Rule2023-22060
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 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Provider and Supplier Disclosure of Ownership; and Medicare Disproportionate Share Hospital (DSH) Payments: Counting Certain Days Associated With Section 1115 Demonstrations in the Medicaid Fraction; Correction
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
October 4, 2023
Effective
October 1, 2023
Issuing agencies
Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Abstract
This document corrects technical and typographical errors in the final rule that appeared in the August 28, 2023 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 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Provider and Supplier Disclosure of Ownership; and Medicare Disproportionate Share Hospital (DSH) Payments: Counting Certain Days Associated with Section 1115 Demonstrations in the Medicaid Fraction" (referred to hereafter as the "FY 2024 IPPS/LTCH PPS final rule").
Full Text
<html>
<head>
<title>Federal Register, Volume 88 Issue 191 (Wednesday, October 4, 2023)</title>
</head>
<body><pre>
[Federal Register Volume 88, Number 191 (Wednesday, October 4, 2023)]
[Rules and Regulations]
[Pages 68482-68486]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-22060]
[[Page 68482]]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 411, 412, 419, 488, 489, and 495
[CMS-1785-CN and CMS-1788-CN]
RINs 0938-AV08 and 0938-AV17
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 2024 Rates; Quality
Programs and Medicare Promoting Interoperability Program Requirements
for Eligible Hospitals and Critical Access Hospitals; Rural Emergency
Hospital and Physician-Owned Hospital Requirements; and Provider and
Supplier Disclosure of Ownership; and Medicare Disproportionate Share
Hospital (DSH) Payments: Counting Certain Days Associated With Section
1115 Demonstrations in the Medicaid Fraction; Correction
AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of
Health and Human Services (HHS).
ACTION: Final rule; correction.
-----------------------------------------------------------------------
SUMMARY: This document corrects technical and typographical errors in
the final rule that appeared in the August 28, 2023 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 2024
Rates; Quality Programs and Medicare Promoting Interoperability Program
Requirements for Eligible Hospitals and Critical Access Hospitals;
Rural Emergency Hospital and Physician-Owned Hospital Requirements; and
Provider and Supplier Disclosure of Ownership; and Medicare
Disproportionate Share Hospital (DSH) Payments: Counting Certain Days
Associated with Section 1115 Demonstrations in the Medicaid Fraction''
(referred to hereafter as the ``FY 2024 IPPS/LTCH PPS final rule'').
DATES: This correcting document is effective October 1, 2023.
FOR FURTHER INFORMATION CONTACT:
Mady Hue, (410) 786-4510, and Andrea Hazeley, (410) 786-3543, MS-
DRG Classifications.
Donald Thompson and Michele Hudson, <a href="/cdn-cgi/l/email-protection#3175707271525c421f5959421f565e47"><span class="__cf_email__" data-cfemail="f9bdb8bab99a948ad791918ad79e968f">[email protected]</span></a>, (410) 786-
4487, Wage Index, Uncompensated Care Payments.
Siddhartha Mazumdar, <a href="/cdn-cgi/l/email-protection#80f3e9e4e4e8e1f2f4e8e1aeede1faf5ede4e1f2c0e3edf3aee8e8f3aee7eff6"><span class="__cf_email__" data-cfemail="26554f42424e4754524e47084b475c534b42475466454b55084e4e5508414950">[email protected]</span></a>, Rural
Community Hospital Demonstration Program.
Julia Venanzi, <a href="/cdn-cgi/l/email-protection#1f756a73767e31697a717e7165765f7c726c3177776c31787069"><span class="__cf_email__" data-cfemail="69031c050008471f0c0708071300290a041a4701011a470e061f">[email protected]</span></a>, Hospital Inpatient
Quality Reporting Program and Hospital Value Based Purchasing Program--
Administration Issues. Melissa Hager, <a href="/cdn-cgi/l/email-protection#8fe2eae3e6fcfceea1e7eee8eafdcfece2fca1e7e7fca1e8e0f9"><span class="__cf_email__" data-cfemail="e58880898c969684cb8d84828097a5868896cb8d8d96cb828a93">[email protected]</span></a> and
Ngozi Uzokwe, <a href="/cdn-cgi/l/email-protection#6c020b03160542191603071b092c0f011f4204041f420b031a"><span class="__cf_email__" data-cfemail="0b656c647162257e7164607c6e4b68667825636378256c647d">[email protected]</span></a>--Hospital Inpatient Quality
Reporting Program and Hospital Value-Based Purchasing Program--Measures
Issues Except Hospital Consumer Assessment of Healthcare Providers and
Systems.
