{"abstract":"We are proposing to revise the Medicare acute care hospital inpatient prospective payment systems for operating and capital costs to implement changes arising from our continuing experience with these systems. In addition, in the Addendum to this proposed rule, we describe the proposed changes to the amounts and factors used to determine the rates for Medicare hospital inpatient services for operating costs and capital-related costs. These changes would be applicable to discharges occurring on or after October 1, 2002. We also are setting forth proposed rate-of-increase limits as well as proposed policy changes for hospitals and hospital units excluded from the acute care hospital inpatient prospective payment systems. In addition, we are proposing changes to other hospital payment policies, which include policies governing: payments to hospitals for the direct and indirect costs of graduate medical education; pass- through payments for the services of nonphysician anesthetists in some rural hospitals; clinical requirements for swing-bed services in critical access hospitals (CAHs); payments to provider-based entities; and implementation of the Emergency Medical Treatment and Active Labor Act (EMTALA).","action":"Proposed rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2002/05/09/02-11290.html","cfr_references":[{"chapter":null,"citation_url":null,"part":405,"title":42},{"chapter":null,"citation_url":null,"part":412,"title":42},{"chapter":null,"citation_url":null,"part":413,"title":42},{"chapter":null,"citation_url":null,"part":482,"title":42},{"chapter":null,"citation_url":null,"part":485,"title":42},{"chapter":null,"citation_url":null,"part":489,"title":42}],"citation":"67 FR 31404","comment_url":null,"comments_close_on":"2002-07-08","correction_of":null,"corrections":[],"dates":"Comments will be considered if received at the appropriate address, as provided below, no later than 5 p.m. on July 8, 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08:15:05 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2002-05-09/pdf/02-11290.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2002-05-09","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2002/05/09/02-11290.txt","regulation_id_number_info":{"0938-AL23":{"issue":"200204","html_url":"https://www.federalregister.gov/regulations/0938-AL23/hospital-inpatient-prospective-payment-system-for-fy-2003-cms-1203-p-","title":"Hospital Inpatient Prospective Payment System for FY 2003 (CMS-1203-P)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=200204&RIN=0938-AL23&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AL23"],"regulations_dot_gov_info":{},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":31404,"subtype":null,"title":"Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2003 Rates","toc_doc":"Hospital inpatient prospective payment systems and 2003 FY rates","toc_subject":"Medicare:","topics":["Administrative practice and procedure","Grant programs-health","Health facilities","Health professions","Hospitals","Kidney diseases","Medicaid","Medicare","Puerto Rico","Reporting and recordkeeping requirements","Rural areas","X-rays"],"type":"Proposed Rule","volume":67}