided or furnished by VA to a veteran: For a 
nonservice-connected disability for which the veteran is entitled to 
care (or the payment of expenses of care) under a health plan contract; 
for a nonservice-connected disability incurred incident to the 
veteran's employment and covered under a worker's compensation law or 
plan that provides reimbursement or indemnification for such care and 
services; or, for a nonservice-connected disability incurred as a 
result of a motor vehicle accident in a State that requires automobile 
accident reparations insurance. The methodologies for

[[Page 44702]]

establishing billed amounts for several types of charges are found in 
38 CFR 17.101; however, this notice will only address the acute 
inpatient and the SNF/sub-acute inpatient facility charges.
    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 2017 MS-DRGs. Acute inpatient facility charges by MS-DRGs are 
posted on the Veterans Health Administration (VHA) Office of Community 
Care's Web site, at www.va.gov/communitycare/revenue_ops/payer_rates.asp, under the ``Reasonable Charges Data Tables'' section, 
Inpatient Data Table, as Table A (v3.19). This Table A corresponds to 
the Table A referenced in 81 FR 62977, September 13, 2016. Table A 
referenced in this notice is v3.22, which provides updated charges 
based on the 2018 MS-DRGs, will replace Table A (v3.19) posted on the 
VHA Office of Community Care's Web site.
    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 Office of Community Care's Web site under the v3.21 
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 Office of Community 
Care's Web site under the ``Reasonable Charges Data Tables'' section, 
Table B (v3.19). This Table B corresponds to the Table B referenced in 
81 FR 62977, September 13, 2016. Table B referenced in this notice is 
v3.22, which provides an update to the all-inclusive nationwide SNF/
sub-acute inpatient facility per diem charge and will replace Table B 
posted on the VHA Office of Community Care's Web site.
    The charges in this notice for acute inpatient and SNF/sub-acute 
inpatient facility services are effective October 1, 2017.
    This notice is retaining the table designations used for acute 
inpatient facility charges by MS-DRGs, which is posted on the VHA 
Office of Community Care's Web site 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 Office of Community Care's Web site. Accordingly, the tables 
identified as being updated by this notice correspond to the applicable 
tables referenced in 81 FR 62977, September 13, 2016.
    The list of data sources presented in Supplementary Table 1 (v3.22) 
reflects the updated data sources used to establish the updated charges 
described in this notice, and will be posted on the VHA Office of 
Community Care's Web site under the ``Reasonable Charges Data Sources'' 
section.
    The list of VA medical facility locations is also updated. In 
Supplementary Table 3, posted on the VHA Office of Community Care's Web 
site under the VA Medical Facility Locations section, VA set forth the 
list of VA medical facility locations, which includes the first three 
digits of their zip codes and provider-based/non-provider-based 
designations.
    Consistent with VA's regulations, the updated data tables and 
supplementary tables containing the changes described in this notice 
will be posted on the VHA Office of Community Care's Web site, under 
the ``Payer Rates and Charges'' information section.

Signing Authority

    The Secretary of Veterans Affairs, or designee, approved this 
document and authorized the undersigned to sign and submit the document 
to the Office of the Federal Register for publication electronically as 
an official document of the Department of Veterans Affairs. Gina S. 
Farrisee, Deputy Chief of Staff, Department of Veterans Affairs, 
approved this document on September 19, 2017, for publication.

    Dated: September 19, 2017.
Jeffrey Martin,
Office Program Manager, Office of Regulation Policy & Management, 
Office of the Secretary, Department of Veterans Affairs.
[FR Doc. 2017-20423 Filed 9-22-17; 8:45 am]
 BILLING CODE 8320-01-P

