Medicare Advantage, Part D, Medicaid

CMS Hospice PPS Per-Diem Rates (Federal Register final rule)

medicare_silver.fact_hospice_pps_rate·live·silver·Medicare Hospice Prospective Payment Rates
Rows
164
Columns
23
History
N/A
Card
nocolumns only
Typed tools
0

What it is

  1. 1CMS Hospice PPS per-diem payment rates, extracted from CMS transmittals and Federal Register final-rule tables: Routine Home Care, Continuous Home Care (+ hourly), Inpatient Respite Care, General Inpatient Care — full rates + reduced rates for hospices not meeting quality reporting.
  2. 2The hospice repricing benchmark for the 9k+ hospices we roster (dim_hospice); wage index applies by CBSA on top.
  3. 3Each load is VALIDATED against the rule's stated rate.
  4. 4FY2005-FY2026 are live and proven: FY2005-FY2013 standard pre-HQRP CMS transmittal years, FY2014-FY2015 legacy single-RHC years, FY2016's exact Oct-Dec single-RHC plus Jan-Sep two-tier transition, and FY2017-FY2026 modern two-tier-RHC years.

Grain

KeyGrain
N/A
  1. 1One row per (fiscal_year, quality_compliant, level_of_care) — hospice per-diem rate.

Columns (23)

ColumnTypeMeaning
fiscal_yearint
quality_compliantboolean
level_of_carestring
revenue_codestring
level_descriptionstring
base_ratedouble
final_ratedouble
hourly_ratedouble
observed_perioddate
asserted_atdate
effective_period_startdate
effective_period_enddate
cms_vintage_sequenceint
parse_revisionint
parser_artifact_hashstring
source_urlstring
sha256_content_hashstring
source_idstring
is_currentboolean
bronze_object_keystring
s3_version_idstring
vintage_tagstring
drug_source_version_idstring

Query it

describe_data_source(source_fqn="medicare_silver.fact_hospice_pps_rate")     # the card, live
query_substrate(sql="SELECT * FROM medicare_silver.fact_hospice_pps_rate WHERE <filter> LIMIT 100")
ItemValue
Typed tools that read itnone; raw SQL
Identity keylevel_of_care
Joinhow_to_join(source_fqn="medicare_silver.fact_hospice_pps_rate")
Raw doorAthena (read-only via query_substrate): medicare_silver.fact_hospice_pps_rate
NoteIceberg medicare_silver.fact_hospice_pps_rate, partition by fiscal_year, replace. Sourced via pipelines/medicare/ingest/hospice_pps_runner.py using CMS transmittal PDFs, structured FR XML, explicitly accepted PDF text, or SHA-locked verified image-table maps. Parser 1.0.3 adds the SHA-locked FY2016 transition adapter plus a pre-write natural-key/effective-period guard.

This page as markdown: /docs-md/data/medicare_silver_fact_hospice_pps_rate.md · every page in one file: /llms-full.txt