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Centers for Medicare and Medicaid Services

The Centers for Medicare & Medicaid Services (CMS), previously known as the Health Care Financing Administration (HCFA), is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the State Children's Health Insurance Program (SCHIP), and health insurance portability standards.

Alle Datensätze:  A C E F H M N O P R S T U
  • A
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 21 März, 2016
      Datensatz auswählen
      The Ambulatory Surgical Center Quality Reporting (ASCQR) Program seeks to make care safer and more efficient through quality reporting. ASCs eligible for this program may have their Medicare payments reduced if they do not report data for these measures.
  • C
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 22 März, 2016
      Datensatz auswählen
      Complications - provider data. This data set includes provider data for the hip/knee complication measure, and the Agency for Healthcare Research and Quality (AHRQ) measures of serious complications.
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 22 März, 2016
      Datensatz auswählen
      Complications - national data. This data set includes national-level data the hip/knee complication measure, and the Agency for Healthcare Research and Quality (AHRQ) measures of serious complications.
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 22 März, 2016
      Datensatz auswählen
      The Complications measures - state data. This data set includes state-level data for the hip/knee complication measure, and the Agency for Healthcare Research and Quality (AHRQ) measures of serious complications.
  • E
    • Dezember 2013
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 04 März, 2016
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      The Environmental Scanning and Program Characteristics (ESPC) Database, is intended to facilitate cross-State analyses. Information from the ESPC database can be linked to the Medicaid Analytic eXtract (MAX) files and other Medicaid data to support program and comparative effectiveness research (CER), policy studies, and program evaluations. The ESPC database and companion User Guide can serve as a stand-alone tool to facilitate intra–and inter–state analysis stemming from the implementation of health reform.
  • F
  • H
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 22 März, 2016
      Datensatz auswählen
      The Healthcare-Associated Infection (HAI) measures - provider data. These measures are developed by Centers for Disease Control and Prevention (CDC) and collected through the National Healthcare Safety Network (NHSN). They provide information on infections that occur while the patient is in the hospital. These infections can be related to devices, such as central lines and urinary catheters, or spread from patient to patient after contact with an infected person or surface. Many healthcare associated infections can be prevented when the hospitals use CDC-recommended infection control steps.
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 22 März, 2016
      Datensatz auswählen
      The Healthcare-Associated Infections (HAI) measures - national data. These measures are developed by Centers for Disease Control and Prevention (CDC) and collected through the National Healthcare Safety Network (NHSN). They provide information on infections that occur while the patient is in the hospital. These infections can be related to devices, such as central lines and urinary catheters, or spread from patient to patient after contact with an infected person or surface. Many healthcare associated infections can be prevented when the hospitals use CDC-recommended infection control steps.
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 22 März, 2016
      Datensatz auswählen
      The Healthcare-Associated Infections (HAI) measures - state data. These measures are developed by Centers for Disease Control and Prevention (CDC) and collected through the National Healthcare Safety Network (NHSN). They provide information on infections that occur while the patient is in the hospital. These infections can be related to devices, such as central lines and urinary catheters, or spread from patient to patient after contact with an infected person or surface. Many healthcare associated infections can be prevented when the hospitals use CDC-recommended infection control steps.
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 21 März, 2016
      Datensatz auswählen
      In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System hospitals with excess readmissions. Excess readmissions are measured by a ratio, by dividing a hospital’s number of “predicted” 30-day readmissions for heart attack, heart failure, and pneumonia by the number that would be “expected,” based on an average hospital with similar patients. A ratio greater than 1 indicates excess readmissions.
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 21 März, 2016
      Datensatz auswählen
      A list of hospitals participating in the Hospital VBP Program and their performance ratios and scores for the Efficiency Medicare Spending per Beneficiary (MSPB) measure.
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 21 März, 2016
      Datensatz auswählen
      A list of hospitals participating in the Hospital VBP Program and their performance rates and scores for the Clinical Process of Care HAI measures.