Adina Hersko, <a href="/cdn-cgi/l/email-protection#e7a98290b382848fa7848a94c98f8f94c9808891"><span class="__cf_email__" data-cfemail="703e15072415131830131d035e1818035e171f06">[email protected]</span></a>, New Technology Add-On Payments
and New COVID-19 Treatments Add-on Payments.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 2023-16252 of August 28, 2023 (88 FR 58640), there were
a number of technical and typographical errors that are identified and
corrected in this correcting document. The corrections in this
correcting document are applicable to discharges occurring on or after
October 1, 2023, as if they had been included in the document that
appeared in the August 28, 2023 Federal Register.
II. Summary of Errors
A. Summary of Errors in the Preamble
On page 58642, we are removing a duplicative bulleted paragraph and
correcting an inadvertent typographical error in another paragraph.
On page 58696, we are correcting inadvertent errors in procedure
code combinations listed in the table titled ``ICD-10-PCS Code Pairs
Added to Version 41 ICD-10 MS-DRGs 001 and 002: New Short-Term External
Heart Assist ICD-10-PCS Combinations.''
On page 58844, we are correcting an inadvertent typographical error
in the definition of the acronym ``PFS'' used in the discussion of the
FY 2024 application for new technology add-on payments for
Lunsumio\TM\.
On page 58927, we are correcting inadvertent errors in the ICD-10-
PCS procedure codes used to identify cases involving the use of the
Canary Tibial Extension (CTE) with Canary Health Implanted Reporting
Processor (CHIRP) System.
On page 58948, we are correcting the ICD-10-CM codes used to
identify cases involving the use of XACDURO[supreg] for hospital-
acquired bacterial pneumonia (HABP) due to Acinetobacter baumannii and
ventilator-associated bacterial pneumonia (VABP) due to Acinetobacter
baumannii with the new ICD-10-CM codes effective for FY 2024 that
specifically describe Acinetobacter baumannii-related infections.
On page 59051, with regard to our discussion of the calculation of
prior year IME resident to bed ratio when there is a Medicare GME
affiliation agreement, we are correcting a typographical error.
On pages 59064, 59065, 59071, 59095, 59139, 59174, and 59186, we
are correcting technical and typographical errors in several
hyperlinks.
On pages 59090, 59113, 59142, 59149, 59164, and 59171, we are
correcting technical and typographical errors in several cross-
references.
On page 59107, in our discussion of the Hospital Value-Based
Purchasing Program, we made and are correcting a typographical error.
On pages 59114 and 59144, we are correcting typographical and
technical errors in several section headings.
On pages, 59152, 59154, 59163 and 59279, we are correcting
typographical and technical errors in several footnotes.
On pages 59163 and 59199 in our discussion of the Hospital
Impatient Quality Reporting Program, we are correcting several
typographical and technical errors.
On page 59326 in our discussion of the information collection
requirements for the Medicare Promoting Interoperability Program, we
are correcting typographical and technical errors.
B. Summary of Errors in the Appendices
On page 59412 in our discussion of effects of requirements under
the Hospital Readmissions Reduction Program for FY 2024, we are
correcting typographical error in a table reference.
C. Summary of Errors and Correction to Tables Posted on the CMS Website
Several tables for the FY 2024 IPPS/LTCH PPS final rule contained
inadvertent errors related to wage data collected from the Medicare
cost reports of one hospital (CMS Certification Number (CCN) 340064).
