Home Health Agency (Encounter)

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

This file includes (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
  • Encounter records submitted to CMS by September, 2020, for dates of service in CY 2018

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.

Availability of this file

Availability:

Service year 2015 - 2018
Service year 2019 Preliminary

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