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 21 März, 2016
      Datensatz auswählen
      A list of hospitals participating in the Hospital VBP Program and their performance rates and scores for the outcome measures.
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 21 März, 2016
      Datensatz auswählen
      A list of hospitals participating in the Hospital VBP Program and their scores for the Patient Experience of Care HCAHPS dimensions.
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 21 März, 2016
      Datensatz auswählen
      A list of hospitals participating in the Hospital VBP Program and their performance rates and scores for the Clinical Process of Care Pneumonia measures.
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 21 März, 2016
      Datensatz auswählen
      A list of hospitals participating in the Hospital VBP Program and their performance rates and scores for the Preventive Care measure.
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 21 März, 2016
      Datensatz auswählen
      A list of hospitals participating in the Hospital VBP Program and their performance rates and scores for the Clinical Process of Care SCIP measures.
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 21 März, 2016
      Datensatz auswählen
      A list of hospitals participating in the Hospital VBP Program and their Clinical Process of Care domain scores, Patient Experience of Care dimension scores, and Total Performance Scores.
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 21 März, 2016
      Datensatz auswählen
      In October 2014, CMS began reducing Medicare payments for subsection (d) hospitals that rank in the worst performing quartile with respect to hospital-acquired conditions (HACs). Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution may be subject to the payment reduction. This table contains a hospital’s measure, domain and Total HAC scores. The measure and domain scores comprise the Total HAC Score. In the FY 2016 HAC Reduction Program, hospitals with a Total HAC Score greater than 6.7500 are subject to a payment reduction. The hospitals that are subject to a payment reduction can be found on https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/HAC-Reduction-Program.html
  • M
  • N
    • November 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 20 Dezember, 2016
      Datensatz auswählen
      HCPCS - HCPCS code for the specific DMEPOS products/services ordered by referring providers and rendered by suppliers.HCPCS Description - Description of the HCPCS code for the specific DMEPOS product/service ordered by referring providers and rendered by suppliers.BETOS Classification - Berenson-Eggers Type of Service (BETOS) classification code and description assigned to the HCPCS code. The BETOS coding system consists of readily understood clinical categories that permit objective assignment of HCPCS codes.BETOS Classification Group - High level grouping of the BETOS Classifications into three groups including Durable Medical Equipment, Prosthetic and Orthotic Devices, and Drugs and Nutritional Products.Supplier Rental - Indicator Identifies whether the DMEPOS products/services submitted on supplier claims are identified as rental.Number of Referring - Providers Number of referring providers ordering DMEPOS products/services.Number of Suppliers - Number of suppliers rendering DMEPOS products/services.Number of Supplier - Beneficiaries Total number of unique beneficiaries associated with DMEPOS claims submitted by suppliers and ordered by the referring provider. Beneficiary counts fewer than 11 have been suppressed to protect the privacy of Medicare beneficiaries.Number of Supplier Claims - Total number of DMEPOS claims submitted by suppliers, reflecting services ordered by referring providers. Number of Supplier Services - Number of DMEPOS products/services rendered by suppliers; note that the metrics used to count the number provided can vary from service to service.Average Supplier Submitted Charges - Average of the charges that suppliers submitted for the DMEPOS product/service. Total supplier submitted charges can be calculated by multiplying the average supplier submitted charges by the number of supplier services.Average Supplier Medicare Allowed Amount - Average of the supplier Medicare allowed amounts for the DMEPOS product/service. Medicare allowed amounts include the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying. Total supplier Medicare allowed amounts can be calculated by multiplying the average supplier Medicare allowed amount by the number of supplier services.Average Supplier Medicare Payment Amount - Average amount that Medicare paid suppliers after deductible and coinsurance amounts have been deducted for the line item DMEPOS product/service. Total supplier Medicare payment amounts can be calculated by multiplying the average supplier Medicare payment amount by the number of supplier services.