Specifically, some of the hours on worksheet S-3, Part II of the cost
report were inadvertently double counted for CCN 340064. The use of
correct wage data for this hospital (by removing the hours that were
double counted) necessitated recalculating the FY 2024 area average
hourly wages unadjusted for occupational mix and adjusted for
occupational mix for the areas impacted by use of correct wage data for
this hospital. We note that this error did not impact the FY 2024
national average hourly wages unadjusted for
[[Page 68483]]
occupational mix and adjusted for occupational mix, and thus did not
necessitate corrections to those data points. In addition, because CCN
340064 is geographically located in a rural area (Core-Based
Statistical Area (CBSA) 34 North Carolina) and reclassifies to an urban
area (CBSA 16740 Charlotte-Concord-Gastonia, NC-SC), it was necessary
to recalculate the wage index for CBSAs 34 and 16740. In addition, the
wage data and/or wage indexes are used as inputs to determine the rural
floor, imputed floor and out-migration adjustment, and therefore, we
made conforming changes and recalculated the rural floor for North
Carolina as well as some of the imputed floors and one county out-
migration adjustment. We further note that the fixed-loss cost
threshold was unchanged after including the correct wage data for this
hospital in our calculations. While for certain prior years we have
also recalculated the budget neutrality factors to reflect revisions to
the calculation of area average hourly wages and/or wage indexes due to
the change in the wage data, in combination with the correction of
other errors, given the limited magnitude of the changes mentioned
earlier, we did not recalculate any budget neutrality factors due to
the changes to the wage data. We estimate that this change would have
resulted in a reduction of the standardized amount of approximately 3
cents.
We are correcting the errors in the following IPPS tables that are
listed on page 59381 of the FY 2024 IPPS/LTCH PPS final rule and
available on the internet on the CMS website at <a href="https://www.cms.gov/medicare/medicare-fee-for-service-payment/acuteinpatientpps">https://www.cms.gov/medicare/medicare-fee-for-service-payment/acuteinpatientpps</a>. The tables
that are available on the internet have been updated to reflect the
revisions discussed in this final rule correcting document.
1. Table 2--Case Mix Index and Wage Index Table by CCN
Because of the inadvertent use of erroneous wage data for one
hospital (CCN 340064), we are correcting the values in the columns
titled ``Average Hourly Wage FY 2024'' and ``3-Year Average Hourly Wage
(2022, 2023, 2024)'' for CCN 340064. As mentioned earlier, CCN 340064
is geographically located in a rural area (CBSA 34 North Carolina) and
reclassifies to an urban area (CBSA 16740 Charlotte-Concord-Gastonia,
NC-SC). Therefore, we used the corrected data of CCN 340064 to
recalculate the wage index for CBSA 34 and 16740. As a result, we are
correcting the values in the columns titled ``FY 2024 Wage Index Prior
to Quartile and Cap'', ``FY 2024 Wage Index With Quartile'', and ``FY
2024 Wage Index With Quartile and Cap'', for providers geographically
located in, or reclassified into, CBSAs 34 or 16740. As mentioned
earlier, the wage data and/or wage indexes are used as inputs to
determine the rural floor, imputed floor and out-migration adjustment.
Because the average hourly wage change for this single provider
impacted the North Carolina rural floor, we are correcting the values
in the columns titled ``FY 2024 Wage Index Prior to Quartile and Cap'',
``FY 2024 Wage Index with Quartile'', and ``FY 2024 Wage Index With
Quartile and Cap'', for North Carolina providers who receive the rural
floor. Because the average hourly wage change for this single provider
affects the area wage index, we are also making conforming changes to
the other wage indexes that are consequently impacted, including the
imputed floor and out-migration adjustment, and are therefore
correcting the values in the columns titled ``FY 2024 Wage Index Prior
to Quartile and Cap'', ``FY 2024 Wage Index With Quartile'', and ``FY
2024 Wage Index With Quartile and Cap'', for providers who receive the
imputed floor in Delaware, the District of Columbia, or Rhode Island as
well as the values in the column titled ``Out-Migration Adjustment''
for providers in Catawba, NC (Federal Information Processing Standard
(FIPS) county code 37035).
