After this session, you will be able to: Define how MS-DRGs affect a hospital's reimbursement. Describe the impact cost-based DRG weights have on reimbursement, and how cost report may affect those weights. Identify issues covered in the federal fiscal year 2009 IPPS proposed rule to be published in April. Recognize other recent developments in PPS reimbursement, including wage index issues, outpatient PPS, rural reimbursement differences, etc.