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.
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- FY2019.1 - (For claims for 10/01/2018 to 09/30/2019) - updated 08/19/19 [ZIP, 28MB] - Opens in a new window
- FY 2018.2 - (For claims from 10/01/2017 to 09/30/2018) - Updated 08/10/18 [ZIP, 27MB] - Opens in a new window
- FY 2012.N - (For claims from 10/01/2011 to 09/30/2012) updated 10/23/13 [ZIP, 21MB]
- FY 2012.2 - (For claims from 10/01/2011 to 09/30/2012) - updated 08/20/12 [ZIP, 3MB]
- FY 2010.A – (For claims from 10/01/2009 to 03/31/2010) [ZIP, 3MB]
- FY 2010.7 – (For claims from 04/01/2010 to 09/30/2010) [ZIP, 3MB]
- Page last Modified: 08/19/2019 4:29 PM
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