    • Juni 2015
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 01 März, 2016
      Datensatz auswählen
      Referring Provider Last Name / Organization Name - When the referring provider is registered in NPPES as an individual (entity type code=’I’), this is the referring provider’s last name. When the referring provider is registered as an organization (entity type code = ‘O’), this is the organization name.Referring Provider First Name - When the referring provider is registered in NPPES as an individual (entity type code=’I’), this is the referring provider’s first name. When the referring provider is registered as an organization (entity type code = ‘O’), this will be blank.Referring Provider Middle Initial - When the referring provider is registered in NPPES as an individual (entity type code=’I’), this is the referring provider’s middle initial. When the referring provider is registered as an organization (entity type code = ‘O’), this will be blank.Referring Provider Credentials - When the referring provider is registered in NPPES as an individual (entity type code=’I’), these are the referring provider’s credentials. When the referring provider is registered as an organization (entity type code = ‘O’), this will be blank. Referring Provider Gender - When the referring provider is registered in NPPES as an individual (entity type code=’I’), this is the referring provider’s gender. When the referring provider is registered as an organization (entity type code = ‘O’), this will be blank.Referring Provider Entity Code - Type of entity reported in NPPES. An entity code of ‘I’ identifies referring providers registered as individuals and an entity type code of ‘O’ identifies referring providers registered as organizations.Referring Provider Street 1 - The first line of the referring provider’s street address, as reported in NPPES.Referring Provider Street 2 - The second line of the referring provider’s street address, as reported in NPPES.Referring Provider City - The city where the referring provider is located, as reported in NPPES."Referring Provider State - The state where the referring provider is located, as reported in NPPES. The fifty U.S. states and the District of Columbia are reported by the state postal abbreviation. The following values are used for other areas:'XX' = 'Unknown''AA' = 'Armed Forces Central/South America''AE' = 'Armed Forces Europe''AP' = 'Armed Forces Pacific''AS' = 'American Samoa''GU' = 'Guam''MP' = 'North Mariana Islands''PR' = 'Puerto Rico''VI' = 'Virgin Islands''ZZ' = 'Foreign Country'"Referring Provider Zip - The referring provider’s zip code, as reported in NPPES."Referring Provider Country - The country where the referring provider is located, as reported in NPPES. The country code will be ‘US’ for any state or U.S. possession. For foreign countries (i.e., state values of ‘ZZ’), the provider country values include the following:‘AE’ = ‘United Arab Emirates’; ‘IL’= Israel’; ‘AR’= ‘Argentina’; ‘IN’= India’; ‘AU’= ‘Australia’; ‘IS’= Iceland; ‘BR’= ‘Brazil’; ‘IT’= Italy’; ‘CA’= ‘Canada’; ‘JP’= Japan’; ‘CH’= Switzerland’; ‘KR’= ‘Korea’; ‘CN’= China’; ‘NL’= ‘Netherlands’; ‘CO’= Colombia’; ‘PK’= ‘Pakistan’; ‘DE’= ‘Germany’; ‘SA’= ‘Saudi Arabia’; ‘ES’= ‘Spain’; ‘SY’= ‘Syria’; ‘FR’= France’; ‘TR’= ‘Turkey’; ‘GB’= Great Britain’; ‘VE’= ‘Venezuela’; ‘HU’= Hungary’"Referring Provider Type - Derived from the Medicare provider/supplier specialty code reported on all of the NPI's Part B non-institutional claims (DMEPOS & non-DMEPOS). For referring providers that have more than one Medicare specialty code reported on their claims, the Medicare specialty code associated with the largest number of services was used. Where a prescriber's NPI did not have associated Part B claims, the taxonomy code associated with the NPI in NPPES was mapped to a Medicare specialty code using an external crosswalk published here: http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/MedicareProviderSupEnroll/Taxonomy.html. For any taxonomy codes that could not be mapped to a Medicare specialty code, the taxonomy classification description was used.Referring Provider Type Flag - A flag variable that indicates the source of the Referring Provider Type: "S" = Medicare Specialty Code description "T" = Taxonomy Code Classification descriptionNumber of Suppliers - Number of suppliers rendering products/services billed through DMEPOS MACs. Number of Supplier HCPCS - Total number of unique DMEPOS product/service hcpcs codes billed by suppliers and ordered by the referring provider.Number of Supplier Beneficiaries - Total number of unique beneficiaries associated with DMEPOS claims submitted by suppliers and ordered by the referring provider. Beneficiary counts fewer than 11 have been suppressed to protect the privacy of Medicare beneficiaries.Number of Supplier Claims - Total number of DMEPOS claims submitted by suppliers, reflecting products/services ordered by the referring provider. Number of Supplier Services - Total DMEPOS products/services rendered by suppliers and ordered by the referring provider.Supplier Submitted Charges - The total charges that suppliers submitted for all DMEPOS products/services ordered by the referring provider.Supplier Medicare Allowed Amount - The Medicare allowed amount for all DMEPOS products/services ordered by the referring provider. