Files for FY 2012 Proposed Rule and Correction Notice

1. FY 12 NPRM Impact File: This file contains data elements by provider that were used in calculating the proposed FY 2012 rates and impacts.

2. AOR/BOR File: This zip file contains two excel spreadsheets, one for the proposed After Outliers Removed (AOR) and one for the proposed Before Outliers Removed (BOR). There are also two files containing the variable descriptions. The variables in these files are used in the calculations of the relative weights as well as other calculations for the inpatient PPS. All text files in the zip file are for 508 compliance.

3. Case Mix Index File: This file contains the non-transfer adjusted case mix index (CMI) based on the MS-DRGs billed on the claim in the year the claim was incurred (that is, during FY 2010, using the V27 Grouper).

4. Proposed Standardizing File: This file is used to standardize charges for the rate building process.

5. County to CBSA Crosswalk File: This file lists the CBSA, SSA county code and FIPS county code for all counties. Any changes to the CBSAs through March 2011 have been incorporated.

6. Wage Index Public Use Files: Open Attached Zip file. Attached is a PDF with a description of each zip file. Main zip file contains 6 zip files:

7. FY 11 Section 1109 Files (Revised): Contains one excel file with the following files/tables for FY 2011: List of All Counties; Section 1109 Eligible Counties; FY 2011 Section 1109 Qualifying Hospitals; FY 2011 Section 1109 Compilation of Payments

8. Table 1A-1E: This excel spreadsheet contains the proposed FY 2012 Operating and Capital National and Puerto Rico Specific Standardized Amounts. Additionally, there are two text files corresponding to each tab in the spreadsheet to meet Section 508 compliance.

9. NPRM: Tables 2, 3A, 3B, 4A, 4B, 4C, 4D, 4E, 4F, 4J, 9A, 9C (Wage Index Tables); 1518-CN: Table 2; 1518-CN2: Table 2 and 4J; Proposed and Corrected FY 2012 wage index tables

10. Table 5: List of proposed MS-DRGs, Relative Weighting Factors and Geometric and Arithmetic Mean Length of Stay

11. Tables 6A-6F: 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; All files are 508 compliant.

12. Tables 6G-6K: Tables 6G Additions to the CC Exclusions List; Table 6H Deletions from the CC Exclusions List. Table 6I Complete MCC list; Table 6I.1 Additions to the MCC list; Table 6I.2 Deletions to the MCC list; Table 6J Complete CC list; Table 6J.1 Additions to the CC list; Table 6J.2 Deletions to the CC list; Table 6K Complete list of CC exclusions for the MS-DRGs; All files are 508 compliant.

13. Tables 7A and 7B: Tables 7A and 7B contain the number of discharges, and selected percentile lengths of stay for both MS-DRGs, version 28 and MS-DRGs, version 29 as published in the Federal Register. Additionally, there are two text files corresponding to each tab in the spreadsheet to meet Section 508 compliance.

14. Tables 8A, 8B, and 8C: Tables 8A and 8B contain the proposed FY 2012 IPPS operating and capital statewide average cost-to-charge-ratios as published in the Federal Register. Tables 8C contains the proposed FY 2012 LTCH statewide average cost-to-charge-ratios as published in the Federal Register. Additionally, there are three text files corresponding to each tab in the spreadsheet to meet Section 508 compliance.

15. Table 10: Table 10 contains the proposed cost thresholds by MS-DRG for the cost criteria for new technology add on payment applications for applications for FY 2013. Additionally, there is a text file corresponding to the table to meet Section 508 compliance.

16. Table 14: List of Hospitals with Fewer than 1,600 Medicare Discharges Based on the December 2010 Update of the FY 2010 MedPAR File and Their Proposed FY 2012 Low‑Volume Payment Adjustment.