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Medicare Home Health Agency (HHA) Cycle 16 Per-visit Cost Limits Data Set
Study Number A01_9499
Background of Dataset
Purpose of the Data Set This file contains cost, statistical, and other data used in establishing the Home Health Agency (HHA) Cost Limits for fiscal periods beginning after October 1, 1999. This file also contains the applicable hospital wage index and HHA Market Basket Adjustment Factors.
Criteria(s) for Inclusion/Exclusion Includes cost and statistical data used in establishing the HHA cost limits.
Age Range Included N/A
Method(s) of Data Gathering The cost and statistical data were obtained from Free Standing Medicare HHA cost reports (Form 1728-94) for full cost reporting periods beginning on or after October 1, 1994 and settled by March 1999.
Sampling Frame/Design N/A
Limitation(s) of Study No

Year(s) Available

October 1994 - March 1999
Number of Observations 4122
Unit of Observation HHA Provider ID
Publisher Health Care Financing Administration (1999)
Contact Information/Web Address http://www.hcfa.gov/stats/pufiles.htm/
Condition of Use Publicly available
Contents of Database

Key Linking Variables

 

  •Patient identifier

 

  •Physician identifier

 

  •Health facility identifier

HHA provider ID

  •Geographic identifier

MSA, county, state

  •Other identifier

 
Demographics Information  

  •Sex

 

  •Race

 

  •Geographic location

Yes

  •Income

 

  •Education

 

  •Employment status

 

  •Others

 
Access/Utilization Information By HHA provider ID
Unit of Utilization October, 1994 - March, 1998
Source of Information  

  •Self reported

 

  •Parent

 

  •Medical provider

 

  •Billing/encounters

 

  •Other source

Free Standing Medicare HHA cost reports (Form 1728-94)
Health Insurance Information N/A

  •Insurance status

 

  •Insurance type

 

  •Other information

 
Health Care Utilization  
>Type  
 1) Outpatient  

   •Date of visits

 

   •Number of visits

 

   •Referrals information

 

   •Specialty visits

 

   •Other outpatient utilization

 

 2) Inpatient

 

   •Admission/discharge dates

 

   •Number of admissions

 

   •Length of stay

 

   •Admission status (transfer, ER      admissions...etc)

 

   •Discharge status

 

   •Other information

 

 3) Emergency room

 

   •Date of visits

 

   •Number of visits

 

   •Other information

 

 4) Pharmacy

 

   •Date of prescription

 

   •Drug information

 

   •Other information

 

 5) Other utilization

 

   •Home care services

Number of visits for home health aide, skilled nursing, physical therapy, occupational therapy, speech pathology, medical social services

   •Long term care

 

   •Other services

 
>Medical Codes N/A

  •CPT codes

 

  •ICD-9 codes

 

  •DRG codes

 

  •Other codes

 
Health Care Facility Information By HHA provider ID

  •Location

Yes

  •Number of beds

 

  •Number of MDs

 

  •Other information

Type of home health agency
Physician Information N/A
Cost/Expenditure Information By HHA provider ID

  •Unit of cost

Per visit

  •Charges/costs/payments

Cost

    •Total

Yes

    •Allied and additional services

Yes

    •Pharmacy

 

  •Out-of-pocket payments

 

  •Other information

 
Other Information  
  •Market basket adjustment factor Yes
  •Wage index percentage Yes

 

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