Fiscal Year 2003 Medicare Inpatient Prospective
Payment System
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Related Resources
AAMC Documents
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Current Status as of August 29, 2002
On August 1, 2002, the Centers for Medicare and Medicaid Services (CMS)
published its final rule [67 FR 49982], making changes to the Inpatient
Prospective Payment System for federal fiscal year (FFY) 2003. The AAMC
has prepared a summary and analysis (PDF, 16
pages - 54KB) of the Final Rule.
Background
The final rule implements an update to the standardized payment amount
of 2.95 percent. This reflects a market basket increase of 3.5 percent,
less 0.55 percentage points (as specified in current law). (Note: there
are bills currently pending in Congress that would increase the update to
equal the full market basket increase for FFY 2003). Other final items in
the final rule include:
- No expansion of the post acute transfer policy,
- No increase in the labor-related share used in wage index computations,
- An outlier threshold of $33,560 (an increase from the proposed
threshold of $33,450);
- Retaining the provision in the proposed rule that prohibits
hospitals that are in resident limit affililiation agreements
from permanently transferring portions of their resident limits
to the other hospital(s) at the end of the agreement, and
- A new DRG for drug-eluting stents.
Final Rule
The final rule, published August 1, 2002, in the Federal Register, is available
in seven parts in text format and Portable Document Format (PDF)
42 CFR Parts 405, et al. Medicare Program; Changes to the Hospital Inpatient
Prospective Payment Systems and Fiscal Year 2003 Rates; Final Rule
- Part I [pp. 49981-50030]: Text / PDF
- Part II [pp.50031-50080]: Text / PDF
- Part III [pp.50081-50130]: Text / PDF
- Part IV [pp.50131-50180]: Text / PDF
- Part V [pp.50181-50230]: Text / PDF
- Part VI [pp.50231-50280]: Text / PDF
- Part VII [pp.50281-50289]: Text / PDF
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Contacts
Karen Fisher, Sr. Director, Health Care Affairs
AAMC Health Care Affairs
kfisher@aamc.org
(202) 862-6140
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