Comparison Hospital Selection
PPS Profile - Claims Based
| |
Wage index |
CMI |
Total IPPS Payment |
Avg IPPS Payment |
Outlier Amount |
Outlier as % of Total |
Medicare Margin |
| ProMedica Toledo Hospital |
### |
### |
$### |
$### |
$### |
###% |
###% |
PPS Profile - Cost Report Based
| |
Total IPPS Payment |
Settlement Amount |
Settlement Amount as % of Total Payment |
Outlier Amount |
Outlier as % of Total |
| ProMedica Toledo Hospital |
$### |
$### |
###% |
$### |
###% |
Wage Adjustment Factors
| |
Geographic Labor Market Area |
Pre-Reclass Labor Market Area |
Post Reclass Labor Market Area |
County |
Reclassification Status |
Wage Index |
Section 505 Adj. |
Section 401 |
| ProMedica Toledo Hospital
| ### |
### |
### |
### |
### |
### |
### |
### |
Settled PPS Adjustment Factors
| |
HIT Payment |
VBP Adj. |
DSH Ratio |
DSH Amount |
Uncompensated Care |
IME Amount |
Readmission Adj. |
HAC Adj. |
| ProMedica Toledo Hospital
| $### |
$### |
### |
$### |
$### |
$### |
$### |
$### |
Current/Proposed Rule Adjustment Factors
| |
Wage Index |
DSH Adjustment |
Capital DSH adjustment |
Uncompensated Care per Claim |
Operating IME Adjustment |
Capital IME Adjustment |
HAC Adjustment |
Quality Reduction |
EHR Reduction |
| ProMedica Toledo Hospital |
### |
### |
### |
$### |
### |
### |
###% |
### |
### |
PPS Coding Indicators
| |
CC/MCC |
MCC |
Outlier Pct |
2 or fewer day stays |
% discharge to acute |
| ProMedica Toledo Hospital |
###% |
###% |
###% |
###% |
###% |
Med/Surg Performance table
| |
Med/Surg |
CMI |
CC/MCC |
MCC |
Outlier Pct |
2 or fewer day stays |
% discharge to acute |
| ProMedica Toledo Hospital |
### |
### |
###% |
###% |
###% |
###% |
###% |
| ProMedica Toledo Hospital |
### |
### |
###% |
###% |
###% |
###% |
###% |
Service Performance
| |
Service Name |
CMI |
CC/MCC |
MCC |
Outlier Pct |
2 or fewer day stays |
% discharge to acute |
| ProMedica Toledo Hospital |
|
### |
###% |
###% |
###% |
###% |
###% |