IPPS Standardized Payment Amounts Effective 4/1/2003
URBAN/RURAL Standardized Payment Amounts Under the Medicare Inpatient Hospital Prospective Payment System (IPPS)
Per CMS PM A-03-023, CR#2661
The standardized amounts for large urban areas are revised slightly because of the recalculation of the budget neutrality factors as a result of wage index corrections in PM A-02-92. In conjunction with the new standardized amount, the PM also announces new capital rates to be effective April 1, 2003. The Puerto Rico-specific capital rate is unchanged.
The following standardized amounts and capital rates are effective for discharges occurring on or after April 1, 2003, and before October 1, 2003 are:
Revised FY 2003 National Operating Rates
| National | Large Urban Areas | Other Areas | ||
|---|---|---|---|---|
| Labor-related | Nonlabor-related | Labor-related | Nonlabor-related | |
| $3,022.31 | $1,228.48 | $3,022.31 | $1,228.48 | |
Revised FY 2003 Puerto Rico Operating Rates
| National PR | Large Urban Areas | Other Areas | ||
|---|---|---|---|---|
| Labor-related | Nonlabor-related | Labor-related | Nonlabor-related | |
| $3,022.31 | $1,228.48 | $3,022.31 | $1,228.48 | |
| Puerto Rico | $1,464.28 | $589.41 | $1,441.10 | $580.08 |
Revised FY 2003 Capital Rates
| National | $406.93 |
As a result of the behaviors described in our March 5, 2003 proposed rule (68 FR 10420), and based upon preliminary data regarding outlier payments for the first quarter of FY 2003, we believe it is likely that we have continued to overpay for outliers during the first quarter of FY 2003. Accordingly, the outlier threshold is unchanged at $33,560.
Page Last Updated: Wednesday, 31-Dec-2008 10:49:09 CST
