Provider Number
Provider Name
Pre Reclass Labor Market Area - CBSA
Pre Reclass CBSA -( Reflects Hold Harmless CBSA where appropriate)
Pre-Reclassification MSA
Pre-Reclass MSA for providers reclassing under section 508 of MMA
CBSA for providers reclassing under section 508 of MMA
Contains the Reclassifed CBSA for Providers Reclassing
Reclassifying under Section 508
Outcommuting Adjustment - Added to Wage Index
Section 505 eligible 'YES' = eligible to receive a wage index adjustment
Urban Providers Redesignated as Rural Under CFR 412.103 - Sec 401 of BIPA
Wage Index for FY
Cost of Living Adjustment
Resident to Bed Ratio   Resident to Bed Ratio. Used to determine IME factor for
SSA State County Code
1982 Hospital Specific Rate updated to FY
Hospital Specific Payment (HSP) Rate for FY
Hospital Specific Rate 1996
Resident to Average Daily Census (ADC) ratio. Used to calculate the IME adj...
The number of total beds obtained from cost report data-'zero' may mean missing
Average Daily Census - A 'zero' value may indicate unavailable or incomplete dat
Ratio of Medicare operating costs to Medicare covered charges
Ratio of Medicare capital costs to Medicare covered charges
Disproportionate Share Hospital Patient percent
Finalized Post Reclassification CBSA for FY
Post Reclassification MSA
Puerto Rico Specific Wage Index for FY
Provider Type
Hold Harmless Provider
Provider is located in a Lugar County as defined in 1886(d)(8)(B) of the Act
Finalized Reclass Status for FY
Total number of Medicare cases for the provider from the FY N-2 MEDPAR
Transfer Adjusted Case Mix Index
DRG Grouper Version for tacmiv
Transfer adjusted Case Mix Index under Grouper V22
Transfer Adjusted Cases
DRG Grouper Version for caseta
Transfer Adjusted Cases under Grouper V22 and FY N-1 Post Acute Transfer Policy
Region
Large Urban, Other Urban or Rural Designation of the Providers Geographic CBSA
Standardized Payment Amount Location
IME adjustment factor for Operating PPS
IME adjustment factor for Captial PPS
Post Reclass Geographic adjustment factor (GAF) for Capital FY
Post Reclass GAF for Capital for Puerto Rico Providers FY
Capital COLA factor for hospitals located in Alaska and Hawaii
Operating Disproportionate Share Hospital (DSH) adjustment
Capital Disproportionate Share (DSH) adjustment
Estimated operating outlier payments as a percentage of the provider's Federal o
Estimated capital outlier payments as a percentage of the provider's Federal cap
Medicare days as a percent of total inpatient days (not available for all provid
Uninflated Sole Community Hospital Cost/Case FY 1996
Fiscal Year