2. Table 3--Wage Index Table by CBSA--FY 2024
As mentioned earlier, CCN 340064 is geographically located in a
rural area (CBSA 34 North Carolina) and reclassifies to an urban area
(CBSA 16740 Charlotte-Concord-Gastonia, NC-SC). Therefore, we used the
corrected data of CCN 340064 to recalculate the wage index for CBSAs 34
and 16740. As mentioned earlier, the wage data and/or wage indexes are
used as inputs to determine the rural floor, imputed floor and out-
migration adjustment. Our use of correct wage data for the provider for
which we inadvertently used incorrect wage data necessitates
corrections to the values in the columns titled ``FY 2024 Average
Hourly Wage'', ``3-Year Average Hourly Wage (2022, 2023, 2024)'',
``Wage Index'', ``GAF'', ``Reclassified Wage Index'', and
``Reclassified GAF'' for CBSA 34. The average hourly wage change for
this single provider impacts the North Carolina rural floor, which
necessitates corrections to the values in the columns titled ``Wage
Index'' and ``GAF'' for CBSAs that receive the North Carolina rural
floor. Because the conforming changes to the wage index impact the
calculation of the imputed floor, we are correcting the values in the
columns titled ``Wage Index'', ``GAF'', and ``State Imputed Floor'' for
CBSAs 08, 09, and 41, as well as the values in the columns titled
``Reclassified Wage Index'' and ``Reclassified GAF'' for CBSAs that
receive the Rhode Island imputed floor.
3. Table 4A--List of Counties Eligible for the Out-Migration Adjustment
Under Section 1886(D)(13) of the Act--FY 2024 Final Rule
As mentioned earlier, the wage data and/or wage indexes are used as
inputs to determine the out-migration adjustment. Due to the
corrections previously discussed in Table 2 and 3, we made conforming
changes to the out-migration adjustment based on the corrected wage
indexes. Because the conforming changes to the wage index impact the
out-migration adjustment, we are correcting the value for the column
titled ``FY 2024 Out Migration Adjustment'' for Catawba, NC (FIPS
county code 37035).
We are also correcting an error in the following LTCH PPS table
that is listed on page 59381 of the FY 2024 IPPS/LTCH PPS final rule
and is available on the internet on the CMS website at <a href="https://www.cms.gov/medicare/medicare-fee-service-payment/longtermcarehospitalpps/ltchpps-regulations-and-notices/530633405/cms-1785-f">https://www.cms.gov/medicare/medicare-fee-service-payment/longtermcarehospitalpps/ltchpps-regulations-and-notices/530633405/cms-1785-f</a>. The tables that are available on the internet have been updated
to reflect the revisions discussed in this final rule correction.
4. Table 12B--LTCH PPS Wage Index for Rural Areas for Discharges
Occurring From October 1, 2023 Through September 30, 2024
We are correcting the value for CBSA 34 in the column titled ``LTCH
PPS Wage Index'' to reflect the correction to the hospital wage data
for CCN 340064 discussed previously. The FY 2024 LTCH PPS standard
Federal payment rate area wage index values are calculated using the
same data used to compute the FY 2024 acute care hospital inpatient
wage index, without taking into account geographic reclassification
under sections 1886(d)(8) and 1886(d)(10) of the Social Security Act
(the Act) (88 FR 59368). We note that the correction to the inpatient
hospital wage data for CCN 340064 necessitated a correction to the FY
2024 LTCH PPS standard Federal payment rate area wage index value for
CBSA 34 (rural NC); however, there are currently no LTCHs located in
CBSA 34.
[[Page 68484]]
5. Table 18--FY 2024 Final Rule Medicare DSH Uncompensated Care Payment
Factor 3 (Final Methodology)
We further note that we also made updates to the calculation of
Factor 3 of the uncompensated care payment methodology to reflect a
hospital's corrected Worksheet S-10 data that, due to a report upload
error, was not included in the March 2023 Hospital Cost Report
Information System (HCRIS) extract used to calculate Factor 3 for FY
2024. We recalculated the total uncompensated care amount for all DSH-
eligible hospitals to reflect this correction. In addition, because the
Factor 3 calculated for each hospital reflects that hospital's
uncompensated care amount relative to the uncompensated care amount for
all DSH hospitals, we also recalculated Factor 3 for all DSH-eligible
hospitals. The hospital-specific Factor 3 determines the total amount
of the uncompensated care payment a hospital is eligible to receive for
the fiscal year. This hospital-specific payment amount is then used to
calculate the amount of the interim uncompensated care payments a
hospital receives per discharge. Given the very narrowly targeted
update to the information used in the calculation of Factor 3, the
change to the previously calculated Factor 3 is of limited magnitude
for the majority of hospitals.
