Most hospitals are now paid a fixed amount, determined in advance, for the operating costs of each case according to one of nearly 500 Diagnosis Related Groups (DRGs). A discharge is assigned to a DRG based on diagnosis, surgery, patient age, discharge destination and sex. Each DRG has a weight established for it based primarily on Medicare billing and cost data. Each weight reflects the relative cost, across all hospitals, of treating cases classified in that DRG. The short stay hospital files include PPS exempt units (rehabilitation and psychiatric) and waiver state (Maryland) hospitals not paid under the PPS.

Proposed and Final Rules/Summaries

• 08.23.2021 | 2022 Final Inpatient PPS Rule
• 08.23.2021 | Summary of the Proposed FFY 2022 Medicare Hospital Inpatient Rule
• 05.07.2021 | 2022 Proposed Inpatient PPS Rule
• 05.07.2021 | Summary of the Proposed FFY 2022 Medicare Hospital Inpatient Rule
• 09.24.2020 | 2021 Final Inpatient PPS Rule
• 09.24.2020 | Summary of the Final FFY 2021 Medicare Hospital Inpatient Rule
• 08.13.2018 | 2020 Final Inpatient PPS Rule
• 08.13.2018 | Summary of the Final FFY 2020 Medicare Hospital Inpatient Rule
• 08.01.2018 | 2019 Final Inpatient PPS Rule
• 08.01.2018 | Summary of the Final FFY 2019 Medicare Hospital Inpatient Rule
• 08.01.2017 | 2017 Final Inpatient PPS Rule
• 08.01.2017 | Summary of the Final FFY 2017 Medicare Hospital Inpatient Rule