LTCH PPS 2010 Rate Year - Final Rule Impact Data.
****  The data in this file was used for payment rate and policy determinations and to prepare the impact analyses shown in section IX of Appendix A of the 2010 LTCH PPS rate year final

Variable Name                                                  Description
Provider Number                                                6-digit Medicare provider identification number.
Name                                                           Name of Medicare provider from OSCAR.
MedPAR Cases                                                   Number of Medicare beneficiary discharges from the March 2009 update of the FY 2008 MedPAR file.
Case-Mix Index under V26                                       The average FY 2009 (Version 26.0) MS-LTC-DRG relative weight (as presented in the FY 2009 Interim Final Rule with comment
Case-Mix Index under V27                                       The average RY 2010 (Version 27.0) MS-LTC-DRG relative weight of a LTCH's FY 2008 MedPAR cases.
Short-Stay Outlier (SSO) Cases                                 Number of Medicare beneficiary discharges from the FY 2008 MedPAR file with a covered length of stay that is less than or
RY2010 Wage Index                                              A LTCH's RY 2010 wage index value determined from pre-reclassified inpatient hospital fiscal year 2006 audited wage data w
RY 2010 Cost Of Living Adjustment (COLA)                       Cost of Living Adjustment factor obtained from the U.S. Office of Personnel Management  for LTCHs located in Alaska or Haw
IPPS Comparable Operating  Cost Of Living Adjustment           The applicable FY 2009 IPPS COLA factor for hospitals located in Alaska and Hawaii.*
IPPS Comparable Capital Cost Of Living Adjustment              The applicable FY 2009 IPPS capital COLA factor for hospitals located in Alaska and Hawaii, which is based on the applicab
Cost-To-Charge Ratio (CCR)                                     Ratio of costs to charges from the March 2009 update of the Provider Specific File (PSF).  If a LTCH's cost-to-charge rati
IPPS Comparable Wage Index Value                               The applicable FY 2009 IPPS comparable wage index for non-reclassified hospitals as shown in Tables 4A and 4B of the FY 20
IPPS Comparable Geographic Adjustment Factor (GAF) Value       The applicable FY 2009 IPPS comparable geographic adjustment factor for non-reclassified hospitals as shown in Tables 4A a
Medicaid Percent                                               Calculated as the ratio of Medicaid/Non-Medicare Days to Total Days obtained from cost report data.**
Supplemental Security Income (SSI) Percent                     Supplemental Security Income (SSI) Percent calculated as the ratio of Medicare SSI days to Total Medicare days. SSI days a
DSH Percent                                                    Disproportionate Share (DSH) Percent computed from data obtained from cost report data and Social Security Administration
Interns & Residents                                            The number of Interns & Residents (IR) obtained from cost report data.**
Beds                                                           The number of total beds obtained from cost report data.**
IR-To-Beds Ratio                                               Intern & Resident (IR)-To-Beds Ratio is calculated as the number of interns & residents divided by the number of beds obta
Average Daily Census (ADC)                                     Calculated as the ratio of Total Acute Inpatient Days to Total Days in the Cost Reporting Period obtained from cost report
IR-To-ADC Ratio                                                Intern & Resident (IR)-To-ADC Ratio is calculated as the number of interns & residents divided by the ADC, which cannot ex
Estimated LTCH PPS DRG Payments (Excluding High Cost Outlier PaEstimate of LTCH PPS payments based on the Federal rate for the 2010 LTCH PPS rate year for cases in the FY 2008 MedPAR.
Estimated High Cost Outlier Payments                           Estimated outlier payments under 412.525(a) for the 2010 LTCH PPS rate year determined using FY 2008 MedPAR cases and the
Estimated Total LTCH PPS Payments (DRG + High Cost Outlier PaymEstimated LTCH PPS DRG Payments plus Estimated High Cost Outlier Payments for the 2010 LTCH PPS rate year  based on cases
Metropolitan Statistical Area (CBSA)                           Metropolitan Statistical Area (MSA) based on labor market area definition based on OMB"s Core Based Statistical Area (CBSA
Geographic Location                                            Urban/rural designations based on the CBSA-based labor market area definitions based on the physical location of the LTCH
Participation Date                                             The date the hospital began participating as an LTCH in the Medicare program from OSCAR data ("blank" = unknown).
Participation Date Category                                    Participation date category for impact analysis based on participation date from OSCAR:  "A" = Before October 1983; "B" =
Ownership Control Type                                         Type of ownership control from cost report data*:  "G" = Government; "P" = Proprietary;  "V" = Voluntary; and "X" = Unknow
Census Region                                                  Census region in which the LTCH is located for impact analysis from cost report data**: "1" = New England; "2" = Middle At
Bed Size Category                                              Bed size category for impact analysis based on number of beds from cost report data**:  "1" = 0 to 24 beds; "2" = 25 to 49

FOOTNOTES:                                                     * This variable was used in the calculation of the LTCH PPS adjusted payment amount for a short-stay outlier (SSO) case fo
                                                               **The most recent available cost report data were used (FYs 2004-2006). A "zero" value may indicate unavailable or incompl