Federal Register / Vol. 82, No. 184 / Monday, September 25, 2017 / Notices 44701 U.S.C. 1904(b)(3), being directed by, or acting section 805(b)(2) of the Kingpin Act, 21 international narcotics trafficking activities of for or on behalf of, the RUELAS TORRES U.S.C. 1904(b)(2), for materially assisting in, the RUELAS TORRES DRUG TRAFFICKING DRUG TRAFFICKING ORGANIZATION. or providing services in support of, the ORGANIZATION. Also designated pursuant 4. MONDACA AVILA, Sigi Alfredo (Latin: international narcotics trafficking activities of to section 805(b)(3) of the Kingpin Act, 21 MONDACA ÁVILA, Sigi Alfredo), Mexico; the RUELAS TORRES DRUG TRAFFICKING U.S.C. 1904(b)(3), being directed by, or acting DOB 09 Jan 1985; POB Sinaloa, Sinaloa, ORGANIZATION. Also designated pursuant for or on behalf of, the RUELAS TORRES Mexico; nationality Mexico; citizen Mexico; to section 805(b)(3) of the Kingpin Act, 21 DRUG TRAFFICKING ORGANIZATION. Gender Male; C.U.R.P. U.S.C. 1904(b)(3), being directed by, or acting MOAS850109HSLNVG09 (Mexico); RFC for or on behalf of, the RUELAS TORRES Entity MOAS850109DN7 (Mexico) (individual) DRUG TRAFFICKING ORGANIZATION. 1. RUELAS TORRES DRUG TRAFFICKING [SDNTK] (Linked To: RUELAS TORRES 8. RUELAS AVILA, Joel Efren (Latin: ORGANIZATION, Sinaloa, Mexico [SDNTK]. DRUG TRAFFICKING ORGANIZATION). RUELAS ÁVILA, Joel Efren), Calle 10 Sin Identified pursuant to section 805(b)(1) of the Designated pursuant to section 805(b)(2) of Numero, Localidad Genaro Estrada, Sinaloa, Kingpin Act, 21 U.S.C. 1904(b)(1) as a the Kingpin Act, 21 U.S.C. 1904(b)(2), for Mexico; DOB 20 Sep 1978; POB Guasave, significant foreign narcotics trafficker. materially assisting in, or providing services Sinaloa, Mexico; nationality Mexico; Gender in support of, the international narcotics Male; R.F.C. RUAJ780920C10 (Mexico); Dated: May 24, 2017. trafficking activities of the RUELAS TORRES C.U.R.P. RUAJ780920HSLLVL02 (Mexico) Andrea M. Gacki, DRUG TRAFFICKING ORGANIZATION. (individual) [SDNTK] (Linked To: RUELAS Acting Director, Office of Foreign Assets Also designated pursuant to section 805(b)(3) TORRES DRUG TRAFFICKING Control. of the Kingpin Act, 21 U.S.C. 1904(b)(3), ORGANIZATION). Designated pursuant to [FR Doc. 2017–20432 Filed 9–22–17; 8:45 am] being directed by, or acting for or on behalf section 805(b)(2) of the Kingpin Act, 21 of, the RUELAS TORRES DRUG U.S.C. 1904(b)(2), for materially assisting in, BILLING CODE 4810–AL–P TRAFFICKING ORGANIZATION. or providing financial support for or to, or 5. RIVERA SANDOVAL, Hector Librado providing goods or services in support of, the (Latin: RIVERA SANDOVAL, Héctor international narcotics trafficking activities of DEPARTMENT OF VETERANS Librado), La Playita, Sinaloa, Sinaloa, the RUELAS TORRES DRUG TRAFFICKING AFFAIRS Mexico; DOB 03 Jun 1982; POB Sinaloa, ORGANIZATION and Jose Luis RUELAS Sinaloa, Mexico; nationality Mexico; Gender TORRES. Also designated pursuant to section Reasonable Charges for Inpatient MS– Male; C.U.R.P. RISH820603HSLVNC07 805(b)(3) of the Kingpin Act, 21 U.S.C. DRGs and SNF Medical Services; (Mexico); RFC RISH820603V75 (Mexico) 1904(b)(3), being directed by, or acting for or (individual) [SDNTK] (Linked To: RUELAS on behalf of, the RUELAS TORRES DRUG v3.22, Fiscal Year 2018 Update TORRES DRUG TRAFFICKING TRAFFICKING ORGANIZATION and Jose AGENCY: Department of Veterans Affairs. ORGANIZATION). Designated pursuant to Luis RUELAS TORRES. section 805(b)(2) of the Kingpin Act, 21 9. RUELAS AVILA, Leobardo (Latin: ACTION: Notice. U.S.C. 1904(b)(2), for materially assisting in, RUELAS ÁVILA, Leobardo), Mexico; DOB 12 or providing financial support for or to, or Mar 1976; POB Guasave, Sinaloa, Mexico; SUMMARY: This document updates the providing services in support of, the nationality Mexico; Gender Male; R.F.C. acute inpatient and the skilled nursing international narcotics trafficking activities of RUAL7603123I0 (Mexico); C.U.R.P. facility (SNF)/sub-acute inpatient the RUELAS TORRES DRUG TRAFFICKING RUAL760312HSLLVB06 (Mexico) facility charges. The updated charges ORGANIZATION. Also designated pursuant (individual) [SDNTK] (Linked To: RUELAS are based on the 2018 Medicare severity to section 805(b)(3) of the Kingpin Act, 21 TORRES DRUG TRAFFICKING diagnosis related groups (MS–DRG). U.S.C. 1904(b)(3), being directed by, or acting ORGANIZATION). Designated pursuant to FOR FURTHER INFORMATION CONTACT: for or on behalf of, the RUELAS TORRES section 805(b)(2) of the Kingpin Act, 21 DRUG TRAFFICKING ORGANIZATION. U.S.C. 1904(b)(2), for materially assisting in, Romona Greene, Office of Community 6. RUELAS AVILA, Jesus Angel (Latin: or providing services in support of, the Care, Revenue Operations, Payer RUELAS ÁVILA, Jesús Ángel), C 14 S/N, Loc international narcotics trafficking activities of Relations and Services, Rates and Genaro Estrada, Sinaloa, Sinaloa 81960, the RUELAS TORRES DRUG TRAFFICKING Charges (10D1C1), Veterans Health Mexico; DOB 01 Nov 1988; POB Sinaloa, ORGANIZATION. Also designated pursuant Administration (VHA), Department of Sinaloa, Mexico; citizen Mexico; Gender to section 805(b)(3) of the Kingpin Act, 21 Veterans Affairs, 810 Vermont Avenue Male; C.U.R.P. RUAJ881101HSLLVS01 U.S.C. 1904(b)(3), being directed by, or acting NW., Washington, DC 20420, (202) 382– (Mexico); RFC RUAJ881101824 (Mexico); for or on behalf of, the RUELAS TORRES 2521. (This is not a toll free number.) I.F.E. RLAVJS88110125H400 (Mexico) DRUG TRAFFICKING ORGANIZATION. (individual) [SDNTK] (Linked To: RUELAS 10. RUELAS TORRES, Jose Luis (Latin: SUPPLEMENTARY INFORMATION: Section TORRES DRUG TRAFFICKING RUELAS TORRES, José Luis), P 112, Genaro 17.101 of Title 38 of the Code of Federal ORGANIZATION). Designated pursuant to Estrada, Sinaloa, Mexico; DOB 10 Sep 1953; Regulations (CFR) sets forth the section 805(b)(2) of the Kingpin Act, 21 POB Choix, Sinaloa, Mexico; nationality Department of Veterans Affairs (VA) U.S.C. 1904(b)(2), for materially assisting in, Mexico; Gender Male; R.F.C. medical regulations concerning or providing services in support of, the RUTL5309103B6 (Mexico); C.U.R.P. ‘‘Reasonable Charges’’ for medical care international narcotics trafficking activities of RUTL530910HSLLRS07 (Mexico) or services provided or furnished by VA the RUELAS TORRES DRUG TRAFFICKING (individual) [SDNTK] (Linked To: RUELAS to a veteran: For a nonservice-connected ORGANIZATION. Also designated pursuant TORRES DRUG TRAFFICKING to section 805(b)(3) of the Kingpin Act, 21 ORGANIZATION). Identified pursuant to disability for which the veteran is U.S.C. 1904(b)(3), being directed by, or acting section 805(b)(1) of the Kingpin Act, 21 entitled to care (or the payment of for or on behalf of, the RUELAS TORRES U.S.C. 1904(b)(1) as a significant foreign expenses of care) under a health plan DRUG TRAFFICKING ORGANIZATION. narcotics trafficker. contract; for a nonservice-connected 7. RUELAS AVILA, Jose Luis (Latin: 11. RUELAS TORRES, Gilberto, Mexico; disability incurred incident to the RUELAS ÁVILA, José Luis), C 14 S/N, Loc DOB 05 May 1966; POB Guasave, Sinaloa, asabaliauskas on DSKBBXCHB2PROD with NOTICES veteran’s employment and covered Genaro Estrada, Sinaloa, Sinaloa 81960, Mexico; nationality Mexico; Gender Male; under a worker’s compensation law or Mexico; DOB 11 Mar 1981; POB Sinaloa, R.F.C. RUTG660505CH4 (Mexico); C.U.R.P. plan that provides reimbursement or Sinaloa, Mexico; nationality Mexico; Gender RUTG660505HSLLRL02 (Mexico) indemnification for such care and Male; R.F.C. RUAL810311933 (Mexico); (individual) [SDNTK] (Linked To: RUELAS C.U.R.P. RUAL810311HSLLVS02 (Mexico); TORRES DRUG TRAFFICKING services; or, for a nonservice-connected I.F.E. RLAVLS81031125H800 (Mexico) ORGANIZATION). Designated pursuant to disability incurred as a result of a motor (individual) [SDNTK] (Linked To: RUELAS section 805(b)(2) of the Kingpin Act, 21 vehicle accident in a State that requires TORRES DRUG TRAFFICKING U.S.C. 1904(b)(2), for materially assisting in, automobile accident reparations ORGANIZATION). Designated pursuant to or providing services in support of, the insurance. The methodologies for VerDate Sep<11>2014 19:45 Sep 22, 2017 Jkt 241001 PO 00000 Frm 00147 Fmt 4703 Sfmt 4703 E:\FR\FM\25SEN1.SGM 25SEN1

