|
Prospective Payment System (PPS) - Payment
Impact File
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| Study Number |
A05_01 |
| Background of Dataset |
| Purpose of the Data Set |
This file contains data used to estimate FY2000
payments under Medicare's PPS for operating and capital. |
| Criteria(s) for Inclusion/Exclusion |
N/A |
| Age Range Included |
N/A |
| Method(s) of Data Gathering |
The data are taken from various sources, including
the Provider Specific file, the PPS-XIV and PPS-XV Minimum Datasets,
and prior impact files. The data set is abstracted from an internal
file used for the impact analysis of the changes to PPS published
in the Federal Register. This file is available for release one
month after the PPS Proposed and Final Rules are published in
the Federal Register, which generally occurs during April (Proposed)
and August (Final). |
| Sampling Frame/Design |
N/A |
| Limitation(s) of Study |
None |
|
Year(s) Available
|
FY 2000 |
| Number of Observations |
4930 |
| Unit of Observation |
Hospital |
| Publisher |
Health Care Financing Administration |
| Contact Information/Web Address |
http://www.hcfa.gov/stats/pufiles.htm
|
| Condition of Use |
Publicly Available |
| Contents of Database |
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Key Linking Variables
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•Patient identifier
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•Physician identifier
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•Health facility identifier
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Provider Number |
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•Geographic identifier
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MSA, State, Census Division |
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•Other identifier
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| Demographics Information |
N/A |
| Access/Utilization Information |
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| Unit of Utilization |
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| Source of Information |
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•Self reported
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•Parent
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•Medical provider
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•Billing/encounters
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•Other source
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| Health Insurance Information |
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•Insurance status
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•Insurance type
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•Other information
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| Health Care Utilization |
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| >Type |
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| 1) Outpatient |
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•Date of visits
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•Number of visits
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•Referrals information
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•Specialty visits
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•Other outpatient utilization
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2) Inpatient
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•Admission/discharge dates
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•Number of admissions
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Yes |
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•Length of stay
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•Admission status (transfer, ER admissions...etc)
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•Discharge status
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•Other information
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Medical Utilization Rate |
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3) Emergency room
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•Date of visits
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•Number of visits
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•Other information
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4) Pharmacy
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•Date of prescription
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•Drug information
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•Other information
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5) Other utilization
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•Home care services
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•Long term care
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•Other services
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| >Medical Codes |
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•CPT codes
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•ICD-9 codes
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•DRG codes
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•Other codes
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| Health Care Facility Information |
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•Location
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•Number of beds
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Yes |
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•Number of MDs
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•Other information
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Case-Mix Index (CMI), Mileage to nearest hospital,
Resident-to-bed ratio |
| Physician Information |
N/A |
| Cost/Expenditure Information |
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•Unit of cost
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Yes |
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•Charges/costs/payments
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Yes |
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•Total
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•Allied and additional services
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•Pharmacy
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•Out-of-pocket payments
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•Other information
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Cost-to-charge ratio |
| Other Information |
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| •Wage Index |
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