Capital Ratios For Acute Care Hospitals

$179 / year

This dataset is used to determine whether a case qualifies for outlier payments under the hospital inpatient prospective payment system (IPPS), hospital-specific cost-to-charge ratios are applied to the total covered charges for the case. Operating and capital costs for the case are calculated separately by applying separate operating and capital cost-to-charge ratios and combining these costs to compare them with the fixed-loss outlier threshold.

Complexity

The CCRs are also used in determining outpatient hospital outlier payments, payments for passthrough devices and monthly interim transitional corridor payments under the outpatient prospective payment system (OPPS). The CCRs for OPPS will be addressed in a separate Program Memorandum (PM).
In the August 1, 2002, Federal Register, CMS stated that for Federal fiscal year (FY) 2003, those hospitals for which operating cost-to-charge ratios (CCR) are lower than 0.194 or greater than 1.258, or capital cost-to-charge ratios lower than 0.012 or greater than 0.163, fiscal intermediaries (FIs) will use statewide average ratios to calculate costs to determine whether a hospital qualifies for outlier payments. These ranges represent 3.0 standard deviations (plus or minus) from the mean of the log distribution of cost-to-charge ratios for all hospitals.

Date Created

2015

Last Modified

2017-07-31

Version

2017-07-31

Update Frequency

Irregular

Temporal Coverage

NA

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare & Medicaid Services;

Source License URL

Source License Requirements

NA

Source Citation

NA

Keywords

Acute Care Hospitals, Capital Ratios, Long Term Acute Care Hospital

Other Titles

Care Hospital, Outpatient Hospital, Drug Related Groups

NameDescriptionTypeConstraints
StateAcute Care Statestring-
RatioRatios for Acute Care Hospitalsnumberlevel : Nominal
StateRatio
Alabama0.015
Alaska0.027000000000000003
Arizona0.017
Arkansas0.019
California0.015
Colorado0.02
Connecticut0.022000000000000002
Delaware0.027999999999999997
District of Columbia0.018000000000000002
Florida0.013000000000000001