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Title
Files for FY 2009 Final Rule and Correction Notice
Fiscal Year
2009
Type of File
Tables and Data Files
Description
See Below
  1. Impact File: This file contains data elements by provider that were used in calculating the FY 2009 rates and impacts.
  2. AOR/BOR File: This zip file contains two excel spreadsheets, one for the After Outliers Removed (AOR) and one for the Before Outliers Removed (BOR). There are also two files containing the variable descriptions. The variables in these files are used in the calculations of the relative weights as well as other calculations for the inpatient PPS. All text files in the zip file are for 508 compliance.
  3. Case Mix Index File: This file contains FY 2009 final hospitals' case mix indexes (CMI) for discharges. A hospital's CMI represents the average diagnosis-related group (DRG) relative weight for that hospital. It is calculated by summing the DRG weights for all Medicare discharges and dividing by the number of discharges.
  4. Historical DRG Weight File: DRG weights and other data since the inception of Inpatient PPS (See imbedded header for each year for layout).
  5. Standardizing File: This file is used to standardize charges for the rate building process.
  6. Definition of Medicare Code Edits: This file contains a description of each coding edit with corresponding ICD-9-CM code lists. There are two chapters in this file. The first chapter contains all the edits and the code lists for FY 2010. The second chapter summarizes, by edit, the changes in the edit code list from the last release of the MCE. This document is 508 compliant.
  7. Table 1A-1E: This excel spreadsheet contains the final FY 2009 Operating and Capital National and Puerto Rico Specific Standardized Amounts. Additionally, there are two text files corresponding to each tab in the spreadsheet to meet Section 508 compliance.
  8. Tables 2, 3A, 3B, 4A, 4B, 4C, 4F, 4J, 9A, 9B, 9C (Wage Index Tables): All relevant wage index tables.
  9. Table 5: List of MS-DRGs, Relative Weighting Factors and Geometric and Arithmetic Mean Length of Stay
  10. Tables 6A-6K: Tables 6A -6F: List of new, revised, and deleted ICD-9-CM diagnosis and procedures codes and MS-DRG assignments; Tables 6G contains the Additions to the CC Exclusions List; Table 6H contains the Deletions from the CC Exclusions List. Table 6I contains the complete MCC list; Table 6I.1 contains the additions to the MCC list; Table 6I.2 contains the deletions to the MCC list; Table 6J contains the complete CC list; Table 6J.1 contains the additions to the CC list; Table 6J.2 contains the deletions to the CC list; Table 6K contains the Complete list of CC exclusions for the MS-DRGs; All files are 508 compliant.
  11. Tables 7A and 7B: Tables 7A and 7B contain the number of discharges, and selected percentile lengths of stay for both MS-DRGs, version 25 and MS-DRGs, version 26 as published in the Federal Register. Additionally, there are two text files corresponding to each tab in the spreadsheet to meet Section 508 compliance.
  12. Tables 8A and 8B: Tables 8A and 8B contain the final FY 2009 IPPS operating and capital statewide average cost-to-charge-ratios as published in the Federal Register. Additionally, there are two text files corresponding to each tab in the spreadsheet to meet Section 508 compliance.
  13. Table 10: Table 10 contains the final cost thresholds by MS-DRG for the cost criteria for new technology add on payment applications for FY 2010. Additionally, there is a text file corresponding to the table to meet Section 508 compliance.
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