Health Care Financing Administration--Medicare and Medicaid programs: annual hospital report. Proposed rule.

This proposal would implement certain provisions of section 19 of the Medicare-Medicaid Anti-Fraud and Abuse Amendments (Pub. L. 95-142) by establishing a uniform method for hospitals participating in the Medicare or Medicaid programs to report the cost and volume of services. The intent is to obtain comparable data on all participating hospitals for purposes of reimbursement, effective cost and policy analysis, assessment of alternative reimbursement mechanisms and health planning. This is the second issurance of a notice of proposed rulemaking to implement these requirements. Originally we published an NPRM on January 23, 1979 entitled "System for Hospital Uniform Reporting (SHUR)". We are reissuing a proposed rule because we have substantially revised the reporting requirements based on the large number of comments received in response to the original proposal, the information we obtained from a cost impact study, and the results of a Regulatory Analysis conducted in accordance with Executive Order 12044 "Improving Government Regulations." The changes we have made significantly reduce the cost and burden of the original proposal. Additionally, we have relocated the reporting filing requirement from Subpart J (dealing with conditions of participation) to Subpart F (dealing with provider agreements). This proposal would establish an Annual Hospital Report. The Annual Hospital Report incorporates into a single report the Medicare cost report, the Public Health Service's Hospital Facilities Minimum Data Set, and new uniform reporting requirements needed to implement the law. The regulation would establish the basic reporting requirements and the provisions for public disclosure of the Annual Hospital Report information. The regulation does not set forth the details of the Annual Hospital Report which are contained in a manual of instructions,