2006 proposed fee schedule - American Society of Clinical Oncology
2006 proposed fee schedule - American Society of Clinical Oncology 2006 proposed fee schedule - American Society of Clinical Oncology
176 as part of the Columbus, OH CBSA, code 18140. The new CBSA wage index applicable to Serve U Well, adjusted for budget neutrality, is 1.0077. Applying the wage index of 1.0077 to the revised labor related component of the base composite rate for hospital-based facilities shown in Table 26 yields a wage-adjusted composite rate of $132.96. ( $ 71. 12 × 1. 0077) + $ 61. 29 = $ 132. 96 Serve U Well’s current rural Ohio wage-adjusted composite payment rate is $128.66. Because the revised wage-adjusted composite payment rate of $132.96 is greater than $128.66, Serve U Well would receive 100 percent of its new wage-adjusted composite payment rate of $132.96 beginning January 1, 2006. As in the previous example, the 8.9 percent drug add-on adjustment and relevant case-mix adjustments (related to the budget neutrality adjustment) would be applied to this new wage-adjusted composite rate. (7) Frequency of Update Section 623(d)(1) of the MMA provides that any revised wage index used in connection with the composite payment rates must be phased-in over a multiyear period. We are proposing a two-year transition period to the new wage indexes based on CBSAs. An issue remains as to how frequently the new wage index values should be updated to reflect changes in area wage levels. These changes would be
177 detected through our receipt of hospital wage and employment data obtained from the Medicare hospital cost reports subsequent to FY 2005. In order to keep payments to ESRD facilities as up-to-date as possible, we propose to update the wage index on an annual basis, as part of the overall ESRD payment update. (8) Wage Index Table The following two tables show the proposed ESRD wage index for urban areas (Table 27) and rural areas (Table 28). TABLE 27--Proposed ESRD Wage Index for Urban Areas Based on CBSA Labor Market Areas CBSA Code Urban Area Wage (Constituent Counties) Index 10180 Abilene, TX Callahan County, TX Jones County, TX 0.8696 10380 10420 10500 Taylor County, TX Aguadilla-Isabela-San Sebastián, PR 0.8696 Aguada Municipio, PR Aguadilla Municipio, PR Añasco Municipio, PR Isabela Municipio, PR Lares Municipio, PR Moca Municipio, PR Rincón Municipio, PR San Sebastián Municipio, PR Akron, OH 0.9198 Portage County, OH Summit County, OH Albany, GA 0.8835 Baker County, GA Dougherty County, GA Lee County, GA Terrell County, GA Worth County, GA
- Page 125 and 126: 125 hospital-based facilities; whil
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- Page 161 and 162: from the cost reports. To avoid dou
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177<br />
detected through our receipt <strong>of</strong> hospital wage and employment<br />
data obtained from the Medicare hospital cost reports<br />
subsequent to FY 2005. In order to keep payments to ESRD<br />
facilities as up-to-date as possible, we propose to update<br />
the wage index on an annual basis, as part <strong>of</strong> the overall<br />
ESRD payment update.<br />
(8) Wage Index Table<br />
The following two tables show the <strong>proposed</strong> ESRD wage<br />
index for urban areas (Table 27) and rural areas (Table 28).<br />
TABLE 27--Proposed ESRD Wage Index for Urban Areas<br />
Based on CBSA Labor Market Areas<br />
CBSA Code Urban Area<br />
Wage<br />
(Constituent Counties)<br />
Index<br />
10180 Abilene, TX<br />
Callahan County, TX<br />
Jones County, TX<br />
0.8696<br />
10380<br />
10420<br />
10500<br />
Taylor County, TX<br />
Aguadilla-Isabela-San Sebastián, PR 0.8696<br />
Aguada Municipio, PR<br />
Aguadilla Municipio, PR<br />
Añasco Municipio, PR<br />
Isabela Municipio, PR<br />
Lares Municipio, PR<br />
Moca Municipio, PR<br />
Rincón Municipio, PR<br />
San Sebastián Municipio, PR<br />
Akron, OH 0.9198<br />
Portage County, OH<br />
Summit County, OH<br />
Albany, GA 0.8835<br />
Baker County, GA<br />
Dougherty County, GA<br />
Lee County, GA<br />
Terrell County, GA<br />
Worth County, GA
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