Spreadsheet for Final FY 2022 Calculation of Provider Occupational Mix AHW										
You Must Fill Out the AHW Calculator Tab Before Filling Out the Occupational Mix Calculator										
Fields in PINK are filled in by the provider from the provider's occupational mix spreadsheet										
Fields in GREEN are filled in from IPPS wage index Web Site or Federal Registers 										
Fields in BOLD and/or Blue are calculated fields--DO NOT ENTER any information here										
										
Provider Information										
Provider Number										
MAC #										
Occ Mix Begin Date	01/01/2019									
Occ Mix End Date	12/31/2019									
			step 1	step 2	step 3	step 5	step 6	in step 7		
	Provider Occ Mix Hours	Provider Occ Mix Salaries	Provider % by Subcategory	FY 2019 Final National AHWs by Subcategory	Provider Adjusted AHW	Final FY 2019 National Adjusted Nurse AHW	Nurse Occ Mix Adjustment Factor	Provider % by Total		
RN			0.000%	$44.45	0					
LPN and Surgical Technicians			0.000%	$26.83	0					
"National Nurse Aides, Orderlies, and Attendants"			0.000%	$18.53	0					
Medical Assistants			0.000%	$19.50	0					
Total Nurse Hours and Salaries	0	0			0	$37.42	0.00000	0.00%		
										
ALLOTHER					step 4			0.00%		
TOTAL										
										
Wage Data from Cost Report										
"Wages (From S-3, Parts II and III)"	$0	"(These are inflated wages, from cell B101 from AHW calculator)."								
"Hours (From S-3, Parts II and III)"	0	(Revised hours from cell B102 from AHW calculator).								
Unadjusted AHW	0	(Should match AHW in cell B104 from AHW calculator).								
										
Nurse Occ Mix Wages	$0	step 7								
All Other Unadjusted Occ Mix Wages	$0	step 7								
Total Occ Mix Wages	$0	step 8								
										
Final Occ Mix Adjusted AHW	0.0000	step 8								
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
										
