BPCI Advanced: Archived Materials

*Disclaimer*: The materials on this page likely contain out-of-date information and are made available as a service to those who are looking for more background on this model.

FAQs

• General FAQs (PDF)
• Data FAQs (PDF)

Fact Sheets

• MY5 Alternate Fact Sheet Package (PDF) – updated as of September 2021
• MY4 Alternate Fact Sheet Package (PDF) – updated as of September 2021
• Model Overview Fact Sheet – MY3 (PDF)
• Quality Measure Fact Sheet Package - MY4 (PDF)
• Model Overview Fact Sheet – MY4 (PDF)
• Model Overview Fact Sheet - MY 5 (PDF)

Target Price Specifications

• Target Price Specifications - MY4 (PDF)
• Target Price Specifications - MY5 (PDF)

Applicant and Participant Resources

• BPCI Advanced Participants - MY2 (XLSX)
• Request for Applications (RFA) MY3 (PDF)
• Applicant Guide - MY3 (PDF)
• Application Template MY3 (PDF)
• Application Attachment - Participating Organizations Template MY3 (XLSX)
• Application Portal Walkthrough - MY3 (PDF)
• Participant Guide – MY3 (PDF)
• Application Roadmap MY3 (PDF)
• Application Process FAQs (PDF) 

SNF Waiver Lists

• SNF Waiver List - Q4 2019 (XLS)
• SNF Waiver List - Q1 2020 (XLSX)
• SNF Waiver List - Q2 2020 (XLS)
• SNF Waiver List - Q4 2020 (XLSX)
• SNF Waiver List - Q1 2021 (XLSX)
• SNF Waiver List - Q2 2021 (XLSX)
• SNF Waiver List - Q3 2021 (XLSX)
• SNF Waiver List - Q4 2021 (XLSX)
• SNF Waiver List - Q1 2022 (XLSX)
• SNF Waiver List - Q2 2022 (XLSX)
• SNF Waiver List - Q3 2022 (XLSX)
• SNF Waiver List - Q4 2022 (XLSX)
• SNF Waiver List - Q1 2023 (XLSX)
• SNF Waiver List - Q2 2023 (XLS)
• SNF Waiver List - Q3 2023 (XLSX)

Additional Materials

• EI Addition Template - MY3 (XLSX)
• EI Restructure Template - MY3 (XLSX)
• Adding or Restructuring EI Walkthrough - MY3 (PDF)
• Mutual Amendment Announcement (PDF)
• BPCI Advanced Data Crosswalk (January 2022) (ZIP)
• BPCI Advanced Data Crosswalk (September 2022) (ZIP) 

Technical Resources

• Reconciliation Specifications – MY1&2 (PDF) - Updated June, 2021 (PDF)
• Reconciliation Specifications  (PDF)– MY3 (PDF)
• Clinical Episode Construction Specifications (PDF)– MY1&2 (PDF)
• Clinical Episode Construction Specifications (PDF)– MY1&2 (PDF)– Appendix A: MS-DRGs (PDF)
• Clinical Episode Construction Specifications (PDF)– MY1&2 – Appendix B: SNF Update Factor Calculation (PDF)
• Clinical Episode Construction Specifications – MY3 (PDF) - updated October 2021
• Clinical Episode Construction Specifications (PDF)– MY3 (PDF)– Appendix: SNF Update Factor Calculation (PDF)
• Clinical Episode Construction Specifications (PDF)– MY3 (PDF)– Appendix: HH Update Factors (PDF)
• Clinical Episode Construction Specifications – MY3 – Appendix: MS-DRGs (PDF)
• Clinical Episode Construction Specifications - MY4 (PDF)
• Clinical Episode Construction Specifications - MY5 (PDF) - updated February 2022
• Clinical Episode Construction Specifications – MY6 (PDF) - updated September 2022
• BPCI Advanced Exclusion List (XLSX)– MY1&2 (XLSX) (XLSX)
• BPCI Advanced Exclusions List (XLSX)– MY3 (XLSX)
• BPCI Advanced Exclusions List – MY4 (XLS) - updated June 2022
• BPCI Advanced Exclusions List – MY5 (XLS) - updated September 2021
• Target Price Specifications (PDF)– MY1&2 (PDF)
• Clinical Episode Construction Specifications – MY4 (PDF) - updated December 2021
• BPCI Advanced Exclusion List (XLSX)– MY4 (XLSX)
• Reconciliation Specifications – MY3 (PDF) - updated November 2021
• Reconciliation Specifications – MY4 (PDF) - updated June 2022
• Target Price Specifications (PDF)– MY3 (PDF)
• Target Price Specifications – MY4 (PDF) - updated June 2022
• Target Price Specifications – MY5 (PDF) - updated February 2022
• Target Price Specifications - MY6 (PDF) - updated November 2022
• Clinical Episode List - MY3 (XLSX)
• Clinical Episode List - MY5 (XLS) - updated September 2021
• Clinical Episode List - MY6 (XLSX) - updated October 2022
• Clinical Episode Construction Specifications - MY4 (PDF)
• Clinical Episode Construction Specifications - MY5 (PDF)
• Clinical Episode Selections - MY3 (XLSX)
• Clinical Episodes to Quality Measures Correlation Table - MY3 (PDF)
• Quality Measures Correlation to Clinical Episodes - MY1&2 (PDF)
• Episode Definitions - MY1&2 (XLSX)
• Episode Initiators and Clinical Episode Selections - MY2 (XLSX)

Webcasts and Webinars

• Webinar: Model Overview MY3 (2019): Audio (MP4) |  Slides (PDF)  |  Transcript (PDF)
• Webcast: Model Overview MY3 - Audio (MP4) |  Slides (PDF)  |  Transcript (PDF)
• Webcast: Quality Methodology MY3 - Audio (MP4)  |  Slides (PDF)  |  Transcript (PDF)
• Webcast: Quality Methodology Model Years 1 & 2 - Audio (MP4)  |  Slides (PDF)  |  Transcript (PDF)
• Webcast: Pricing Methodology for Clinicians and Administrators (June 2018) - Audio (MP4)  |  Slides (PDF)
• Webinar: Pricing Methodology Technical Review (2018) - Audio (MP4)  |  Slides (PDF)  |  Transcript (PDF)  |  Data Workbook Example (XLSX)
• Webinar: Model Overview MY3:  Audio (MP4) |  Slides (PDF)  |  Transcript (PDF)
• Webcast: Model Overview MY3:  Audio (MP4) |  Slides (PDF)  |  Transcript (PDF)
• Webcast: Quality Methodology MY3: Audio (MP4)  |  Slides (PDF)  |  Transcript (PDF)
• Webcast: Conceptual Overview (2018) - Audio (mp4)  |  Slides (PDF)  |  Transcript (PDF)
• Webcast: Operationalizing BPCI (2018) - Audio (mp4)  |  Slides (PDF)  |  Transcript (PDF)