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The Medicare home health agency (Encounter) data file includes Medicare Advantage (MA) plan paid records for home health agency services.

What does this file include? (variable highlights)

  • Part C Benefit Package and Contract number
  • diagnosis (ICD diagnosis) codes
  • HCPCS code
  • Revenue center codes, dates, unit counts
  • Organization NPI
  • NPI for line rendering physician
  • Patient discharge status code
  • No payment variables

Special considerations

  • Many Medicare Advantage Plans offer extra coverage in addition to services covered under traditional fee-for-service Medicare (e.g., vision, hearing, dental, and/or health and wellness programs). Encounter data will include records for these additional items and services provided under the plan.
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