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Data File Search
This file includes (variable highlights):
Admission, discharge dates
diagnosis (ICD diagnosis) codes
procedure (ICD procedure) codes
diagnostic related group (DRG) codes
patient discharge status code
organization NPI
Part C/Medicare Advantage benefit package and contract number
Revenue center codes, dates, unit counts
No payment variables are available
Encounter records submitted to CMS by September, 2022 for dates of service in CY 2020
Special considerations:
Many Medicare Advantage Plans offer…
Program:
Medicare
This file includes (variable highlights):
diagnosis (ICD diagnosis) codes
HCPCS code
Revenue center codes, dates, unit counts
Part C Benefit Package and Contract number
Organization NPI number
No payment information
Encounter records submitted to CMS by September, 2022 for dates of service in CY 2020
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…
Program:
Medicare
This file includes (variable highlights):
Part C Benefit Package and Contract number
diagnosis (ICD diagnosis)
HCPCS code
Date of service (line date)
NPI for line rendering physician
No payment information
Encounter records submitted to CMS by September, 2022 for dates of service in CY 2020
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…
Program:
Medicare
This file includes:
Diagnosis codes (ICD diagnosis)
Procedure codes (ICD procedure)
Resouce Utilization Group codes (RUGs)
Admission/discharge dates
Organization NPI number only
No payment variables
Part C/Medicare Advantage benefit package and contract number
Encounter records submitted to CMS by September, 2022 for dates of service in CY 2020
Special considerations:
Many Medicare Advantage Plans offer extra coverage in addition to services covered under traditional fee-for-service Medicare (e.g…
Program:
Medicare
This file includes (variable highlights):
Part C Benefit Package and Contract number
diagnosis (ICD diagnosis)
HCPCS code
Organization NPI
NPI for line supplier
Date of service (line date)
Encounter records submitted to CMS by September, 2022 for dates of service in CY 2020
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…
Program:
Medicare
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, 2022 for dates of service in CY 2020
Special considerations:
Many Medicare Advantage Plans offer extra coverage in addition to services covered under traditional fee-for-service…
Program:
Medicare