This webcast describes how to complete the study protocol and what to submit for IRB and evidence of funding documentation as part of the research identifiable data request.
This webcast describes how to complete the specifications worksheet as part of a research identifiable data request.
This webcast describes how to complete the executive summary and data management plan as part of a research identifiable data request.
This webcast describes how to complete the Data Use Agreement as part of a research identifiable data request.
This webcast describes how to complete the cost estimate/invoice as part of a research identifiable data request.
This webcast describes how to complete the request letter as part of a research identifiable data request packet.
This webinar will provide an overview of Medicare Utilization data. Specifically, we will discuss what a claim is, information contained on a claim, claim and utilization types, and structure of the Medicare data files. The data files that will be discussed include the seven claim types (Inpatient, Outpatient, Skilled Nursing Facility, Home Health Agency, Hospice, Carrier or physician/supplier, and Durable Medical Equipment), the MedPAR file, and the Part D Prescription Drug Event data.
This webinar will provide an overview of Research Identifiable (RIF) CMS data. RIF data contain the most amount of beneficiary level information and can only be requested for research studies. Topics will include the definition of RIF data and a walkthrough of available files.
This webinar will provide an overview of Limited Data Set (LDS) files. Specifically, we will discuss what a Limited Data Set is, the difference between the LDS and Research Identifiable Files (RIF), the criteria for release of LDS data, the process for requesting LDS data, and the LDS data available for request. We will discuss the LDS claims data, Denominator, MedPAR files, MCBS, and HOS.
This webinar will provide an overview of CMS's new Synthetic Public Use File. The Centers for Medicare and Medicaid (CMS) recently released the Data Entrepreneurs' Synthetic Public Use File (DE-SynPUF). The (SynPUFs) were created to allow interested parties to gain familiarity using Medicare claims data while protecting beneficiary privacy.
This webinar will provide an overview of the Medicare cost reports that are available for download. This includes common research uses and resources for using them.
This webinar will provide an overview of Non-Identifiable CMS data. These files, also known as Public Use Files (PUF), are easily accessible and often free or inexpensive. Topics will include the definition of non-identifiable data and a walkthrough of available files. We will also discuss using the files in conjunction with other CMS files, including claims data.
This webinar will provide an overview of CMS data. Topics include a discussion of the three privacy levels of CMS data, examples of commonly requested files, and information about data access. The content of this webinar will be geared towards those who are new to CMS data, but may be useful to current users who want to learn more about other files.
The Carrier file contains claims submitted by non-institutional providers such as physicians, nurse practitioners, clinical laboratories, ambulance services, suppliers and stand-alone ambulatory surgical centers. This presentation reviews specific variables useful for research purposes. Examples include dates of services, services provided (HCPCS and modifiers), payment and charges for services, and the provider of services (NPI, Specialty codes). A detailed example of counting physician services is also included.
The Medicare claims and enrollment files contain information needed for CMS to administer the Medicare program. However, researchers may need other information to successfully carry out research studies. This presentation will review other CMS data files and outside sources of data that can be linked with the Medicare files to supplement information in the claims and enrollment data. Types of data discussed include information about the provider, surveys, assessment data, and other information about the beneficiary.
The Medicare Provider Analysis and Review (MedPAR) file contains information about inpatient and skilled nursing facility stays. The inpatient stays are the focus of this presentation. In this presentation, you will learn of the strengths and weaknesses of the MedPAR/Inpatient data. Specific variables will be reviewed including admission and discharge dates, diagnoses, procedures, source of care, payment and beneficiary demographics. The MedPAR file can be combined with other Medicare sources to examine long-term outcomes such as mortality, outpatient treatments, rehabilitation and hospital transfers. This presentation also includes a discussion of how the MedPAR can be used in identifying pre-existing conditions and comorbidities of the beneficiary.
Knowledge of where the Medicare data originate and what Medicare data files are available to you for research purposes is needed for guidance in the creation of any study using the Medicare administrative data. This presentation will review what a claim is, what entities are involved in the claims process, what the source of the data in the files is, and what claims based files are available to researchers. This presentation will also provide an understanding of what types of services are found in each of the data files that will aid in decision making for which files would be needed for a research study.
Conceptual understanding of the importance of a denominator file for Medicare research is essential to proper design and effective use of the Medicare administrative data. This presentation will review the source of the data in the Beneficiary Summary File and who is included in the file. A detailed description of the contents of the file that includes the variables used for patient identification, demographic information, and those used to track eligibility for receiving particular services under Medicare is provided.
This presentation provides an understanding of the strengths and weaknesses of the Medicare administrative data for research purposes. The claims data are derived from reimbursement or payment of bills. Topics include clinical validity of claims data, validity of demographic information, and assessing overall data quality. Examples of types of research studies that can and cannot be conducted using the Medicare administrative data are reviewed.
