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Added line is this color Deleted line is this color <p><span style="FONT-SIZE: 10pt">A hospital inpatient, for Medicare purposes, is defined in section 210 of the Medicare Hospital Manual as a person admitted to a hospital for bed occupancy for purposes of receiving inpatient hospital services.</span></p> <p><strong><span style="FONT-SIZE: 13.5pt">CMS Fact Sheet: </span></strong><span style="FONT-SIZE: 13.5pt"><a href= "http://www.cms.hhs.gov/MLNProducts/downloads/AcutePaymtSysfctsht.pdf">Acute IPPS</a></span></p> <h3 style="MARGIN: auto 0in">Medicare Manuals</h3> <ul type="disc"> <li class="MsoNormal" style= "MARGIN: 0in 0in 0pt; mso-list: l1 level1 lfo1; tab-stops: list .5in; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"> <a href="http://www.cms.hhs.gov/manuals/Downloads/bp102c01.pdf"><span style= "FONT-SIZE: 10pt">Inpatient Hospital Services</span></a></li> <li class="MsoNormal" style= "MARGIN: 0in 0in 0pt; mso-list: l1 level1 lfo1; tab-stops: list .5in; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"> <a href="http://www.cms.hhs.gov/manuals/Downloads/bp102c03.pdf"><span style= "FONT-SIZE: 10pt">Duration of Covered Inpatient Services</span></a></li> </ul> <h3 style="MARGIN: auto 0in">Medicare Severity Diagnosis-Related Groups (MS-DRGs)</h3> <ul> <li> <div style="MARGIN: auto 0in">2008</div> </li> <li style="LIST-STYLE-TYPE: none"> <ul> <li> <div style="MARGIN: auto 0in"><font face="Times New Roman" size= "3"><span style="FONT-SIZE: 12pt"><span style= "FONT-SIZE: 10pt; mso-bidi-font-size: 12.0pt"><a href= "http://www.cms.hhs.gov/AcuteInpatientPPS/FFD/itemdetail.asp?filterType=none&filterByDID=-99&sortByDID=2&sortOrder=ascending&itemID=CMS1198553&intNumPerPage=10"> List of MS-DRGs, Relative Weighting Factors, and Geometric and Arithmetic Mean Length of Stay</a></span></span></font></div> </li> <li> <div style="MARGIN: auto 0in"><font face="Times New Roman" size= "3"><span style="FONT-SIZE: 12pt"><span style= "FONT-SIZE: 10pt; mso-bidi-font-size: 12.0pt"><a title= "http://www.cms.hhs.gov/AcuteInpatientPPS/FFD/itemdetail.asp?filterType=none&filterByDID=0&sortByDID=2&sortOrder=descending&itemID=CMS1201734&intNumPerPage=2000" href= "http://www.cms.hhs.gov/AcuteInpatientPPS/FFD/itemdetail.asp?filterType=none&filterByDID=0&sortByDID=2&sortOrder=descending&itemID=CMS1201734&intNumPerPage=2000"> Complications and Comorbidities (CC) – Table 6J – CC List</a></span></span></font></div> </li> <li> <div style="MARGIN: auto 0in"><span style= "FONT-SIZE: 10pt; mso-bidi-font-size: 12.0pt"><a title= "http://www.cms.hhs.gov/AcuteInpatientPPS/FFD/itemdetail.asp?filterType=none&filterByDID=0&sortByDID=2&sortOrder=descending&itemID=CMS1201733&intNumPerPage=2000" href= "http://www.cms.hhs.gov/AcuteInpatientPPS/FFD/itemdetail.asp?filterType=none&filterByDID=0&sortByDID=2&sortOrder=descending&itemID=CMS1201733&intNumPerPage=2000"> Major Complications and Comorbidities (MCC) – Table 6I – MCC List</a></span></div> </li> <li> <div style="MARGIN: auto 0in"><span style= "FONT-SIZE: 10pt; mso-bidi-font-size: 12.0pt"><a title= "http://www.cms.hhs.gov/AcuteInpatientPPS/FFD/itemdetail.asp?filterType=none&filterByDID=0&sortByDID=2&sortOrder=descending&itemID=CMS1201736&intNumPerPage=2000" href= "http://www.cms.hhs.gov/AcuteInpatientPPS/FFD/itemdetail.asp?filterType=none&filterByDID=0&sortByDID=2&sortOrder=descending&itemID=CMS1201736&intNumPerPage=2000"> -CC