CMS Data

Showing 1 to 20 of 48 results.
  1. Vital Status File with Name and Address

    The Vital Status File with Name and Address contains demographic information about each beneficiary ever entitled to Medicare. This file includes: the beneficiary unique identifier mailing contact address date of birth date of death sex, race, and age ...

  2. 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:  ...

  3. MPIER File

    The Medicare Physician Identification and Eligibility Records (MPIER) file contains one record for each practice setting for a physician. Thus, a physician will have multiple records in this file depending on the number of practice locations, specialties ...

  4. Health Outcomes Survey RIF

    HOS is an outcomes measurement tool used for Medicare Advantage plans. The goal of the Medicare HOS program is to gather valid and reliable health status data in Medicare managed care plans for use in quality improvement activities, plan accountability, ...

  5. 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 ...

  6. 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 ...

  7. Health and Retirement Survey- Medicare Linked Data

    One of the main goals of the Health and Retirement Study (HRS) is to understand the relationship between medical history and financial status, and how use of health care may change as people age. To assist in this effort, the HRS endeavors to obtain ...

  8. 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 ...

  9. 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 ...

  10. 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 ...

  11. 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 ...

  12. 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 ...

  13. Mini MAX

    Mini- MAX is a five percent cross-sectional national sample of the MAX files.  The sample is stratified by 51 jurisdictions and by basis of eligibility (aged, disabled, children, and adults) among full beneficiaries and separately for restricted ...

  14. Medicare-Medicaid Linked Enrollee Analytic Data Source (MMLEADS) RIF

    The Medicare-Medicaid Linked Enrollee Analytic Data Source (MMLEADS) Reserach Identifiable File (RIF) has been developed to allow for the examination of beneficiary-level Medicare and Medicaid enrollment and claims data for those who were dually enrolled ...

  15. National Health and Aging Trends Study (NHATS)- Medicare Linked Data

    The National Health and Aging Trends Study (NHATS) provides a resource for studying functioning in late life among the elderly population.  To assist in this effort, CMS administrative data can be linked to the NHATS files for researchers to provide more ...

  16. 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 ...

  17. 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 ...

  18. Shared Savings Program Accountable Care Organizations (ACO) Beneficiary-level RIF

    The Centers for Medicare (CM) has created a set of standard analytical files that contain Shared Savings Program Accountable Care Organizations. Beneficiary-level research identifiable file (RIF) that will contain a record for every beneficiary that ...

  19. 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 ...

  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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