FY 2023 January Public Use File (PUF) Release
On January 28, 2022, CMS released the latest FY 2023 wage index PUF, which includes revised FY 2023 wage index and occupational mix data for cost report periods beginning on or after October 1, 2018. The January PUF data should reflect the wage index data as reported on worksheets S-3, Pt. II-IV that was previously desk reviewed and verified by the Medicare Administrative Contractors (MAC). This PUF represents the second of three PUFs that CMS will issue to develop the FY 2023 hospital wage index and represents the most important PUF to review for accuracy of the revised data. Providers have until February 15, 2022 to request revisions to data as published in the January PUF. Corrections due to errors and/or mishandling of the wage index data, or revisions to desk review adjustments should be submitted to the provider’s MAC no later than this date. Supporting documentation must accompany any rebuttal requests and be sent directly to your MAC’s wage index contact.
As stated in the FY 2023 Hospital Wage Index Development Timetable released by CMS, the MACs have until March 18, 2022 to review and revise the wage index data as a result of a rebuttal request. However, since the next (and final) PUF will not be released until April 29, 2022, providers will need to be in touch with their MACs to determine if an appeal of their wage index data is necessary. According to the timetable, the deadline for hospitals to appeal MAC determinations and request CMS’s intervention in cases where the hospital disagrees with the MAC’s determination is April 1, 2022. The FY 2023 Wage Index Development Timetable can be located here
for more information regarding the appeal process and requirements.
Toyon’s PUF Verification File Available HERE
Toyon has available (using the link above) a formatted PUF comparison file that includes the FY 2023 January PUF data, the initial (as-filed) FY 2023 PUF data as well as final FY 2022 wage index data to compare your hospital’s overall Average Hourly Wage (AHW). The file contains two tabs, one with the January PUF AHW comparison analysis and the other with a Medicare Occupational Mix Adjustment analysis. The second tab includes the Medicare Occupational Mix Adjustment analysis, although unless your hospital’s Occupational Mix data was revised, there should be no change from the previous year’s data.
Should you have any questions about the PUF comparison file and/or questions about your hospital’s AHW results, please feel free to reach out to Ryan Sader at 888.514.9312, email@example.com