Tools for More Accurate Inpatient Cost Estimates with HCUP ...

TABLE OF CONTENTSEXECUTIVE SUMMARY .................................................................................................................1DATA SOURCE ...............................................................................................................................4COST-CENTER CLUSTERS ..........................................................................................................4MAPS OF SID DETAIL CHARGES TO COST-CENTER CLUSTERS ..........................................6HOSPITAL AND DISCHARGES SELECTION ...............................................................................6DEVELOPMENT OF ADJUSTMENT FACTOR BY MS-DRG .......................................................7DEVELOPMENT OF THE ADJUSTMENT FACTOR BY DXCCS1 ...............................................7FINDINGS ........................................................................................................................................7CONCLUSIONS ..............................................................................................................................9APPENDIX A: MAP UB04 AND CHARGE BUCKETS TO COST-CENTER CLUSTERS ......... 10APPENDIX B: COST ADJUSTMENT FACTORS FOR MS-DRGS ............................................. 21APPENDIX C: COST ADJUSTMENT FACTORS FOR PRINCIPAL CCS CATEGORIES ........ 46APPENDIX D: ERRATA ................................................................................................................ 54