Table 1A-1E (Final Rule and Correction Notice): This excel spreadsheet contains the Final Rule and Correction Notice FY 2017 Operating and Capital National Standardized Amounts.
Tables 2 and 3 (Wage Index Tables; Final Rule and Correction Notice): Contains four tabs. Two for the final rule and two for the correction notice. Table 2- Case-Mix Index and Wage Index Table by CMS Certification Number (CCN); Table 3- Wage Index Table by CBSA.
Table 5: List of MS-DRGs, Relative Weighting Factors and Geometric and Arithmetic Mean Length of Stay
Tables 6A-6J.2, 6K, 6L-6M.1 and 6P.1a-6P.4k (Final Rule and Correction Notice): For the correction notice, we updated Table 6B; all other tables (with a prefix of 6) from the final rule remain the same. Table 6A-New Diagnosis Codes; Table 6B-New Procedure Codes; Table 6C-Invalid Diagnosis Codes; Table 6D-Invalid Procedure Codes; Table 6E-Revised Diagnosis Codes Titles; Table 6F-Revised Procedure Codes Titles; Table 6G.1- Secondary Diagnosis Order Additions to the CC Exclusions List; Table 6G.2- Principal Diagnosis Order Additions to the CC Exclusions List; Table 6H.1- Secondary Diagnosis Order Deletions to the CC Exclusions List; Table 6H.2- Principal Diagnosis Order Deletions to the CC Exclusions List; Table 6I- Complete Major Complication and Comorbidity (MCC) List; Table 6I.1- Additions to MCC List; Table 6I.2- Deletions to MCC List; Table 6J- Complete Complication and Comorbidity (CC) List; Table 6J.1- Additions to CC List; Table 6J.2- Deletions to 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.4k (FY 2017 ICD-10-CM and ICD-10-PCS Codes for MCE and MS-DRG Changes): See summary tab in excel spreadsheet called “CMS-1655- F TABLE 6P ICD-10-CM and ICD-10-PCS Codes for MCE and MS-DRG Changes.xlsx” for complete description of all tables.
Tables 7A and 7B: Tables 7A and 7B contain the number of discharges, and selected percentile lengths of stay for both MS-DRGs, version 33 and MS-DRGs, version 34
Tables 8A, 8B, and 8C: Tables 8A and 8B contain the FY 2017 IPPS operating and capital statewide average cost-to-charge-ratios. Table 8C contains the FY 2017 LTCH statewide average cost-to-charge-ratios.
Table 10 (Final Rule and Correction Notice): Contains the final rule and correction notice cost thresholds by MS-DRG for the cost criteria for new technology add on payment applications for applications for FY 2018.
Table 14: List of Hospitals with Fewer than 1,600 Medicare Discharges Based on the December 2015 Update of the FY 2015 MedPAR File and Potentially Eligible Hospitals’ FY 2017 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.)
Table 15: FY 2017 Readmissions Adjustment Factors
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 2017 Hospital VBP payment adjustment factors will not be used to adjust hospital payments. This file includes the proxy adjustment factors published for the FY 2017 Final Rule (CMS-1655-F).
Table 16B: Contains the actual payment adjustment factors under the Hospital VBP Program for FY 2017. These actual factors are based on the finalized baseline and performance period for FY 2017 and will be used to adjust base operating DRG payments to eligible hospitals for discharges occurring in FY 2017. NOTE: Table 16B displays the actual payment adjustment factors to a precision of 9 places to the right of the decimal; whereas, the hospital Percentage Payment Summary Reports display a precision of 10 places to the right of the decimal. Because Table 16B uses a different precision, the last places may vary due to rounding. Hospitals eligible for the Hospital VBP Program will have their payments adjusted in accordance to the full precision of 10 places to the right of the decimal as displayed on their Percentage Payment Summary Reports.
Table 18 (Final Rule and Correction Notice): Contains the FY 2017 final rule and correction notice Medicare DSH Uncompensated Care Payment Factor 3 and Projected DSH Eligibility