Inpatient PPS PC Pricer

The Social Security Amendments of 1983 (Public Law 98-21) established the Prospective Payment System (PPS) for hospital inpatient services provided to Medicare beneficiaries. Under this system, a hospital is paid a fixed amount for each patient discharged in a particular treatment category or Diagnosis Related Group (DRG). This fixed amount is intended to cover the cost of treating a typical patient for a particular DRG. The PPS Pricer software, which will be released on a quarterly basis, calculates discharges from October 1 through September 30 for a given fiscal year.

Note: To be notified of changes or updates to this PRICER application, select the link for 'Receive Inpatient PPS PC Pricer Updates' in the Related Links Outside CMS section below.  Subscribe to the Hospitals-Acute-L listserv to receive automatic notices.

Downloads
User's Manual [ZIP 410KB] FY 2007.4 [ZIP, 2.84MB] - updated 03/05/09 FY 2008.6 [ZIP, 3.14MB] - updated 03/20/09 FY 2009.6 [ZIP, 3.9MB] - updated 12/22/10 FY 2010.A – (For claims from 10/01/2009 to 03/31/2010) [ZIP 3.50MB] - updated 02/17/11 FY 2010.7 – (For claims from 04/01/2010 to 09/30/2010) [ZIP 3.48MB] -  updated 02/17/11 FY 2011.3 – (For claims from 10/01/2010 to 09/30/2011) [ZIP, 3.26MB] - updated 09/07/11 FY 2012.1 – (For claims from 10/01/2011 to 09/30/2012) [ZIP, 2.83MB] updated 02/07/12
Related Links Inside CMS
Prospective Payment Systems - General Information Acute Inpatient PPS
Related Links Outside CMS
Receive Inpatient PPS PC Pricer Updates

Page Last Modified: 02/07/2012 3:51:39 PM
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