Section 304(c) of Public Law 106-554 amended Section 1886(d)(3)(E) of the Social Security Act requiring CMS to collect data at least every three years on the occupational mix of employees for each short-term, acute care hospital participating in the Medicare program, to construct an occupational mix adjustment to the wage index, beginning October 1, 2004.

CMS collects data for the occupational mix adjustment on the Medicare Wage Index Occupational Mix Survey (Form CMS-10079). Data from the 2006 update (Change Request (CR) 3043) were used to calculate the Fiscal Years (FYs) 2007, 2008 and 2009 wage index. To comply with the statutory requirement, CMS is administering a new survey, the 2007-2008 update, to be used in computing the wage index beginning with FY 2010. The due date for submission to the CMS agents is September 1, 2008.

On February 2, 2007, CMS published a notice of intent with comment regarding a new occupational mix survey (72 FR 5055). This new survey is the 2007-2008 Medicare Occupational Mix Survey (Form CMS-10079 (2008)). The final notice with comments was published September 14, 2007 (72 FR 52568). The 2007-2008 survey provides for the collection of hospital-specific wages and hours data for a one-year prospective reporting period (that is, from July 1, 2007, through June 30, 2008), to include additional clarifications to the survey instructions, the elimination of the Registered Nurse (RN) subcategories, some refinements to the definitions for the occupational categories and the inclusion of additional cost centers that typically provide nursing services.

The survey and supporting documentation can be accessed at:

Providers may reference CR 5992 at:

Effective Date: June 9, 2008; Implementation Date: June 9, 2008
Pinnacle Business Solutions, Inc. A CMS Intermediary and Carrier. Published online on CMS Web site, 5-30-08. 2007-2008 Update to the Medicare Wage Index Occupational Mix Survey Reference: Trans.339, CR# 5992, Pub 100-20.

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Publication Date: Thursday, August 07, 2008