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.Supplier Medicare Payment Amount - Amount that Medicare paid after deductible and coinsurance amounts have been deducted for all supplier's DMEPOS line item products/services ordered by the referring provider.Durable Medical Equipment Suppression Indicator1 - A 1-byte value which defines the suppression, if needed, of the utilization, charge and payment information associated with durable medical equipment HCPCS codes. A value of '*' means the suppressed information is based on a dme-specific claim count of 1 through 10. A value of '#' means the dme-specific information has been counter-suppressed. Counter-suppression is needed when the display of dme-specific data could be used to recalculate suppressed values in non-dme-specific columns. Number of Durable Medical Equipment Suppliers1 - Number of suppliers rendering durable medical equipment products/services. Number of Durable Medical Equipment Beneficiaries1 - Total number of unique beneficiaries associated with durable medical equipment claims submitted by suppliers and ordered by the referring provider. Beneficiary counts fewer than 11 have been suppressed to protect the privacy of Medicare beneficiaries.Number of Durable Medical Equipment HCPCS1 - Total number of unique durable medical equipment hcpcs codes billed by suppliers and ordered by the referring provider.Number of Durable Medical Equipment Claims1 - Total number of durable medical equipment claims submitted by suppliers, reflecting services ordered by the referring provider. Number of Durable Medical Equipment Services1 - Total durable medical equipment products/services rendered by suppliers and ordered by the referring provider.Durable Medical Equipment Submitted Charges1 - The total charges that suppliers submitted for all durable medical equipment products/services ordered by the referring provider.Durable Medical Equipment Medicare Allowed Amount1 - The Medicare allowed amount for all durable medical equipment products/services ordered by the referring provider. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.Durable Medical Equipment Medicare Payment Amount1 - Amount that Medicare paid after deductible and coinsurance amounts have been deducted for all supplier's durable medical equipment line item products/services ordered by the referring provider.Prosthetic and Orthotic Suppression Indicator1 - A 1-byte value which defines the suppression, if needed, of the utilization, charge and payment information associated with prosthetic and orthotic HCPCS codes. A value of '*' means the suppressed information is based on a prosthetic and orthotic-specific claim count of 1 through 10. A value of '#' means the prosthetic and orthotic-specific information has been counter-suppressed. Counter-suppression is needed when the display of prosthetic and orthotic-specific data could be used to recalculate suppressed values in non-prosthetic and orthotic-specific columns. Number of Prosthetic and Orthotic Suppliers1 - Number of suppliers rendering prosthetic and orthotic products/services. Number of Prosthetic and Orthotic HCPCS1 - Total number of unique prosthetic and orthotic hcpcs codes billed by suppliers and ordered by the referring provider.Number of Prosthetic and Orthotic Beneficiaries1 - Total number of unique beneficiaries associated with prosthetic and orthotic claims submitted by suppliers and ordered by the referring provider. Beneficiary counts fewer than 11 have been suppressed to protect the privacy of Medicare beneficiaries.Number of Prosthetic and Orthotic Claims1 - Total number of prosthetic and orthotic claims submitted by suppliers, reflecting products/services ordered by the referring provider. Number of Prosthetic and Orthotic Services1 - Total prosthetic and orthotic products/services rendered by suppliers and ordered by the referring provider.Prosthetic and Orthotic Submitted Charges1 - The total charges that suppliers submitted for all prosthetic and orthotic products/services ordered by the referring provider.Prosthetic and Orthotic Medicare Allowed Amount1 - The Medicare allowed amount for all prosthetic and orthotic products/services ordered by the referring provider. