"DATA SOURCES FOR THIS FY 2012 FINAL RULE IMPACT FILE: MARCH 2011 UPDATE OF FY 2010 MEDPAR, MARCH 2011 UPDATE OF PROVIDER SPECIFIC FILE, FY2008/FY2007 COST REPORT DATA" WAGE INDEX DATA has a 100% Occ Mix adjustment based on FY 2008/2009 survey data Provider Number 6 digit Medicare provider number; the first 2 digits are the state code. Name "Name of Medicare provider from OSCAR.(""blank"" = unknown)" Geographic Labor Market Area The Geographic CBSA location based on OMB's Core Based Statistical Area (CBSA) designations. The CBSA assignment is based on where the provider is physically located based on SSA state and county code information. Rural areas are designated by 2-digit SSA state codes. Pre Reclass Labor Market Area Pre-reclassification CBSA Payment Labor Market Area (for purposes of Capital and DSH) Payment CBSA ( urban vs rural) for purposes of determining capital & DSH payments SSA COUNTY CODE SSA state county code. First two digits represent the state code and the last 4 digits represent the county code. SSA system is used to Identify the county in which provider is geographically located and this field be used in conjunction with the msa/cbsa crosswalk file. REGION 1=NEW ENGLAND; 2=MIDDLE ATLANTIC; 3=SOUTH ATLANTIC; 4=EAST NORTH CENTRAL; 5=EAST SOUTH CENTRAL; 6=WEST NORTH CENTRAL; 7=WEST SOUTH CENTRAL; 8-=MOUNTAIN; 9=PACIFIC; 40=PUERTO RICO URGEO "Large urban, Other Urban or Rural designation of the providers geographic CBSA" URSPA Urban or Rural designation based on payment CBSA RECLASS Reclass Status FY 2012: N -provider did not reclassify; W -provider reclassified for wage index ; L provider reclassified under 1886(d)(8)(B) of the SSA; S-provider redesignated as rural under Sec. 401 of BIPA. POST RECLASS Labor Market Area Post Reclassification CBSA for FY 2012 FY 2012 Wage Index "FY 2012 wage index after applying the MGCRB reclassifications, rual and imputed floor, adjustments for the Frontier wage index provision and the P.L. 108-173 Sec 505 adjustments where applicable for FY 2012. Wage Index reflects the application of national rural and imputed floor budget neutrality required under the Affordable Care Act ." FY 2012 Puerto Rico Specific wage index "FY 2012 Puerto Rico Specific wage index after applying the MGCRB reclassifications, rural floor and the P.L. 108-173 Sec 505 adjustments where applicable for FY 2012. Wage Index reflects the application of national rural and imputed floor budget neutrality required under the Affordable Care Act." LUGAR Provider is located in a Lugar County as defined in 1886(d)(8)(B) of the Act Section 401 hospital A 'SEC401' denotes urban providers redesignated as rural under CFR 412.103 - Sec 401 of BIPA Section 505 eligible A 'YES' denotes providers eligible to receive a wage index adjustment under Sec. 505 of P.L. 108-173 for FY 2012 Section 505 wage adjustment Wage adjustment for providers who are eligible to receive a wage index adjustment under Sec. 505 of P.L. 108-173 for FY 2012. Cost of Living Adjustment Cost of Living Adjustment factor obtained from the U.S. Office of Personnel Management for IPPS providers located in Alaska or Hawaii for IPPS operating payments Resident to Bed Ratio Resident to Bed Ratio. Used to determine IME factor for operating PPS payments RDAY Resident to Average Daily Census (ADC) ratio. Used to calculate the IME adjustment for Capital PPS BEDS The number of total beds obtained from cost report data.** Average Daily Census Calculated as the ratio of Total Acute Inpatient Days to Total Days in the Cost Reporting Period obtained from cost report data.