CMS Data

Showing 1 to 20 of 52 results.
  1. UPIN Member File

    The UPIN Member File provides information about physicians who are members of a group practice. The file provides information about the group practice and the individual physicians that are members of the group. Short Name:  UPIN Member Category:  ...

  2. Long Term Care Minimum Data Set 2.0

    The Long Term Care Minimum Data Set (MDS) is a standardized, primary screening and assessment tool of health status which forms the foundation of the comprehensive assessment for all residents (regardless of payer) of long-term care facilities certified ...

  3. Beneficiary Summary File

    The Beneficiary Summary File includes the beneficiary unique identifier, state and county codes, zipcode, date of birth, date of death, sex, race, age, monthly entitlement indicators (A/B/C/D), reasons for entitlement, and monthly managed care indicators ...

  4. Beneficiary Annual Summary File

    The Beneficiary Annual Summary File is a beneficiary level file that contains enrollment, eligibility, vital statistics, summarized service utilization and payment, and CCW chronic condition flags. The last year of this file is calendar year 2010. This ...

  5. Chronic Condition Summary File

    This file is a beneficiary level file that contains a flag to indicate if a beneficiary has had any one of the 21 predefined chronic conditions by year. This file has been incorporated into the Beneficiary Annual Summary file, and most recently, is part ...

  6. Part D Denominator

    The Part D Denominator File contains demographic and enrollment information about each Medicare beneficiary enrolled in the Part D program during a calendar year. This file is not available after March of 2010. This file was incorporated into the ...

  7. Denominator RIF

    The Denominator File contains demographic and enrollment information about each Medicare beneficiary during a calendar year. The information in the Denominator File is 'frozen' in March of the following calendar year. This file is not available ...

  8. Consumer Assessment of Healthcare Providers & Systems RIF

    The Centers for Medicare & Medicaid Services (CMS) develop, implement and administer several different patient experience surveys.  These surveys ask patients (or in some cases their families) about their experiences with, and ratings of, their health ...

  9. Swing-Bed Assessments 2.0

    Swing-Bed providers are hospitals that can use its beds, as needed, to provide either acute or SNF care. A provider must complete an assessments for patients that are in a swing bed in order to receive payment.  The Swing-Bed MDS is a subset of the MDS ...

  10. Inpatient Rehab Facility- Patient Assessment Instrument

    The Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) is assessment data collected on all Medicare Part A fee-for-service patients who receive services under Part A from an inpatient rehabilitation unit or hospital. IRF-PAI data ...

  11. Renal Management Information System

    REMIS determines Medicare coverage periods for ESRD patients and serves as the primary mechanism to store and access information in the congressionally-mandated ESRD Program Management and Medical Information System Database. REMIS tracks the ESRD patient ...

  12. Healthcare Effectiveness Data and Information Set RIF

    The Healthcare Effectiveness Data and Information Set (HEDIS) is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service. Short Name:  HEDIS RIF Privacy Level:  Research ...

  13. Value Modifier Practice Level File

    The Center for Medicare (CM) has created a set of Research Identifiable File (RIF) data files that contain Quality and Resource Use Report (QRUR) and Value Modifier (VM) information. CM provides supporting documentation for each RIF that contains the name ...

  14. Value Modifier NPI-Practice Level File

    The Center for Medicare (CM) has created a set of Research Identifiable File (RIF) data files that contain Quality and Resource Use Report (QRUR) and Value Modifier (VM) information. CM provides supporting documentation for each RIF that contains the name ...

  15. Value Modifier Beneficiary Level File

    The Center for Medicare (CM) has created a set of Research Identifiable File (RIF) data files that contain Quality and Resource Use Report (QRUR) and Value Modifier (VM) information. CM provides supporting documentation for each RIF that contains the name ...

  16. Part D Drug Characteristics File

    The drug characteristics file is a supplemental set of variables that are appended to the Part D Event data.   The drug characteristics file contains four variables from the First DataBank® (FDB) reference file. The variables include: brand name, generic ...

  17. Part D Prescriber Characteristics File

    The Prescriber Characteristics file contains information about the practitioner who prescribed the drug.  Prescriber identifiers are encrypted in the Part D data, so researchers must link this file with the Prescriber id in order to obtain more ...

  18. Part D Pharmacy Characteristics File

    The pharmacy charactersitics file provides information about the type of pharmacy  (e.g., community/retail pharmacy, mail order, institutional pharmacy), the location of the pharmacy (i.e., state), and whether the pharmacy has a relationship with a common ...

  19. Part D Formulary File

    This is a CMS data file, available for request and use in analysis. Short Name:  Part D Formulary File Category:  Prescription Drugs Privacy Level:  Research Identifiable Files Program:  Medicare Qualified Entity Program File Version:  2012 Attachment ...

  20. Part D Drug Event File

    The PDE data contain prescription drug costs and payment data that enable CMS to make payments to the plans and otherwise administer the Part D benefit.  When a beneficiary fills a prescription under Medicare Part D, a prescription drug plan sponsor must ...

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