Tag: PPS Rates

From: CMS PC Pricer Website – 3/18/15

Version 4 Update Notes

This version ZZ_INP1531501V4.zip is to release the FY2015 PC Pricer with corrected floor logic.

“The new floor logic in the pricer looks up the original CBSA. In the case of a re-classed CBSA if it is re-classed the re-classed wage index is used is from the second column. Then the rural CBSA is looked up based on the State of the provider. The logic then uses the wage index that is higher of the two CBSAs to price the claim.”

The January 2015 provider data with the uncompensated care amounts on the provider records are much more up to date. Switch to this pricer as soon as possible.

Inpatient Acute PPS Pricer Update – FFY 2015

From: CMS PC Pricer Website – 3/11/15

Update Notes FY2015:

This version ZZ_INP1531501V3.zip is to release the FY2015 PC Pricer with corrected floor logic.

The new floor logic in the pricer looks up the original CBSA. In the case of a re-classed CBSA if it is re-classed the re-classed wage index is used is from the second column.

Then the rural CBSA is looked up based on the state of the provider.

The logic then uses the wage index that is higher of the two CBSAs to price the claim.

The January 2015 provider data with the uncompensated care amounts on the provider records are much more up to date. Switch to this pricer as soon as possible.

Update Notes FY2014:

This version ZZ_INP1481501V1.zip is to release the January 2015 provider data with the pricer.

Inpatient Acute PPS Pricer Update – FFY 2015 & 2014

From: CMS PC Pricer Website – 1/30/15

CMS posted an update to the SNF PC pricer earlier today.  There is no information regarding the changes or updates made.

SNF PC Pricer Update – FFY 2015