Analysis of the Joint Distribution of Disproportionate Share Hospital Payments. Provider-specific File


The CMS intermediaries that process Medicare hospital claims maintain the provider-specific file to price claims for inpatient hospital services. A public use file is made available annually each year as part of the PPS update that contains all the payment parameters used to pay hospitals for inpatient services in the current year. The file includes certain information (e.g., how a hospital is paid under the capital prospective payment system) that is not available on the PPS impact files.

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