CMS Data

Showing 1 to 14 of 14 results.
  1. 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 ...

  2. 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 ...

  3. 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 ...

  4. 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 ...

  5. Part D Plan Characteristics File

    The Part D Plan Characteristics file contains plan information in 4 separate files (all of which come standard with the file). Plan identifiers are encrypted in the data, so researchers must use this file to find out more information about the plan. The ...

  6. 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 ...

  7. Durable Medical Equipment RIF

    The Durable Medical Equipment (DME) file contains final action, fee-for-service claims submitted by Durable Medical Equipment suppliers. This file includes: diagnosis, (ICD-9 diagnosis), services provided (CMS Common Procedure Coding System (HCPCS) codes) ...

  8. Skilled Nursing Facility RIF

    The Skilled Nursing Facility (SNF) file contains final action, fee-for-service, claims data submitted by SNF providers. This file includes: diagnosis (ICD-9 diagnosis), and procedure (ICD-9 procedure code), dates of service, reimbursement amount, SNF ...

  9. Outpatient RIF

    The Outpatient file contains final action, fee-for-service claims data submitted by institutional outpatient providers. Examples of institutional outpatient providers include hospital outpatient departments, rural health clinics, renal dialysis facilities ...

  10. Home Health Agency RIF

    The Home Health Agency (HHA) file contains final action, fee-for-service claims submitted by HHA providers. This file includes: the number of visits, type of visit (skilled-nursing care, home health aides, physical therapy, speech therapy, occupational ...

  11. Carrier RIF

    The Carrier file (also known as the Physician/Supplier Part B claims file) contains final action fee-for-service claims submitted on a CMS-1500 claim form. Most of the claims are from non-institutional providers, such as physicians, physician assistants, ...

  12. Inpatient RIF

    The Inpatient file contains final action fee-for-service claims data submitted by inpatient hospital providers for reimbursement of facility charges. The charge amount can be broken out for specific Revenue Center Codes, such as those for emergency room ...

  13. Hospice RIF

    The Hospice file contains final action claims submitted by Hospice providers. Once a beneficiary elects Hospice, all Hospice related claims will be found in this file, regardless if the beneficiary is in Medicare fee-for-service or in a Medicare managed ...

  14. Master Beneficiary Summary File

    The Master Beneficiary Summary File includes several segments. Base (A/B/C/D) segment: This segment includes beneficiary enrollment information, such as the beneficiary unique identifier, state and county codes, zipcode, date of birth, date of death, sex, ...