We note that the fixed-loss cost threshold was unchanged after
these Factor 3 recalculations. Similar to our discussion with regard to
the wage data corrections, we note that while for certain prior years
we recalculated the budget neutrality factors to reflect revisions to
the calculation of Factor 3, in combination with the correction of
other errors, we did not recalculate any budget neutrality factors due
to the changes to Factor 3 for FY 2024 given the limited magnitude of
the changes to uncompensated care payments. For example, we note that
the correction to the previously described hospital's Worksheet S-10
data resulted in an approximately $90 increase to that hospital's
interim uncompensated care payment per discharge amount.
We are correcting the errors in the following IPPS table that is
listed on page 59381 of the FY 2024 IPPS/LTCH PPS final rule and is
available on the internet on the CMS website at <a href="https://www.cms.gov/medicare/medicare-fee-for-service-payment/acuteinpatientpps">https://www.cms.gov/medicare/medicare-fee-for-service-payment/acuteinpatientpps</a>. The tables
that are available on the internet have been updated to reflect the
revisions discussed in this final rule correction.
Table 18--FY 2024 Final Rule Medicare DSH Uncompensated Care
Payment Factor 3 (Final Methodology). For the FY 2024 IPPS/LTCH PPS
final rule, we published a list of hospitals that we identified to be
subsection (d) hospitals and subsection (d) Puerto Rico hospitals
projected to be eligible to receive interim uncompensated care payments
for FY 2024. We are updating the calculations in this table to reflect
corrected Worksheet S-10 data for one hospital that, due to a report
upload error, was not included in the March 2023 HCRIS extract used to
calculate Factor 3 for the FY 2024 IPPS/LTCH PPS final rule. We are
revising Factor 3 for all hospitals to reflect this correction. We are
also revising the amount of the total uncompensated care payment
calculated for each DSH-eligible hospital. The total uncompensated care
payment that a hospital receives is used to calculate the amount of the
interim uncompensated care payments the hospital receives per
discharge.
III. Waiver of Proposed Rulemaking and Delay in Effective Date
Under 5 U.S.C. 553(b) of the Administrative Procedure Act (APA),
the agency is required to publish a notice of the proposed rulemaking
in the Federal Register before the provisions of a rule take effect.
Similarly, section 1871(b)(1) of the Act requires the Secretary to
provide for notice of the proposed rulemaking in the Federal Register
and provide a period of not less than 60 days for public comment. In
addition, section 553(d) of the APA, and section 1871(e)(1)(B)(i) of
the Act mandate a 30-day delay in effective date after issuance or
publication of a rule. Sections 553(b)(B) and 553(d)(3) of the APA
provide for exceptions from the notice and comment and delay in
effective date APA requirements; in cases in which these exceptions
apply, sections 1871(b)(2)(C) and 1871(e)(1)(B)(ii) of the Act provide
exceptions from the notice and 60-day comment period and delay in
effective date requirements of the Act as well. Section 553(b)(B) of
the APA and section 1871(b)(2)(C) of the Act authorize an agency to
dispense with normal rulemaking requirements for good cause if the
agency makes a finding that the notice and comment process are
impracticable, unnecessary, or contrary to the public interest. In
addition, both section 553(d)(3) of the APA and section
1871(e)(1)(B)(ii) of the Act allow the agency to avoid the 30-day delay
in effective date where such delay is contrary to the public interest
and an agency includes a statement of support.
We believe that this final rule correction does not constitute a
rule that would be subject to the notice and comment or delayed
effective date requirements. This document corrects technical and
typographical errors in the preamble, tables, and appendices included
or referenced in the FY 2024 IPPS/LTCH PPS final rule, but does not
make substantive changes to the policies or payment methodologies that
were adopted in the final rule. As a result, this final rule correction
is intended to ensure that the information in the FY 2024 IPPS/LTCH PPS
final rule accurately reflects the policies adopted in that document.