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.Prosthetic and Orthotic Medicare Payment Amount1 - Amount that Medicare paid after deductible and coinsurance amounts have been deducted for all supplier's prosthetic and orthotic line item products/services ordered by the referring provider.Drug and Nutritional Suppression Indicator1 - A 1-byte value which defines the suppression, if needed, of the utilization, charge and payment information associated with drug and nutritional HCPCS codes. A value of '*' means the suppressed information is based on a drug and nutritional-specific claim count of 1 through 10. A value of '#' means the drug and nutritional-specific information has been counter-suppressed. Counter-suppression is needed when the display of drug and nutritional-specific data could be used to recalculate suppressed values in non-drug and nutritional-specific columns. Number of Drug and Nutritional Product Suppliers1 - Number of suppliers rendering drug and nutritional products/services. Number of Drug and Nutritional Product HCPCS1 - Total number of unique drug and nutritional product hcpcs codes billed by suppliers and ordered by the referring provider.Number of Drug and Nutritional Product Beneficiaries1 - Total number of unique beneficiaries associated with drug and nutritional product claims submitted by suppliers and ordered by the referring provider. Beneficiary counts fewer than 11 have been suppressed to protect the privacy of Medicare beneficiaries.Number of Drug and Nutritional Product Claims1 - Total number of drug and nutritional product claims submitted by suppliers, reflecting services ordered by the referring provider. Number of Drug and Nutritional Product Services1 - Total drug and nutritional products/services rendered by suppliers and ordered by the referring provider.Drug and Nutritional Product Submitted Charges - The total charges that suppliers submitted for drug and nutritional products/services ordered by the referring provider.Drug and Nutritional Product Medicare Allowed Amount - The Medicare allowed amount for drug and nutritional products/services ordered by the referring provider. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.Drug and Nutritional Product Medicare Payment Amount1 - Amount that Medicare paid suppliers after deductible and coinsurance amounts have been deducted for drug and nutritional line item products/services ordered by the referring provider.
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 21 März, 2016
      Datensatz auswählen
  • O
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 21 März, 2016
      Datensatz auswählen
      Use of medical imaging - provider data. These measures give you information about hospitals' use of medical imaging tests for outpatients. Examples of medical imaging tests include CT Scans, MRIs, and mammograms.
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 22 März, 2016
      Datensatz auswählen
      The aggregate count of selected outpatient procedures performed within the outpatient department from all-payer data.
  • P
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 22 März, 2016
      Datensatz auswählen
      Payment measures – national data. This data set includes national-level data for the payment measures associated with a 30-day episode of care for heart attack, heart failure, and pneumonia patients.
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 22 März, 2016
      Datensatz auswählen
      Payment measures – state data. This data set includes state-level data for the payment measures associated with a 30-day episode of care for heart attack, heart failure, and pneumonia patients.
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 22 März, 2016
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      Payment measures and value of care displays – provider data. This data set includes provider data for the payment measures and value of care displays associated with a 30-day episode of care for heart attack, heart failure, and pneumonia patients.
    • Juli 2014
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 01 Oktober, 2014
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  • R
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 21 März, 2016
      Datensatz auswählen
      Readmissions and Deaths - provider data. This data set includes provider data for 30-day death and readmission measures.  
