Hospital Outpatient Prospective Payment System (OPPS) Partial Hospitalization Program LDS

NOTICE: Please note that as of April 2009, the OPPS Partial Hospitalization Program (PHP) Identifiable Data Set (IDS) is now considered a Limited Data Set (LDS).  The former identifiable version of the file is now the only version available.  The record layout below lists the data elements included on the new LDS, which are the same elements included in prior year versions of the IDS.  This file has every element that was contained in the 2007 LDS and the 2007 IDS.  Requestors should follow the link for Instructions on How to Request LDS Data Files below to obtain this file.

As a result of the proposal to use cost report data with cost reporting periods prior to the COVID-19 Public Health Emergency (PHE) in CY 2023 OPPS ratesetting, there will be two PHP Limited Data Sets associated with the CY 2023 Final Rule.

The final policy file contains select claim level data and is derived from 2021 claims for partial hospitalization program (PHP) services, with dates of service from January 1, 2021 - December 31, 2021 that were received, processed, and paid through June 30, 2022. This file includes data elements such as diagnosis codes, bill type, outlier payments, and service revenue payments.  This file includes 24,823 claims for PHP services furnished by hospitals and community mental health centers (CMHCs) paid under the OPPS. This is a flat file.  The LDS record length is 9,997, blocksize is 32,760.

The additional file contains select claim level data and is derived from 2021 claims for partial hospitalization program (PHP) services, with dates of service from January 1, 2021 - December 31, 2021 that were received, processed, and paid through June 30, 2022. This file includes data elements such as diagnosis codes, bill type, outlier payments, and service revenue payments.  This file includes 23,584 claims for PHP services furnished by hospitals and community mental health centers (CMHCs) paid under the OPPS. This is a flat file.  The LDS record length is 9,997, blocksize is 32,760.

The OPPS PHP file will be available twice a year, once for the NPRM in early summer, and again after publication of the OPPS Final Rule in the Federal Register in late fall.

Media: DVD
Cost: $1,000

Data Format: CSV format with SAS® read-in program                                                              
Available: Final Rule 2023

To browse the record layout, see the Downloads section below.

Please follow the instructions on the DUA - Limited Data Sets page.

Page Last Modified:
11/04/2022 11:44 AM