44702 Federal Register / Vol. 82, No. 184 / Monday, September 25, 2017 / Notices establishing billed amounts for several updated by this notice. The SNF/sub- site under the ‘‘Reasonable Charges Data types of charges are found in 38 CFR acute inpatient facility per diem charge Sources’’ section. 17.101; however, this notice will only is posted on the VHA Office of The list of VA medical facility address the acute inpatient and the Community Care’s Web site under the locations is also updated. In SNF/sub-acute inpatient facility ‘‘Reasonable Charges Data Tables’’ Supplementary Table 3, posted on the charges. section, Table B (v3.19). This Table B VHA Office of Community Care’s Web Based on the methodologies set forth corresponds to the Table B referenced in site under the VA Medical Facility in 38 CFR 17.101(b), this notice updates 81 FR 62977, September 13, 2016. Table Locations section, VA set forth the list the acute inpatient facility charges that B referenced in this notice is v3.22, of VA medical facility locations, which were based on the 2017 MS–DRGs. which provides an update to the all- includes the first three digits of their zip Acute inpatient facility charges by MS– inclusive nationwide SNF/sub-acute codes and provider-based/non-provider- DRGs are posted on the Veterans Health inpatient facility per diem charge and based designations. Administration (VHA) Office of will replace Table B posted on the VHA Consistent with VA’s regulations, the Community Care’s Web site, at Office of Community Care’s Web site. updated data tables and supplementary www.va.gov/communitycare/revenue_ The charges in this notice for acute tables containing the changes described ops/payer_rates.asp, under the inpatient and SNF/sub-acute inpatient in this notice will be posted on the VHA ‘‘Reasonable Charges Data Tables’’ facility services are effective October 1, Office of Community Care’s Web site, section, Inpatient Data Table, as Table A 2017. under the ‘‘Payer Rates and Charges’’ (v3.19). This Table A corresponds to the This notice is retaining the table information section. Table A referenced in 81 FR 62977, designations used for acute inpatient Signing Authority September 13, 2016. Table A referenced facility charges by MS–DRGs, which is in this notice is v3.22, which provides posted on the VHA Office of The Secretary of Veterans Affairs, or updated charges based on the 2018 MS– Community Care’s Web site under designee, approved this document and DRGs, will replace Table A (v3.19) ‘‘Reasonable Charges Data Tables.’’ This authorized the undersigned to sign and posted on the VHA Office of notice is also retaining the table submit the document to the Office of the Community Care’s Web site. designation used for SNF/sub-acute Federal Register for publication inpatient facility charges, which is also electronically as an official document of Also, this document updates the SNF/ posted on the VHA Office of the Department of Veterans Affairs. Gina sub-acute inpatient facility all-inclusive Community Care’s Web site. S. Farrisee, Deputy Chief of Staff, per diem charge using the Accordingly, the tables identified as Department of Veterans Affairs, methodologies set forth in 38 CFR being updated by this notice correspond approved this document on September 17.101(c) and this charge is adjusted by to the applicable tables referenced in 81 19, 2017, for publication. a geographic area factor that is based on the location where the care is provided. FR 62977, September 13, 2016. Dated: September 19, 2017. For the geographic area factors, see The list of data sources presented in Jeffrey Martin, Table N, Acute Inpatient, and Table O, Supplementary Table 1 (v3.22) reflects Office Program Manager, Office of Regulation SNF, on the VHA Office of Community the updated data sources used to Policy & Management, Office of the Secretary, Care’s Web site under the v3.21 link in establish the updated charges described Department of Veterans Affairs. the ‘‘Reasonable Charges Data Tables’’ in this notice, and will be posted on the [FR Doc. 2017–20423 Filed 9–22–17; 8:45 am] section. Tables N and O are not being VHA Office of Community Care’s Web BILLING CODE 8320–01–P asabaliauskas on DSKBBXCHB2PROD with NOTICES VerDate Sep<11>2014 19:45 Sep 22, 2017 Jkt 241001 PO 00000 Frm 00148 Fmt 4703 Sfmt 9990 E:\FR\FM\25SEN1.SGM 25SEN1


Document Created: 2018-10-24 14:43:33
Document Modified: 2018-10-24 14:43:33
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
ContactRomona Greene, Office of Community Care, Revenue Operations, Payer Relations and Services, Rates and Charges (10D1C1), Veterans Health Administration (VHA), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 382-2521. (This is not a toll free number.)
FR Citation82 FR 44701 
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