This presentation provides an overview of the Medicare program including its structure and content. Topics discussed include the type of eligibility into the Medicare program, benefits (Parts A, B, C, & D), coverage and costs of the program. This presentation also reviews enrollment demographics of the Medicare population.
This brief presentation outlines the educational objectives for the Introduction to Medicare workshop. Objectives of the workshop which are found in the various video segments include:
» understanding the basic structure and content of the Medicare program
» learning which Medicare data files are available for research purposes
» knowing the source of the Medicare administrative data sets
» reviewing the Master Beneficiary Summary File (a.k.a. Denominator), MedPAR file, and the Carrier file for use by researchers
The Hospital Service Area File is one of the few CMS non-identifiable files that can be opened in Microsoft Excel. This brief webcast walks data users through how to open the file in Microsoft Excel.
The Physician Supplier Procedure Summary (PSPS) file can be opened in Microsoft Access if data users do not have other programs available to open the data. Part 2 of this ResDAC webcast provides step-by-step instruction for opening the PSPS file in Microsoft Access.
Refer to this KnowledgeBase article for additional documentation on this topic.
The Physician Supplier Procedure Summary (PSPS) file can be opened in Microsoft Access if data users do not have other programs available to open the data. Part 1 of this ResDAC webcast provides an overview of the structure of the PSPS file and an introduction to using Microsoft Access to open the file.
Refer to this KnowledgeBase article for additional documentation on this topic.
Researchers may want to make changes to their CMS-approved study which requires an amendment request to the Data Use Agreement (DUA). Types of amendment requests include: adding new years of data files previously covered under the DUA, adding new data files not covered under the DUA, making a change to the CMS-approved data management plan, and adding new study personnel to the DUA. Each of these types of amendment requests require different documentation and necessary steps for CMS review and approval. This webinar will highlight the different types of amendment requests, the request process, the required documentation, and the CMS approved process. A brief question and answer session follows the presentation.
CMS research identifiable data can be used by students for dissertation and thesis work. This webinar will review the specific requirements for RIF data requests when made by students. The data request packet will not be reviewed in detail, but detailed resources for submission of a CMS data request packet can be found on the ResDAC website. A brief question and answer session follows the presentation.
This webinar will provide an overview of the RIF request process, discuss the required request materials, and offer suggestions for preparing your request.
Resources exist that can be used both prior to and after receiving CMS MAX data. Some of these are reviewed including descriptions of the Medicaid programs, sources for state plan information, managed care participation rates, and Medicaid statistics and data documentation. CMS has released several new MAX files which are briefly presented: MAX Provider Characteristics file, MAX Date of Death file, the Environmental Scanning and Program Characteristics file, and the Mini-MAX population sample file.
This presentation provides a background on risk adjustment, including the general program and policy goals of risk adjustment, the history of risk adjustment, and an overview of risk adjustment systems. It also goes into detail on one risk adjustment model, the Chronic Illness Disability payment system, and describes how diagnostic and pharmacy based models can be used to measure illness burden and to adjust payments to health plans that enroll Medicaid beneficiaries.
This presentation uses MAX data to explore three research questions related to geographic variation in Medicaid expenditures:
» Does interstate variation in Medicaid spending result primarily from variation in the volume of services or in the price per unit of service?
» How do inter- and intrastate variation in Medicaid utilization and spending compare to variation in Medicare spending and utilization?
» Is more health care better for Medicaid beneficiaries?
Successful application of MAX data to research questions requires understanding some specific issues regarding the eligibility and utilization data that is presented in the files. Among the specific topics addressed are Medicaid managed care enrollment, emergency department utilization, prenatal care, outpatient care and utility of long term care claims. The emphasis is on the application of MAX data to research study requirements and what limitations may exist.
This presentation outlines several useful algorithms that can be used to summarize Medicaid eligibility category, coverage by managed care, use of inpatient physician services, mental health services, and common groupings of expenditures.
This presentation will review the source of the data that is used to build the CMS Medicaid Analytic Extract files (MAX), which are the files released when CMS approves a research project requiring Medicaid data. The sources include state Medicaid Management Information System (MMIS) data and Medicaid Statistical Information System (MSIS) data. By understanding the data source files, researchers can understand some of the limitations and correct implementation of MAX data for research.
This presentation provides an overview of the Medicaid program, including the history of Medicaid, Medicaid eligibility and benefits, Medicaid populations and expenditures, and Medicaid managed care. It profiles the role of Medicaid today and the role of Medicaid in health reform.
The 30-minute tutorial is designed to give a general introduction to downloading and using the Medicare cost reports in the HCRIS database.