In addition, even if this were a rule to which the notice and
comment procedures and delayed effective date requirements applied, we
find that there is good cause to waive such requirements. Undertaking
further notice and comment procedures to incorporate the corrections in
this document into the final rule or delaying the effective date would
be contrary to the public interest because it is in the public's
interest for providers to receive appropriate payments in as timely a
manner as possible, and to ensure that the FY 2024 IPPS/LTCH PPS final
rule accurately reflects our policies. Furthermore, such procedures
would be unnecessary, as we are not altering our payment methodologies
or policies, but rather, we are simply implementing correctly the
methodologies and policies that we previously proposed, requested
comment on, and subsequently finalized. This final rule correction is
intended solely to ensure that the FY 2024 IPPS/LTCH PPS final rule
accurately reflects these payment methodologies and policies.
Therefore, we believe we have good cause to waive the notice and
comment and effective date requirements.
IV. Correction of Errors
In FR Doc. 2023-16252 of August 28, 2023 (88 FR 58640), we are
making the following corrections:
A. Corrections of Errors in the Preamble
1. On page 58642, second column:
a. Second bulleted paragraph, that begins with the phrase ``Section
1814(l)(4) of the Act'' and ends with the phrase ``a payment adjustment
year.'' is corrected by removing the paragraph.
b. Third bulleted paragraph, line 9, the phrase ``reporting payment
for'' is corrected to read ``reporting period for''.
[[Page 68485]]
2. On page 58696, top of the page, the table titled ``ICD-10-PCS
Code Pairs Added to Version 41 ICD-10 MS-DRGs 001 and 002: New Short-
Term External Heart Assist ICD-10-PCS Combinations'' is corrected to
read as follows:
ICD-10-PCS Code Pairs Added to Version 41 ICD-10 MS-DRGs 001 and 002: New Short-Term External Heart Assist ICD-
10-PCS Combinations
----------------------------------------------------------------------------------------------------------------
ICD-10-PCS code Description ICD-10-PCS code Description
----------------------------------------------------------------------------------------------------------------
02HA0RZ.................... Insertion of short- and X2HX0F9.................... Insertion of conduit
term external heart to short-term
assist system into external heart
heart, open approach. assist system into
thoracic aorta,
ascending, open
approach, new
technology group 9.
02HA3RZ.................... Insertion of short- and X2HL0F9.................... Insertion of conduit
term external heart to short-term
assist system into external heart
heart, percutaneous assist system into
approach. right axillary
artery, open
approach, new
technology group 9.
02HA3RZ.................... Insertion of short- and X2HM0F9.................... Insertion of conduit
term external heart to short-term
assist system into external heart
heart, percutaneous assist system into
approach. left axillary
artery, open
approach, new
technology group 9.
----------------------------------------------------------------------------------------------------------------
3. On page 58844, second column, first full paragraph, line 11, the
phrase ``median Physician Fee Schedule (PFS)'' is corrected to read,
``median progression-free survival (PFS)''
4. On page 58927, third column, first partial paragraph:
a. Line 11 the code, ``XNHG0D9'' is corrected to read ``XNHG0F9''.
b. Line 15, the code, ``XNHH0D9'' is corrected to read ``XNHH0F9''.
5. On page 58948, second column, last partial paragraph, line 15,
the sentence ``Cases involving the use of XACDURO[supreg] that are
eligible for new technology add-on payments will be identified by ICD-
10-PCS procedure codes XW033K9 (Introduction of sulbactam-durlobactam
into peripheral vein, percutaneous approach, new technology group 9) or
XW043K9 (Introduction of sulbactam-durlobactam into central vein,
percutaneous approach, new technology group 9) in combination with one
of the following ICD-10-CM codes: Y95 and J15.6 (describing HABP due to
Acinetobacter baumannii); or J95.851 and B96.89 (describing VABP due to
Acinetobacter baumannii).'' is corrected to read ``We note that there
are new ICD-10-CM codes effective for FY 2024 to specifically describe
Acinetobacter baumannii-related infections: J15.61 (Pneumonia due to
Acinetobacter baumannii) and B96.83 (Acinetobacter baumannii as the
cause of diseases classified elsewhere). Therefore, cases involving the
use of XACDURO[supreg] that are eligible for new technology add-on
payments will be identified by ICD-10-PCS procedure codes XW033K9
(Introduction of sulbactam-durlobactam into peripheral vein,
percutaneous approach, new technology group 9) or XW043K9 (Introduction
of sulbactam-durlobactam into central vein, percutaneous approach, new
technology group 9) in combination with one of the following ICD-10-CM
codes: Y95 and J15.61 (describing HABP due to Acinetobacter baumannii);
or J95.851 and B96.83 (describing VABP due to Acinetobacter
baumannii).''.
