HIPPS groups with the lowest and highest case-mix weights under PDGM

The following 15 HIPPS groups will have the lowest and highest case-mix weights under PDGM, according to the 2019 PPS final rule.
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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