"FY 2022 IPPS NPRM
 Alternatives Considered Public Use File (PUF)"	
"FY 2022 Alternative Considered Information
 Factors and Adjustment"	Description
MS?DRG Reclassification and Recalibration Budget Neutrality Factor	"As discussed in section I.F of the FY 2022 IPPS/LTCH PPS proposed rule, we are soliciting comments on an alternative approach of using the same data that we would ordinarily use for purposes of the FY 2022 rulemaking, which we may consider finalizing for FY 2022 based on consideration of comments received. In order to facilitate comments on this alternative approach, we are making available budget neutrality factors based on FY 2020 MedPAR file."
Wage Index Budget Neutrality Factor	
Reclassification Budget Neutrality Factor	
*Rural Floor Budget Neutrality Factor	
Rural Demonstration Budget Neutrality Factor	
Low Wage Index Hospital Policy Budget Neutrality Factor	
Fixed Loss Outlier Threshold after incorporating outlier reconciliation methodology	
Fixed Loss Outlier Threshold without outlier reconciliation methodology	
	
One-year Charge Inflation Factor 	"As an alternative to our proposed approach, we considered using the data that we would ordinarily use, which would be the most recent available FY 2020 MedPAR file compared to FY 2019 MedPAR file (December 2019). Consistent with historical practice, if we were to finalize this alternative approach, we would use the most recent available data for the final rule, as appropriate."
Two-year Charge Inflation Factor	
	
December 2019 operating national average case?weighted CCR	"As an alternative to our proposed approach, we considered using the data that we would ordinarily use. Ordinarily, for the proposed rule, we would use CCRs from the December 2020 update of the PSF and apply a proposed adjustment factor to adjust the CCRs from the December 2020 update of the PSF by comparing the percentage change in the national average case weighted operating CCR and capital CCR from the December 2019 update of the PSF to the national average case weighted operating CCR and capital CCR from the December 2020 PSF. "
December 2020 operating national average case?weighted CCR	
One-year national operating CCR adjustment factor 	
December 2019 capital national average case?weighted CCR	
December 2020 capital national average case?weighted CCR	
One-year national capital CCR adjustment factor 	
	
"See the tab labeled ""Capital BN Factors and Rate"" for alternatives considered regarding Capital Budget Neutrality Factors and Capital Federal Rate"	
