IPPS Dashboard

The key measurements in this section are based on a hospital's annual cost report. The cost report contains information such as facility characteristics, utilization data, cost and charges by cost center (in total and for Medicare), Medicare settlement data, and financial statement data. CMS maintains the cost report data in the Healthcare Provider Cost Reporting Information System (HCRIS) which is updated quarterly and is based on a hospital's fiscal year.

Total IPPS Payment

The 2552-10 format calculates IP Reimbursement across several potential sheets.

PPS	Worksheet E, Part A, line 59
TEFRA	Worksheet E-3, Part I, line 18
Psych Subprovider	Worksheet E-3, Part II, line 31
Rehab Subprovider	Worksheet E-3, Part III, line 32
LTCH PPS	Worksheet E-3, Part IV, line 22
Critical Access Hospitals (CAHs)	Worksheet E-3, Part V, line 30
PPS SNF Services	Worksheet E-3, Part VI, line 15
Titles V or XIX Services	Worksheet E-3, Part VII, line 40

Settlement Amount

The NPR Settlement Amount is the Balance due provider/(Program). It is the difference between the Total IP Reimbursement (above) and the total interim payments for the cost reporting period less any tentative settlements previously made by the MAC.

PPS	Worksheet E, Part A, line 74
TEFRA	Worksheet E-3, Part I, line 21
Psych Subprovider	Worksheet E-3, Part II, line 34
Rehab Subprovider	Worksheet E-3, Part III, line 35
LTCH PPS	Worksheet E-3, Part IV, line 25
Critical Access Hospitals (CAHs)	Worksheet E-3, Part V, line 33
PPS SNF Services	Worksheet E-3, Part VI, line 18
Titles V or XIX Services	Worksheet E-3, Part VII, line 18

Settlement Amount as % of Total Payment

A Settlement Amount percentage is calculated as the Settlement Amount (above) divided by Total IPPS Payment (above).

Outlier Amount

Medicare makes additional payments to hospitals for patients with costs that are extraordinarily high due to severity of illness and/or complicating conditions. The amount of outlier payments is from Worksheet E, Part A, line 2.

Outlier as % of Total

An Outlier percentage is calculated as the Outlier Amount (above) divided by Total IPPS Payment (above).