Exclusions – Total CC Exclusion List</a>,<a title= +CC Exclusions – Total CC Exclusion List</a>, <a title= "http://www.cms.hhs.gov/AcuteInpatientPPS/FFD/itemdetail.asp?filterType=none&filterByDID=-99&sortByDID=2&sortOrder=ascending&itemID=CMS1201744&intNumPerPage=2000" href= "http://www.cms.hhs.gov/AcuteInpatientPPS/FFD/itemdetail.asp?filterType=none&filterByDID=-99&sortByDID=2&sortOrder=ascending&itemID=CMS1201744&intNumPerPage=2000">Table 6G - Additions to the CC Exclusions List</a>, and <a title= "http://www.cms.hhs.gov/AcuteInpatientPPS/FFD/itemdetail.asp?filterType=none&filterByDID=-99&sortByDID=2&sortOrder=ascending&itemID=CMS1201745&intNumPerPage=2000" href= "http://www.cms.hhs.gov/AcuteInpatientPPS/FFD/itemdetail.asp?filterType=none&filterByDID=-99&sortByDID=2&sortOrder=ascending&itemID=CMS1201745&intNumPerPage=2000">Table 6H - Deletions from the CC Exclusions List</a></span></div> </li> <li> <div style="MARGIN: auto 0in"><span style= "FONT-SIZE: 10pt; mso-bidi-font-size: 12.0pt"><a title= "http://www.cms.hhs.gov/AcuteInpatientPPS/FFD/itemdetail.asp?filterType=none&filterByDID=0&sortByDID=2&sortOrder=descending&itemID=CMS1198678&intNumPerPage=2000" href= "http://www.cms.hhs.gov/AcuteInpatientPPS/FFD/itemdetail.asp?filterType=none&filterByDID=0&sortByDID=2&sortOrder=descending&itemID=CMS1198678&intNumPerPage=2000"> Crosswalk from CMS DRGs to MS-DRGs</a></span><span style= "FONT-SIZE: 10pt; mso-bidi-font-size: 12.0pt"> </span></div> </li> </ul> </li> </ul> <p class="MsoNormal" style= "MARGIN-LEFT: 0.5in; TEXT-INDENT: -0.25in; mso-list: l0 level1 lfo1"></p> <h3 style="MARGIN: auto 0in">Reimbursement</h3> <p style="LIST-STYLE-TYPE: none"></p> <ul type="circle"> <li class="MsoNormal" style= "MARGIN: 0in 0in 0pt; mso-list: l0 level2 lfo2; tab-stops: list 1.0in; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"> <a href= "http://www.dtti.com/dtt/cda/doc/content/us_lshc_atregulatorynewsletter_sept2006.pdf"> <span style="FONT-SIZE: 10pt">Hospital Pricing: A Regulatory Perspective</span></a> <span style="FONT-SIZE: 10pt">by Deloitte (September 2006)</span></li> <li class="MsoNormal" style= "MARGIN: 0in 0in 0pt; mso-list: l0 level2 lfo2; tab-stops: list 1.0in; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"> <a href= "http://www.cordis.com/active/crdus/en_US/html/cordis/downloads/HRG_Guide.pdf"><span style="FONT-SIZE: 10pt"> Hospital Reimbursement Guide</span></a><span style="FONT-SIZE: 10pt"> for Cypher drug-eluting stent (2003)</span></li> </ul> <h3 class="MsoNormal" style="MARGIN: 0in 0in 0pt">New Technology Add-On Payment</h3> <ul> <li> <div class="MsoNormal" style="MARGIN: 0in 0in 0pt"> <p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style= "FONT-SIZE: 10pt"><b><span style="FONT-SIZE: 10pt">IPPS New Technology Homepage -- </span></b><span style="FONT-SIZE: 10pt"><a href= "http://www.cms.hhs.gov/AcuteInpatientPPS/08_newtech.asp" target= "_parent"><font color= "#800080">http://www.cms.hhs.gov/AcuteIn</font></a><a href= "http://www.cms.hhs.gov/AcuteInpatientPPS/08_newtech.asp" target= "_parent"><font color= "#800080">patientPPS/08_newtech.asp</font></a></span></span></p> </div> </li> <li style="LIST-STYLE-TYPE: none"> <ul> <li> <div class="MsoNormal" style="MARGIN: 0in 0in 0pt"> <p class="MsoNormal" style="MARGIN: 0in 0in 0pt; TEXT-ALIGN: justify"> <span style="FONT-SIZE: 10pt"><font size="3"><font size="2">Establishment of -New Tech and New Services Add-On Payment policy (7 Sept 2001) - <a href= -"http://frwebgate5.access.gpo.gov/cgi-bin/PDFgate.cgi?WAISdocID=81203678090+4+1+0&WAISaction=retrieve"> -66 <u>Fed Reg</u> 46902-46925</a></font></font></span></p> +New Tech and New Services Add-On Payment policy (7 Sept 2001) - <a href= +"http://frwebgate5.access.gpo.gov/cgi-bin/PDFgate.cgi?WAISdocID=81203678090+4+1+0&WAISaction=retrieve">66 <u>Fed +Reg</u> 46902-46925</a></font></font></span></p> </div> </li> -<li style="list-style: none"> +<li style="LIST-STYLE-TYPE: none"> <ul> <li> <div class="MsoNormal" style="MARGIN: 0in 0in 0pt"> <p class="MsoNormal" style="MARGIN: 0in 0in 0pt; TEXT-ALIGN: justify"> -<span style="FONT-SIZE: 10pt">Criteria for "substantial clinical improvement": -<a href= -"http://frwebgate5.access.gpo.gov/cgi-bin/PDFgate.cgi?WAISdocID=81203678090+4+1+0&WAISaction=retrieve"> -66 <u>Fed Reg</u> 46913-46914</a>.</span></p> +<span style="FONT-SIZE: 10pt">Criteria for "substantial clinical +improvement": <a href= +"http://frwebgate5.access.gpo.gov/cgi-bin/PDFgate.cgi?WAISdocID=81203678090+4+1+0&WAISaction=retrieve">66 <u>Fed +Reg</u> 46913-46914</a>.</span></p> </div> </li> </ul> </li> <li> <p class="MsoNormal" style="MARGIN: 0in 0in 0pt; TEXT-ALIGN: justify"> <span style="FONT-SIZE: 10pt"><font size="3"><font size="2">A complete reading on Add-On Payments for New Services and Technologies is in the 2008 IPPS final rule published on August 22, 2007 - [</font><a href= "http://www.cms.hhs.gov/AcuteInpatientPPS/downloads/CMS-1533-FC.pdf"><span style="COLOR: navy"><font size="2">CMS</font></span></a><font size="2"> | </font><a href="http://a257.g.akamaitech.net/7/257/2422/01jan20071800/edocket.access.gpo.gov/2007/07-3820.htm"><span style="COLOR: navy"><font size="2">Plain text</font></span></a><font size="2"> | </font><a href= "http://a257.g.akamaitech.net/7/257/2422/01jan20071800/edocket.access.gpo.gov/2007/pdf/07-3820.pdf"><span style="COLOR: navy"><font size="2">Fed Reg</font></span></a><font size="2">]</font></font></span></p> </li> </ul> </li> <li> <div class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style= "FONT-SIZE: 10pt">(<strong><a href= "http://reimbursement.atwiki.com/file/open/12/Overview+of+the+Medicare+Inpatient+Prospective+Payment+System+New+Technology+Add-on+Payment+Provision+%28Feb+20+2007%29.ppt">uploaded</a></strong>) Powerpoint Overview of the Medicare Inpatient Prospective Payment System New Technology Add-on Payment Provision, <i style= "mso-bidi-font-style: normal">February 20, 2007</i></span></div> </li> <li style="LIST-STYLE-TYPE: none"> <ul> <li> <div class="MsoNormal" style="MARGIN: 0in 0in 0pt"> <p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style= "FONT-SIZE: 10pt"><span style= "FONT-SIZE: 9pt; FONT-FAMILY: 'Book Antiqua'"><a href= "http://www.cms.hhs.gov/AcuteInpatientPPS/Downloads/FY2009_New%20Technology%20App.pdf"> FY 2009 Application</a> for New Medical Services and Technologies Seeking to Qualify for Add-On Payments Under the HIPPS</span></span></p> +</div> +</li> +<li> +<div class="MsoNormal" style="MARGIN: 0in 0in 0pt"> +<p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style= +"FONT-SIZE: 10pt"><span style= +"FONT-SIZE: 9pt; FONT-FAMILY: 'Book Antiqua'"><a href= +"http://www.cms.hhs.gov/AcuteInpatientPPS/Downloads/FY2010_New_Technology_Application_Final.pdf"> +FY 2010 Application</a></span></span></p> <p class="MsoNormal" style="MARGIN: 0in 0in 0pt"> </p> </div> </li> </ul> </li> </ul> |