Medicare Advantage, Part D, Medicaid

CMS IRF PPS CMG Relative Weights (rule data files)

medicare_silver.fact_irf_pps_cmg_weight·live·silver·Medicare Inpatient Rehabilitation Facility PPS Weights
Rows
8,443
Columns
22
History
N/A
Card
nocolumns only
Typed tools
0

What it is

  1. 1CMS Inpatient Rehabilitation Facility PPS case-mix table — per Case-Mix Group (CMG) x comorbidity tier (1/2/3/none): the relative weight, average length of stay, and the official IRF standard payment conversion factor.
  2. 2Sourced from annual IRF PPS rule data files and FY2006 CMS-1290-F Table 4, anchor-VALIDATED against published weights.
  3. 3Reprices IRF claims for the 666 IRFs we roster (dim_irf): payment ~= std_payment_amount x relative_weight x wage index x adjustments.
  4. 4Source-truth coverage is FY2006-FY2026 after the 2026-07-05 effective-period replay, FY2014 recovery, and FY2006 Table 4 recovery.

Grain

KeyGrain
N/A
  1. 1One row per (fiscal_year, effective_period_start, effective_period_end, CMG, comorbidity tier) — relative weight + ALOS + standard payment amount.

Columns (22)

ColumnTypeMeaning
fiscal_yearint
cmgstring
tierstring
cmg_descriptionstring
relative_weightdouble
avg_losdouble
std_payment_amountdouble
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_irf_pps_cmg_weight")     # the card, live
query_substrate(sql="SELECT * FROM medicare_silver.fact_irf_pps_cmg_weight WHERE <filter> LIMIT 100")
ItemValue
Typed tools that read itnone; raw SQL
Identity keycmg
Joinhow_to_join(source_fqn="medicare_silver.fact_irf_pps_cmg_weight")
Raw doorAthena (read-only via query_substrate): medicare_silver.fact_irf_pps_cmg_weight
NoteIceberg medicare_silver.fact_irf_pps_cmg_weight, partition by fiscal_year, replace. Source = CMS rule data-files zip (nested CMG_ALOS CSV) plus FY2006 CMS-1290-F Table 4 PDF extraction. Current proof: 8,443 rows, 21 fiscal-year vintages, 20 source hashes, zero duplicate effective-period keys, zero lineage-null rows.

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