  • S
    • Dezember 2015
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 30 Dezember, 2015
      Datensatz auswählen
    • November 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 20 Dezember, 2016
      Datensatz auswählen
      Referring Provider State - The state where the provider is located, as reported in NPPES. The values include the 50 United States, District of Columbia, U.S. territories, Armed Forces areas, Unknown and Foreign Country.HCPCS - HCPCS code for the specific DMEPOS products/services ordered by referring providers and rendered by suppliers.HCPCS Description - Description of the HCPCS code for the specific DMEPOS product/service ordered by referring providers and rendered by suppliers.BETOS Classification - Berenson-Eggers Type of Service (BETOS) classification code and description assigned to the HCPCS code. The BETOS coding system consists of readily understood clinical categories that permit objective assignment of HCPCS codes.BETOS Classification Group1 - High level grouping of the BETOS Classifications into three groups including Durable Medical Equipment, Prosthetic and Orthotic Devices, and Drugs and Nutritional Products.Supplier Rental Indicator - Identifies whether the DMEPOS products/services submitted on supplier claims are identified as rental.Number of Referring Providers - Number of referring providers ordering DMEPOS products/services.Number of Suppliers - Number of suppliers rendering DMEPOS products/services.Number of Supplier Beneficiaries - Total number of unique beneficiaries associated with DMEPOS claims submitted by suppliers and ordered by the referring provider. Beneficiary counts fewer than 11 have been suppressed to protect the privacy of Medicare beneficiaries.Number of Supplier Claims - Total number of DMEPOS claims submitted by suppliers, reflecting services ordered by referring providers. Number of Supplier Services - Number of DMEPOS products/services rendered by suppliers; note that the metrics used to count the number provided can vary from service to service.Average Supplier Submitted Charges - Average of the charges that suppliers submitted for the DMEPOS product/service. Total supplier submitted charges can be calculated by multiplying the average supplier submitted charges by the number of supplier services.Average Supplier Medicare Allowed Amount - Average of the supplier Medicare allowed amounts for the DMEPOS product/service. Medicare allowed amounts include the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying. Total supplier Medicare allowed amounts can be calculated by multiplying the average supplier Medicare allowed amount by the number of supplier services.Average Supplier Medicare Payment Amount - Average amount that Medicare paid suppliers after deductible and coinsurance amounts have been deducted for the line item DMEPOS product/service. Total supplier Medicare payment amounts can be calculated by multiplying the average supplier Medicare payment amount by the number of supplier services.
  • T
    • März 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 21 März, 2016
      Datensatz auswählen
      Timely and Effective Care measures - provider data. This data set includes provider-level data for measures of heart attack care, heart failure care, pneumonia care, surgical care, emergency department care, preventive care, children’s asthma care, stroke care, blood clot prevention and treatment, and pregnancy and delivery care.
  • U
    • Juni 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 09 November, 2016
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      The data provided here include hospital-specific charges for the more than 3,000 U.S. hospitals that receive Medicare Inpatient Prospective Payment System (IPPS) payments for discharges paid under Medicare based on a rate per discharge using the Medicare Severity Diagnosis Related Group (MS-DRG) for Fiscal Year (FY) 2011, 2012, 2013, and 2014. These MS-DRGs represent more than 7 million IPPS hospital discharges. Hospitals determine what they will charge for items and services provided to patients and these charges are the amount the hospital bills for an item or service. The Total Payment amount includes the MS-DRG amount, bill total per diem, beneficiary primary payer claim payment amount, beneficiary Part A coinsurance amount, beneficiary deductible amount, beneficiary blood deducible amount and DRG outlier amount. For these MS-DRGs, average charges, average total payments, and average Medicare payments are calculated at the individual hospital level. Users will be able to make comparisons between the amount charged by individual hospitals within local markets, and nationwide, for services that might be furnished in connection with a particular inpatient stay.
    • Juni 2016
      Quelle: Centers for Medicare and Medicaid Services
      Hochgeladen von: Knoema
      Zugriff am: 27 Oktober, 2016
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      The data provided here include estimated hospital-specific charges for select Ambulatory Payment Classification (APC) Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for Calendar Years (CY) 2011, 2012, 2013 and 2014.  The Medicare payment amount includes the APC payment amount, the beneficiary Part B coinsurance amount and the beneficiary deductible amount. For these APCs, the estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.