6. On page 59051, third column, first partial paragraph:
a. Line 24, the phrase ``adjust the prior year numerator by +10''
is corrected to read ``adjust the prior year numerator''.
b. Line 28, the phrase ``increased by 10 relative to the prior
year'' is corrected to read ``increased relative to the prior year''.
7. On page 59064, second column, first footnote paragraph (footnote
219), lines 2 through 4, the hyperlink, ``<a href="https://qualitynet.cms.gov/inpatient/measures/mspb/methodology">https://qualitynet.cms.gov/inpatient/measures/mspb/methodology</a>,'' is corrected to read, ``<a href="https://qualitynet.cms.gov/inpatient/measures/hvbp-mspb/methodology">https://qualitynet.cms.gov/inpatient/measures/hvbp-mspb/methodology</a>.''
8. On page 59065, first column, first footnote paragraph (footnote
226), lines 2 through 4, the hyperlink, ``<a href="https://qualitynet.cms.gov/inpatient/measures/mspb/methodology">https://qualitynet.cms.gov/inpatient/measures/mspb/methodology</a>,'' is corrected to read, ``<a href="https://qualitynet.cms.gov/inpatient/measures/hvbp-mspb/methodology">https://qualitynet.cms.gov/inpatient/measures/hvbp-mspb/methodology</a>.''
9. On page 59071, second column, second footnote paragraph
(footnote 249), lines 3 through 6, the hyperlink, ``<a href="https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/CMS/Quality-Strategy">https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/CMS/Quality-Strategy</a>,'' is corrected
to read, ``<a href="https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/CMS-Quality-Strategy">https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/CMS-Quality-Strategy</a>.''
10. On page 59090, third column, first paragraph, the reference,
``section XXX'' is corrected to read, ``V.K.2.c.(1).''
11. On page 59095, first column, first footnote paragraph (footnote
292), lines 5 through 8, the hyperlink, ``<a href="https://aspe.hhs.gov/sites/default/files/migrated_legacy_files//195046/Social-Risk-in-Medicare%E2%80%99s-VBP/2nd-Report-Executive-Summary.pdf">https://aspe.hhs.gov/sites/default/files/migrated_legacy_files//195046/Social-Risk-in-Medicare%E2%80%99s-VBP/2nd-Report-Executive-Summary.pdf</a>,'' is corrected
to read, <a href="https://aspe.hhs.gov/sites/default/files/migrated_legacy_files/195046/Social-Risk-in-Medicare%E2%80%99s-VBP-2nd-Report-Executive-Summary.pdf">https://aspe.hhs.gov/sites/default/files/migrated_legacy_files/195046/Social-Risk-in-Medicare%E2%80%99s-VBP-2nd-Report-Executive-Summary.pdf</a>.
12. On page 59107, second column, first full paragraph, line 7, the
phrase ``A few commenters made'' is corrected to read, ``A few
commenters''.
13. On page 59113, first column, last paragraph, line 21, the
reference ``section X.X.'' is corrected to ``section V.L.6.a.(2)''.
14. On page 59114, first column, first full paragraph, line 1, the
section heading that begins ``K. Rural'' is corrected to read ``M.
Rural''.
15. On page 59139, third column, footnote paragraph (footnote 348),
lines 4 through 6, the hyperlink ``<a href="https://mmshub.cms.gov/sites/default/files/2022-prliminary-analysis-pacltc-workgroup.pdf">https://mmshub.cms.gov/sites/default/files/2022-prliminary-analysis-pacltc-workgroup.pdf</a>'' is
corrected to read ``<a href="https://mmshub.cms.gov/sites/default/files/2022-preliminary-analysis-pacltc-workgroup.pdf">https://mmshub.cms.gov/sites/default/files/2022-preliminary-analysis-pacltc-workgroup.pdf</a>''.
