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January 1, 2004
 Medicare Program:
Notice of One-Time Appeal Process for Hospital Wage Index
Classification
Under section
1886(d)(10) of the Act, the Medicare Geographic Classification
Review Board (MGCRB) considers applications by hospitals for
geographic reclassification for purposes of payment under the
inpatient prospective payment system (IPPS). Hospitals can elect
to reclassify for the wage index or the standardized amount, or
both, and as individual hospitals or as groups. Generally,
hospitals must be proximate to the labor market area to which they
are seeking reclassification and must demonstrate characteristics
similar to hospitals located in that area. Hospitals must apply
for reclassification to the MGCRB. The MGCRB issues its decisions
by the end of February for reclassifications to become effective
for the following fiscal year (beginning October 1). The
regulations applicable to reclassifications by the MGCRB are
located in 412.230 through 412.280.
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