==============================================================
MU00.@BFN2699.INNDM154
========================================================================

NOTE TO: Shared System Coordinators, MEDICARE Coordinators

SUBJECT: Inpatient Prospective Payment System (IPPS) Pricer System
         Release, Version 20154
(April 16, 2015)  --ACTION--refer to CMS change request CR #9031

This IPPS Pricer release is the PRODUCTION version for the July 2015
release.

It includes the following changes:

  - Added new member, "README", to describe the release.

  - Added new member, "MANIFEST", which lists members included and
    omitted from the release dataset.  CMS is now only sending members
    that changed since the previous release.

  - Added new copybook, "PPHOLDAR", which contains the entirety of the
    01 level Hold-Area record.

  - PPDRV154 R* 2015.4 REVISED FOR RELEASE
                ** Replaces PPDRV153 **
                   =V==V===V== 2015.4 ==V==V===V===V===V
                   Change "PPS-FLX6-PAYMENT" to "HAC-PAYMENT-AMT".

                   Added copy statement for copybook PPHOLDAR to the
                   Linkage Section. Added PPHOLDAR-HOLD-AREA to the
                   Procedure Division Using statement and the current
                   year's Call PPCAL154 Using statement. Initialized
                   PPHOLDAR-HOLD-AREA.

  - PPCAL154 R* 2015.4 REVISED FOR RELEASE
                ** Replaces PPCAL153 **
                   =V==V===V== 2015.4 ==V==V===V===V===V
                   Change "PPS-FLX6-PAYMENT" to "HAC-PAYMENT-AMT".

                   Commented out the entire 01 level Hold-Area record.
                   Created a copybook in the PDS, entitled PPHOLDAR,
                   and copied the entire 01 level Hold-Area record.

                   Added copy statement for copybook PPHOLDAR to the
                   Linkage Section. Added PPHOLDAR-HOLD-AREA to the
                   Procedure Division Using statement.

                   Commented out code to extend expiring provisions.

                    461100*    IF PPS-RTC = 00 AND
                    461200*       B-DISCHARGE-DATE > 20150331 AND
                    461300*       P-N-INVALID-PROV-TYPES
                    461400*                MOVE 52 TO PPS-RTC.

                    578900*    IF  B-DISCHARGE-DATE < 20150401
                    579000*        NEXT SENTENCE
                    579100*    ELSE
                    579200*        COMPUTE WK-LOW-VOL-ADDON  ROUNDED = 0
                    579300*         IF P-NEW-TEMP-RELIEF-IND = 'Y'
                    579400*           MOVE 00.250 TO WK-LOW-VOL25PCT
                    579500*           GO TO LOW-VOL-CALC
                    579600*         ELSE
                    579700*           MOVE 01.000 TO WK-LOW-VOL25PCT
                    579800*           GO TO LOW-VOL-CALC.

                   Added "divide by zero" logic in case H-ALOS is
                   zero


====================================================================

A partitioned data set (PDS) of the Version 20154 code
(MU00.@BFN2699.INNDM154) is at the CMS Data Center for users
to obtain by Connect:Direct (Network DataMover).

The 44 members listed below comprise the Pricer, but only the modules
that changed since the previous release are included in the PDS. The
changed members should be used in conjunction w/ MU00.@BFN2699.INNDM153.

CMS NOW ONLY SENDS THE PROGRAM MODULES IN THE RELEASE.
THE SUPPORTING FILES, UNCHANGED, AND UNUSED PROGRAM MODULES ARE NO
LONGER INCLUDED IN THE RELEASE.

NAME        DESCRIPTION
-------     ------------------------------------------------------------
BILL154     2015.4 INPAT TEST INPUT CLAIMS
CAPI154     2015.4 INPAT CAPITAL PAY REPORT
CBSA151     2015.1 CBSA file FY 2015 Rates and Factors
DRGX150     2015.0 INPAT DRG FILE FOR FY 2015 (READABLE)
MANU154     2015.4 INPAT PRICING INSTALLATION MANUAL
MSAX045     2004.5 INPAT PRICING METROPOLITAN STATISTICAL AREA
OPER154     2015.4 INPAT OPER REPORT OF TEST RUN -
         INPAT PRICING PROGRAM CALCULATION PROGRAMS
PPCAL006    2000.6 2000 CLAIMS 10/01 TO 09/30/2000
PPCAL017    2001.7 2001 CLAIMS 10/01 TO 09/30/2001
PPCAL026    2002.6 2002 CLAIMS 10/01 TO 09/30/2002
PPCAL038    2003.8 2003 CLAIMS 10/01 TO 09/30/2003
PPCAL04D    2004.D 2004 CLAIMS 10/01 TO 09/30/2004
PPCAL058    2005.8 2005 CLAIMS 10/01 TO 09/30/2005
PPCAL069    2006.9 2006 CLAIMS 10/01 TO 09/30/2006
PPCAL07B    2007.B 2007 CLAIMS 10/01 TO 09/30/2007
PPCAL08D    2008.D 2008 CLAIMS 10/01 TO 09/30/2008
PPCAL09D    2009.D 2009 CLAIMS 10/01 TO 09/30/2009
PPCAL10O    2010.O 2010 CLAIMS 10/01 TO 03/31/2010
PPCAL10P    2010.P 2010 CLAIMS 04/01 TO 09/30/2010
PPCAL118    2011.8 2011 CLAIMS 10/01 TO 09/30/2011
PPCAL124    2012.4 2012 CLAIMS 10/01 TO 09/30/2012
PPCAL134    2013.4 2013 CLAIMS 10/01 TO 09/30/2013
PPCAL148    2014.8 2014 CLAIMS 10/01 TO 09/30/2014
PPCAL154 R* 2015.4 2014 CLAIMS 10/01 TO 09/30/2015 - SEE CHANGES ABOVE
PPCAL884    1988.4 1988 CLAIMS 10/01 TO 09/30/1988
PPCAL894    1989.4 1989 CLAIMS 10/01 TO 09/30/1989
PPCAL905    1990.5 1990 CLAIMS 10/01 TO 09/30/1990
PPCAL915    1991.5 1991 CLAIMS 10/01 TO 09/30/1991
PPCAL926    1992.6 1992 CLAIMS 10/01 TO 09/30/1992
PPCAL935    1993.5 1993 CLAIMS 10/01 TO 09/30/1993
PPCAL944    1994.4 1994 CLAIMS 10/01 TO 09/30/1994
PPCAL954    1995.4 1995 CLAIMS 10/01 TO 09/30/1995
PPCAL964    1996.4 1996 CLAIMS 10/01 TO 09/30/1996
PPCAL974    1997.4 1997 CLAIMS 10/01 TO 09/30/1997
PPCAL987    1998.7 1998 CLAIMS 10/01 TO 09/30/1998
PPCAL998    1999.8 1999 CLAIMS 10/01 TO 09/30/1999
PPDRV154 R* 2015.4 INPAT PRICING PROGRAM - SEE CHANGES ABOVE
PPMGR154    2015.4 INPAT PRICING PROGRAM
PPOPN154    2015.4 INPAT PRICING PROGRAM
PPSOT154    2015.4 INPAT PRICING TEST OUTPUT - FY 2015 TEST CLAIMS
PROV151     2015.1 INPAT PRICING TEST INPAT PROVIDERS
PPHOLDAR    2015.4 PPHOLDAR-HOLD-AREA
MANIFEST R* 2015.4 LIST OF RELEASE MEMBERS
README   R* 2015.4 DESCRIPTION OF RELEASE UPDATES

R* = REVISED WITH THIS RELEASE.
R  = REVISED FOR VERSION UPDATE ONLY