16. On page 59142, first column, first paragraph, line 20, the page
reference ``(88 FR 38486)'' is corrected to read ``(88 FR 36488)''.
17. On page 59144, third column, after the third full paragraph,
line 1, the section heading that begins., ``5. Proposed New Measures''
is corrected to read ``5. New Measures''.
18. On page 59149, third column, second full paragraph, line 4, the
reference ``section IX.H.10.a.2.'' is corrected to read ``section
IX.F.''.
19. On page 59152, second column, footnote paragraph (footnote
433), line 2 and (footnote 434) line 2, the reference ``(April 2022)''
is corrected to read ``(June 2023)''.
20. On page 59154, first column, footnote paragraph (footnote 446),
line
[[Page 68486]]
3, the reference ``(April 2022)'' is corrected to read ``(June 2023)''.
21. On page 59163:
a. First column, last paragraph, lines 3 through 4, the phrase
``Hybrid Hospital-Wide Mortality (Hybrid HWM) measure'' is corrected to
read ``Hybrid Hospital-Wide All-Cause Risk Standardized Mortality (HWM)
measure''.
b. Second column, second footnote paragraph (footnote 525), line 3,
the footnote is corrected by adding the following sentence ``Available
at: <a href="https://pubmed.ncbi.nlm.nih.gov/25068076/">https://pubmed.ncbi.nlm.nih.gov/25068076/</a>.''.
22. On page 59164, second column, second full paragraph, line 18,
the reference ``section B.6.d'' is corrected to read ``section
XII.B.7.d.''.
23. On page 59167, third column, third paragraph, lines 3 through
4, the phrase ``Hybrid Hospital-Wide Readmission (Hybrid HWR) measure''
is corrected to read ``Hybrid Hospital-Wide All-Cause Readmission (HWR)
measure''.
24. On page 59171, second column, second full paragraph, line 13,
the reference ``section X.k'' is corrected to read ``section V.K.''.
25. On page 59174, second column, second footnote paragraph
(footnote 565), lines 3 through 4, the hyperlink, ``https://
manual.jointcommissionorg/releases/TJC2023B/MIF0166.html'' is corrected
to read ``<a href="https://manual.jointcommission.org/releases/TJC2023B/MIF0166.html">https://manual.jointcommission.org/releases/TJC2023B/MIF0166.html</a>''.
26. On page 59180, first column, first paragraph, lines 1 through
4, the section heading, ``c. Summary of Previously Finalized and
Proposed Hospital IQR Program Measures'' is corrected to read ``c.
Summary of Previously Finalized and Newly Adopted Hospital IQR Program
Measures''.
27. On page 59186, third column, sixth full footnote paragraph
(footnote 583), lines 4 through 6, the website ``<a href="https://forms.ihi.org/hubfs/Guide%20To%20Recognition%20for%20GSV%20Siteslowbar">https://forms.ihi.org/hubfs/Guide%20To%20Recognition%20for%20GSV%20Siteslowbar</a>;FINAL.pdf'' is
corrected to read ``<a href="https://forms.ihi.org/hubfs/Guide%20To%20Recognition%20for%20GSV%20Sites_FINAL.pdf">https://forms.ihi.org/hubfs/Guide%20To%20Recognition%20for%20GSV%20Sites_FINAL.pdf</a>''.
28. On page 59199, third column, fourth full paragraph, lines 3
through 4, the phrase ``On commenter'' is corrected to read ``One
commenter''.
29. On page 59279, second paragraph (table key for Table IX.F.-
04.), the word ``pubslihing'' is corrected to read ``appearing''.
30. On page 59326, second column, first paragraph, line 7, the
phrase ``per eligible.'' is corrected to read ``per eligible hospital
and CAH as well as an additional 4 hours annually for CAHs to report
eCQMs.''.
B. Correction of Errors in the Appendices
1. On page 59412, second column, first full paragraph, line 8, the
table reference ``Table I.G.-01'' is corrected to read ``Table I.G.-
03''.
Wilma Robinson,
Deputy Executive Secretary, Department of Health and Human Services.
[FR Doc. 2023-22060 Filed 9-29-23; 4:15 pm]
BILLING CODE 4120-01-P
</pre><script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body>
</html>Indexed from Federal Register on October 4, 2023.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.