FY 2018 Final Rule, Correction Notice, and Notice Tables
Type of File
Table 1A-1E (Final Rule and Correction Notice): This excel spreadsheet contains the Final Rule and Correction Notice FY 2018 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 (Final Rule and Correction Notice): Contains two tabs. One for the final rule and one for the correction notice. List of Final MS-DRGs, Relative Weighting Factors and Geometric and Arithmetic Mean Length of Stay.
Tables 6A-6M and Tables 6P.1a-6P.4p (Final Rule and Correction Notice): Table 6A-New Diagnosis Codes; Table 6B-New Procedure Codes; Table 6C-Invalid Diagnosis Codes; Table 6D-Invalid Procedure Codes; Table 6E-Revised Diagnosis Code Titles; Table 6F-Revised Procedure Code 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 MCC List; Table 6I.1- Additions to MCC List; Table 6I.2- Deletions to MCC List; Table 6J.- Complete 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; Tables 6P.1a-6P.4p (ICD-10-CM and ICD-10-PCS Code Designations, MCE and MS-DRG Changes): See summary tab in excel spreadsheet called “CMS-1677-F TABLE 6P.1a-6P.4P.xlsx” for complete description of all tables. Note: Table 6P.4b is the only table that was updated due to the correction notice.
Tables 7A and 7B (Final Rule and Correction Notice): The Excel spreadsheet contains 3 tabs. Contains an updated version of table 7B due to the correction notice. Tables 7A and 7B contain the number of discharges, and selected percentile lengths of stay for both MS-DRGs, version 34 and MS-DRGs, version 35.
Tables 8A, 8B, and 8C: Tables 8A and 8B contain the final FY 2018 IPPS operating and capital statewide average cost-to-charge-ratios. Table 8C contains the final FY 2018 LTCH statewide average cost-to-charge-ratios
Table 10 (Final Rule and Correction Notice): This excel spreadsheet 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 2019.
Table 15: FY 2018 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 2018 Hospital VBP payment adjustment factors will not be used to adjust hospital payments. This file includes the proxy adjustment factors published for the FY 2018 Final Rule (CMS-1677-F).
Table 16B: Contains the actual payment adjustment factors under the Hospital VBP Program for FY 2018. These actual factors are based on the finalized baseline and performance period for FY 2018 and will be used to adjust base operating DRG payments to eligible hospitals for discharges occurring in FY 2018.
Table 18 (Final Rule and Correction Notice): Contains the FY 2018 final rule and correction notice Medicare DSH Uncompensated Care Payment Factor 3 and Projected DSH Eligibility.
CMS-1677-N Table 1: List of Hospitals with Fewer than 1,600 Medicare Discharges Based on the March 2017 Update of the FY 2016 MedPAR File and Potentially Eligible Hospitals’ FY 2018 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.)