On November 10, 2009, CMS is conducting a listening session the Medicare Physician Resource Use Measurement Reporting Program, focusing on the available tools to identify discrete episodes of care for Medicare beneficiaries. At the listening session, CMS staff will present research findings on the key attributes of a grouper logic for Medicare beneficiaries, and the agency will seek input on other strategies for improving how episodes for Medicare beneficiaries are designed. Specific issues to be considered include the challenges associated with: beneficiaries with multiple co-morbidities, post-acute care diagnoses not matching inpatient diagnoses; grouping physician services delivered in a hospital stay with the same episode as the hospitalization; and risk-adjustment. CMS will accept written comments on these issues until November 17, 2009.