Data for the LTCH PPS Proposed One-Time Prospective Adjustment to the Standard Federal Rate	
****  The data in this file was used for development of the proposed one-time prospective adjustment to the standard Federal rate presented in the FY 2013 IPPS/LTCH PPS proposed rule (CMS-1588-P).	
	
Variable Name	Description
Provider Number	6-digit Medicare provider identification number.
Name	Name of Medicare provider from OSCAR.
Cost Report Discharges	Number of Medicare beneficiary discharges from the hospital's FY 2002 cost report*.  
Estimated FY 2003 Operating Cost Per Case	Estimated FY 2003 operating cost per case (computed using FY 2002 cost report data)*.
Estimated FY 2003 Capital Cost Per Case	Estimated FY 2003 capital cost per case (computed using FY 2002 cost report data)*.
Estimated FY 2003 TEFRA Payment Per Case	Estimated FY 2003 TEFRA payment per case based on estimated FY 2003 operating and capital costs per case and TEFRA payment rules (as proposed in the FY 2013 IPPS/LTCH PPS proposed rule (CMS-1588-P)).
Estimated FY 2003 Total (MedPAR-Weighted) TEFRA Payment	Estimated FY 2003 TEFRA Payment Per Case multiplied by the number of FY 2002 MedPAR Cases*.
MedPAR Cases	Number of Medicare beneficiary discharges from the December 2004 update of the FY 2002 MedPAR file*.
Case-Mix Index	The average FY 2003 LTC-DRG relative weight of a LTCH's FY 2002 MedPAR cases.*
Short-Stay Outlier (SSO) Cases	"Number of Medicare beneficiary discharges from the FY 2002 MedPAR file* with a covered length of stay that is less than or equal to the FY 2003 short-stay outlier (SSO) threshold (i.e., 5/6ths of the average length of stay of the LTC-DRG as set forth in 412.529)."
Metropolitan Statistical Area	"Metropolitan Statistical Area (MSA) based on OMB""s designations adopted under the LTCH PPS and in effect during FY 2003.  The MSA assignment is based on where the LTCH is physically located based on SSA state and county code information.  Rural areas are designated by 2-digit"
Wage Index	"The blended transition (1/5th) pre-reclassification inpatient hospital wage index value based on fiscal year 1998 audited wage data without taking into account geographic reclassifications under sections 1886(d)(8), which was effective under the LTCH PPS during FY 2003 as shown in Tables 1 and 2 of the Addendum of the FY 2003 LTCH PPS Final rule (August 30, 2002; 67 FR 56057 - 56075)."
Cost Of Living Adjustment	"Cost of Living Adjustment (COLA) factor obtained from the U.S. Office of Personnel Management for LTCHs located in Alaska or Hawaii effective under the LTCH PPS during FY 2003 as established in the FY 2003 LTCH PPS final rule (August 30, 2002; 67 FR 56022)."
Cost-To-Charge Ratio	Ratio of costs to charges from the July 2003 update of the Provider Specific File (PSF).
Estimated FY 2003 Total LTCH PPS Payments (BEFORE application of a one-time prospective adjustment under 412.523(d)(3))	"Estimated FY 2003 LTCH PPS Federal rate-based payments, including any adjustments for short-stay or high cost outliers based on LTCH discharges in the FY 2002 MedPAR file* calculated based on the FY 2003 LTCH PPS standard Federal rate established in the FY 2003 LTCH PPS final rule (August 30, 2002; 67 FR 56033) without a one-time prospective adjustment under 412.523(d)(3). In addition, this amount does not include any payments under the transition blend set forth at 412.533 or the FY 2003 transition period budget adjustment of 0.934."
Estimated Percentage of FY 2003 High Cost Outlier Cases (BEFORE application of a one-time prospective adjustment under 412.523(d)(3))	"Percentage of  cases (based on discharges from the FY 2002 MedPAR files*) estimated to receive a high cost outlier payment (as determined in accordance with 412.525(a)) included in the ""Estimated FY 2003 Total LTCH PPS Payments (BEFORE application of a one-time prospective adjustment under 412.523(d)(3))."""
Estimated FY 2003 Total LTCH PPS Payments (AFTER application of a one-time prospective adjustment under 412.523(d)(3))	"Estimated FY 2003 LTCH PPS Federal rate-based payments, including any adjustments for short-stay or high cost outliers based on LTCH discharges in the FY 2002 MedPAR file* calculated after applying a factor of 0.9625 to the FY 2003 LTCH PPS standard Federal rate (as proposed in the FY 2013 IPPS/LTCH PPS proposed rule (CMS-1588-P)). This amount does not include any payments under the transition blend set forth at 412.533 or the FY 2003 transition period budget adjustment of 0.934."
Estimated FY 2003 High Cost Outlier Payments (AFTER application of a one-time prospective adjustment under 412.523(d)(3))	"Percentage of  cases (based on discharges from the FY 2002 MedPAR files*) estimated to receive a high cost outlier payment (as determined in accordance with 412.525(a)) included in the ""Estimated FY 2003 Total LTCH PPS Payments (AFTER application of a one-time prospective adjustment under 412.523(d)(3))."""
FOOTNOTES:	"*  FY 2002 cost report and claims data were used to estimate both FY 2003 LTCH PPS payments and  FY 2003 reasonable cost-based (TEFRA) payments for LTCHs' hospital inpatient operating and capital costs, as proposed in the FY 2013 IPPS/ LTCH PPS proposed rule (CMS-1588-P)."