** TCHOP IME adjustment factor for Operating PPS TCHCP IME adjustment factor for Captial PPS DSHPCT Disproportionate Share Hospital Patient percent as determined from cost report data & SSA data DSHOPG Operating Disproportionate Share Hospital (DSH) adjustment DSHCPG Capital Disproportionate Share (DSH) adjustment Operating CCR Ratio of Medicare operating costs to Medicare covered charges from the March 2011 update of the Provider Specific File (PSF) Capital CCR Ratio of Medicare capital costs to Medicare covered charges from the March 2011 update of the Provider Specific File (PSF) Provider Type Type of provider - key: 0=IPPS; 7=RURAL REFERRAL CENTER (RRC); 8=INDIAN; 14=MEDICARE DEPENDENT SMALL RURAL HOSP (MDH); 15 MDH/RRC 16=Sole Community Hospital (SCH); 17=SCH/RRC; 21=ESSENTIAL ACCESS CMTY HSP (EACH); 22=EACH/RRC FY12 HSP Rate 82/87/96/06 Hospital Specific Payment (HSP) Rate updated to FY2012 for SCH providers; 82/87 /02 Hospital Specific Payment (HSP) rate updated to FY 2012 for MDH providers with the documentation and coding adjustment and increase to the rate due to the Cape Cod v. Sebelius decision. BILLS "Total number of Medicare cases for the provider from the FY2010 MEDPAR, March 2011 Update" TACMIV28 Transfer adjusted Case Mix Index under Grouper V28 CASETA28 Transfer Adjusted Cases under Grouper V28 and FY 2011 Post Acute Transfer Policy CMIV28 Case Mix Index under Grouper V28 for SCH/MDH providers paid under their Hospital Specific Payment rate IME_TACMIV28 Transfer adjusted Case Mix under Grouper V28 for Medicare Advantage cases submitted by teaching hospitals that received a Fee-for-Service IME payment. These CMIs are included to calculate the IME payments for budget neutrality. IME_CASETA28 Transfer adjusted cases under Grouper V28 for Medicare Advantage cases submitted by teaching hospitals that receive a fee-for-service IME payment. The IME payment associated with these cases are included in the budget neutrality calculations and in payment modelling. TACMIV29 Transfer adjusted Case Mix Index under Grouper V29 CASETA29 Transfer Adjusted Cases under Grouper V29 and FY2012 Post Acute Transfer Policy CMIV29 Case Mix Index under Grouper V28 for SCH/MDH providers paid under their Hospital Specific Payment rate IME_TACMIV29 Transfer adjusted Case Mix under Grouper V28 for Medicare Advantage cases submitted by teaching hospitals that received a Fee-for-Service IME payment. These CMIs are included to calculate the IME payments for budget neutrality. IME_CASETA29 Transfer adjusted cases under Grouper V28 for Medicare Advantage cases submitted by teaching hospitals that receive a fee-for-service IME payment. The IME payment associated with these cases are included in the budget neutrality calculations and in payment modelling. FY 2012 GAF Post Reclass Geographic adjustment factor (GAF) for Capital FY 2012 FY 2012 Puerto Rico Specific GAF Post Reclass GAF for Capital for Puerto Rico Providers FY 2012 Cost of Living Adjustment-Capital "Capital COLA factor for hospitals located in Alaska and Hawaii, which is based on the applicable operating IPPS COLA factor ." OUT12F Estimated operating outlier payments as a percentage of the provider's Federal operating PPS payments COUT12F Estimated capital outlier payments as a percentage of the provider's Federal capital PPS payments MCR_PCT Medicare days as a percent of total inpatient days (not available for all providers that receive HSP rate) Number of Discharges for the Low Volume Adjustment The total number of Medicare discharges (both Medicare Advantage and Fee-for-Service) based on the March 2011 update of the FY 2010 MedPAR for the purpose of determining the FY 2012 low volume payment adjustment. Puerto Rico hospitals are not eligible to receive the low volume payment adjustment. "**The most recent available cost report data were used (FYs 2007 - 2008). A ""zero"" value may indicate unavailable or incomplete data. "