HIPPS groups with the lowest case-mix weights under PDGM

Effective Nov 25, 2018

Published Nov 25, 2018

Last Reviewed Nov 14, 2018

The following 15 HIPPS groups will have the lowest case-mix weights under PDGM, according to the 2019 PPS final rule.
HIPPS	Clinical group and functional level	Timing and admission source	Comorbidity adjustment	Weight
3GA11	MMTA — Surgical aftercare — Low	Late — Community	0	0.4784
3FA11	Behavioral Health — Low	Late — Community	0	0.5015
3JA11	MMTA — GI/GU — Low	Late — Community	0	0.5277
3GA21	MMTA — Surgical aftercare — Low	Late — Community	1	0.5381
3LA11	MMTA — Respiratory — Low	Late — Community	0	0.545
3DA11	Complex — Low	Late — Community	0	0.5479
3KA11	MMTA — Infectious — Low	Late — Community	0	0.5601
3FA21	Behavioral health — Low	Late — Community	1	0.5611
3HA11	MMTA — Cardiac — Low	Late — Community	0	0.5681
3JA21	MMTA — GI/GU — Low	Late — Community	1	0.5873
3AA11	MMTA — Other — Low	Late — Community	0	0.5898
3LA21	MMTA — Respiratory — Low	Late — Community	1	0.6046
3DA21	Complex — Low	Late — Community	1	0.6076
3KA21	MMTA — Infectious — Low	Late — Community	1	0.6198
3HA21	MMTA — Cardiac — Low	Late — Community	1	0.6277
*Source:* 2019 PPS final rule

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