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Title
Files for FY 2011 Proposed Rule
Type of File
Impact File, Data Files and Tables

Note: Deadline for Withdrawals and Terminations of Reclassifications For FY 2011 is June 18, 2010; Please click on the hyperlink in the "Related Links Inside CMS" for full details about this deadline.

  1. Impact File: This file contains data elements by provider that were used in calculating the Proposed FY 2011 rates and impacts.

  2. AOR/BOR File: This zip file contains two excel spreadsheets, one for the Proposed After Outliers Removed (AOR) and one for the Proposed Before Outliers Removed (BOR). There are also two files containing the variable descriptions. The variables in these files are used in the calculations of the relative weights as well as other calculations for the inpatient PPS. All text files in the zip file are for 508 compliance.

  3. Case Mix Index File: This file contains FY 2011 proposed hospitals' case mix indexes (CMI) for discharges. A hospital's CMI represents the average diagnosis-related group (DRG) relative weight for that hospital. It is calculated by summing the DRG weights for all Medicare discharges and dividing by the number of discharges.

  4. Proposed Standardizing File: This file is used to standardize charges for the rate building process.

  5. County to CBSA Crosswalk File: This file lists the CBSA, SSA county code and FIPS county code for all counties. Any changes to the CBSAs through March 2010 have been incorporated. It also contains the old MSA (based on 1990 census data) and old MSA name to which each county was assigned prior to the implementation of CBSAs in FY 2005.

  6. Wage Index Public Use Files: Open Attached Zip file. Attached is a PDF with a description of each zip file. Main zip file contains 5 zip files: 1. FY 2011 Proposed Rule Wage Index PUFs; 2. FY 2011 Proposed Rule Average Hourly Wage by Provider and CBSA Public Use File; 3. FY 2011 Proposed Occupational Mix Adjusted and Unadjusted Average Hourly Wages by Provider; 4. FY 2011 Proposed Occupational Mix Adjusted and Unadjusted Average Hourly Wages and Pre-Reclass Wage Indexes by CBSA; 5. FY 2011 Proposed Occupational Mix Factor by Provider PUF.

  7. Table 1A-1E: This excel spreadsheet contains the proposed FY 2011 Operating and Capital National and Puerto Rico Specific Standardized Amounts. Additionally, there are two text files corresponding to each tab in the spreadsheet to meet Section 508 compliance.

  8. Tables 2, 3A, 3B, 4A, 4B, 4C, 4F, 4J, 9A, 9B, 9C (Wage Index Tables): Proposed FY 2011 Wage Index Tables

  9. Proposed Table 5: List of MS-DRGs, Relative Weighting Factors and Geometric and Arithmetic Mean Length of Stay

  10. Proposed Tables 6A-6K: Tables 6A -6F: List of new, revised, and deleted ICD-9-CM diagnosis and procedures codes and MS-DRG assignments; Tables 6G contains the Additions to the CC Exclusions List; Table 6H contains the Deletions from the CC Exclusions List. Table 6I contains the complete MCC list; Table 6I.1 contains the additions to the MCC list; Table 6I.2 contains the deletions to the MCC list; Table 6J contains the complete CC list; Table 6J.1 contains the additions to the CC list; Table 6J.2 contains the deletions to the CC list; Table 6K contains the Complete list of CC exclusions for the MS-DRGs; All files are 508 compliant.

  11. Proposed Tables 7A and 7B: Tables 7A and 7B contain the number of discharges, and selected percentile lengths of stay for both MS-DRGs, version 27 and MS-DRGs, version 28 as published in the Federal Register. Additionally, there are two text files corresponding to each tab in the spreadsheet to meet Section 508 compliance.

  12. Proposed Tables 8A, 8B, and 8c: Tables 8A and 8B contain the proposed FY 2011 IPPS operating and capital statewide average cost-to-charge-ratios as published in the Federal Register. Tables 8C contains the proposed FY 2011 LTCH statewide average cost-to-charge-ratios as published in the Federal Register. Additionally, there are three text files corresponding to each tab in the spreadsheet to meet Section 508 compliance.

  13. Proposed Table 10: Table 10 contains the proposed cost thresholds by MS-DRG for the cost criteria for new technology add on payment applications for FY 2012. Additionally, there is a text file corresponding to the table to meet Section 508 compliance

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