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Title
FY 2016 Final Rule, Correction Notice and Consolidated Appropriations Act of 2016 Tables
Type of File
Tables

Below are the tables for the FY 2016 Final Rule and Correction Notice. The data files and impact file for the FY 2016 Final Rule and Correction Notice are located on a separate list. All excel files are “protected”. Go to the review tab and click “unprotect sheet” to unlock the data.

Also, all Excel files contain a text file for 508 compliance. Text files are 508 compliant by themselves.

  1. Table 1A-1E (Final Rule, Correction Notice and Consolidated Appropriations Act of 2016): This excel spreadsheet contains three tabs which contains the final rule, correction notice and Consolidated Appropriations Act FY 2016 Operating and Capital National and Puerto Rico Specific Standardized Amounts.
  2. Tables 2 and 3 Final Rule and Correction Notice (Wage Index Tables):  Excel file with multiple tabs that contains the final rule and correction notice Table 2- Final Case-Mix Index and Wage Index Table by CCN and Table 3- Final Wage Index Table by CBSA. Note: Table 2 contains information by CCN and information from the following tables that have been provided in previous fiscal years:  Tables 2, 4J, 9A, and 9C. Table 3 contains information by CBSA and information from the following tables that have been provided in previous fiscal years:  Tables 3A, 3B, 4A, 4B, 4C, 4D, and 4F. See the data files page for the Constituent Counties for Acute Care Hospitals File (formerly table 4E).
  3. Table 5 (Final Rule and Correction Notice): Excel file with two tabs that contains the final rule and correction notice List of final MS-DRGs, Relative Weighting Factors and Geometric and Arithmetic Mean Length of Stay
  4. Tables 6B-6M and Tables 6P.1a-6P.2a: Table 6B-New Procedure Codes; Table 6I- Complete Major CC List; Table 6J- Complete CC List; Table 6K- Complete List of CC Exclusions; Table 6L- Principal Diagnosis Is Its Own MCC List; Table 6M- Principal Diagnosis Is Its Own CC List; Table 6M.1- Additions to the Principal Diagnosis Is Its Own CC List;
    Tables 6P.1a-6P.2a (ICD-10-PCS Code Translations for MS-DRG Changes): See summary tab in excel spreadsheet and/or summary file in zip file called “CMS-1632-F TABLE 6P.1a-6P.2a.zip” for complete description of all tables
  5. Tables 7A and 7B: Tables 7A and 7B contain the number of discharges, and selected percentile lengths of stay for both MS-DRGs, version 32 and MS-DRGs, version 33
  6. Tables 8A, 8B, and 8C: Tables 8A and 8B contain the final FY 2016 IPPS operating and capital statewide average cost-to-charge-ratios as published in the Federal Register. Table 8C contains the final FY 2016 LTCH statewide average cost-to-charge-ratios as published in the Federal Register.
  7. Table 10 (Final Rule, Correction Notice and Consolidated Appropriations Act of 2016): Excel file with three tabs that contains the final rule, correction notice and Consolidated Appropriations Act of 2016 cost thresholds by MS-DRG for the cost criteria for new technology add on payment applications for applications for FY 2017.
  8. Table 14 (Final Rule and Correction Notice): Excel file with two tabs that contains the final rule and correction notice List of Hospitals with Fewer than 1,600 Medicare Discharges Based on the March 2015 Update of the FY 2014 MedPAR File and Potentially Eligible Hospitals’ FY 2016 Low-Volume Hospital Payment Adjustment. (Eligibility for the low-volume hospital payment adjustment is also dependent upon meeting the mileage criteria specified at § 412.101(b)(2)(ii) of the regulations.)
  9. Table 15:  FY 2016 Readmissions Adjustment Factors under the Hospital Readmissions Reduction Program, which are based on excess readmission ratios from the performance period of July 1, 20011 to June 30, 2014.
  10. Hospital Value-Based Purchasing (VBP) Program Tables 16A and 16B:

    • Table 16A: Contains updated proxy adjustment factors under the Hospital VBP Program that were calculated using historical baseline and performance periods. These proxies for the FY 2016 Hospital VBP payment adjustment factors will not be used to adjust hospital payments. This file includes the proxy adjustment factors published for the FY 2016 Final Rule (CMS-1632-F).
    • Table 16B: Contains the actual payment adjustment factors under the Hospital VBP Program for FY 2016. These actual factors are based on the finalized baseline and performance period for FY 2016 and will be used to adjust base operating DRG payments to eligible hospitals for discharges occurring in FY 2016.
  11. Table 18 (Final Rule and Correction Notice): Excel file with two tabs that contains the final rule and correction notice FY 2016 Medicare DSH Uncompensated Care Payment Factor 3 and Projected DSH Eligibility
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