FY 2023 Proposed Rule IPPS Impact File - Alternative Considered	
"DATA SOURCES FOR THIS FY 2023 RULE ALTERNATIVE CONSIDERED IMPACT FILE ARE THE FOLLOWING: DECEMBER 2021 UPDATE OF FY 2021 MEDPAR, DECEMBER 2021 UPDATE OF PROVIDER SPECIFIC FILE (PSF), FY2019/FY2020 COST REPORT DATA.  OTHER THAN THE IDENTIFYING VARIABLES (PROVIDER NUMBER AND NAME), THIS FILE CONTAINS ONLY THE VARIABLES WHERE ONE OR MORE VALUES DIFFER FROM THOSE IN THE FY 2023 PROPOSED RULE IPPS IMPACT FILE.  "	
"DISCLAIMER: The variables in the impact file are based on information at the time of the proposed rule (or correction notice as applicable) which are used to model payments for the upcoming Fiscal Year (2023) and may not reflect what is used for actual payment (e.g: Wage Index, DSH, IME) for FY 2023. Refer to the quarterly Provider Specific File (PSF) for variables used for actual payment (Note: Since the PSF is updated quarterly there is typically a 3 month lag until the latest information is posted)."	
Provider Number	6 digit Medicare provider number; the first 2 digits are the state code.
Name	"Name of Medicare provider from OSCAR.(""blank"" = unknown)"
Wage Index	"FY 2023 wage index after applying the MGCRB reclassifications, rural floor, imputed floor, adjustments for the Frontier wage index provision,the P.L. 108-173 Sec 505 adjustments where applicable for FY 2023, the lowest quartile wage index adjustment and the 5-percent cap. Wage Index reflects the application of national rural floor budget neutrality required under the Affordable Care Act."
Section 505 adjustment	Wage adjustment for providers who are eligible to receive a wage index adjustment under Sec. 505 of P.L. 108-173 for FY 2023
CASETA40	Transfer Adjusted Cases under Grouper V40 and FY2023 Post-Acute Transfer Policy
CMIV40	Case Mix Index under Grouper V40 (generally applicable for SCH providers paid under their Hospital Specific Payment rate).
TACMIV40	Transfer adjusted Case Mix Index under Grouper V40 and FY 2023 Post-Acute Transfer Policy
IME_CASETA40	Transfer adjusted cases under Grouper V40 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.
IME_TACMIV40	Transfer adjusted Case Mix under Grouper V40 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.
GAF	Post Reclassification Geographic adjustment factor (GAF) for Capital IPPS for FY 2023
OUT23F	Estimated operating outlier payments as a percentage of the provider's Federal operating IPPS payments
COUT23F	Estimated capital outlier payments as a percentage of the provider's Federal capital IPPS payments
"**The most recent available cost report data were used (FYs 2019 - 2020). A ""zero"" value may indicate unavailable or incomplete data. "	
