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Hospital Outpatient Prospective Payment System (OPPS)

NOTICE:  Please note that as of April 2009, the OPPS Identifiable Data Set (IDS) is now considered a Limited Data Set (LDS).  The former identifiable version of the file is now the only version available.  Requestors should follow the record layout link below to see a list of the data elements included on the new LDS, which are the same elements included in prior year versions of the IDS.  Requestors should follow the link for Instructions on How to Request LDS Data Files below to obtain this file.

This file contains select claim level data and is derived from 2008 hospital outpatient PPS claims, updated through December 2008, that is, claims for services furnished on or after January 1, 2008 through December 31, 2008 that were received, processed, paid, and passed to the National Claims History file by December 31, 2008.  This file includes data elements such as diagnosis codes, bill type, outlier payments, and service revenue payments. This file includes more than 53 million claims for services paid under the OPPS, including multiple and single claims.  The  record length is 11,783, blocksize is 32,760.

This file will be available twice a year. The file for the proposed rule for the annual OPPS update should be available in late spring/early summer, and the file for the final rule should be ready for release within a month of publication of the final rule.

Media: DVD
Cost: $3,000   *Reuse fee of $600 effective April 1, 2009

Data Format:  CSV format with SAS®  read-in program
Available: NPRM 2010

To browse the record layout, see the Downloads section below.

Instructions on How to Request LDS Data Files in the Related Links Inside CMS section below.

Downloads

Record Layout [PDF, 34 KB]
Related Links Inside CMS

Instructions on How to Request LDS Data Files
Related Links Outside CMSExternal Linking Policy

There are no Related Links Outside CMS

 

Page Last Modified: 06/23/2009 4:02:49 PM
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