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Inpatient (Encounter)
This file includes (variable highlights):Admission, discharge datesDiagnosis (ICD diagnosis) codesProcedure (ICD procedure) codesDiagnostic related group (DRG) codesPatient discharge status codeOrganization NPIPart C/Medicare Advantage benefit package and contract numberRevenue center codes, dates, unit countsNo payment variables are availableSpecial considerations:Many Medicare Advantage Plans offer extra coverage in addition to services covered under traditional fee-for-service Medicare…
Program:
Medicare
Inpatient (Encounter) Data Documentation
Outpatient (Encounter)
This file includes (variable highlights):Diagnosis (ICD diagnosis) codesHCPCS codeRevenue center codes, dates, unit countsPart C Benefit Package and Contract numberOrganization NPI numberNo payment informationSpecial 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 may include records for…
Program:
Medicare
Outpatient (Encounter) Data Documentation
Carrier (Encounter)
This file includes (variable highlights):Part C Benefit Package and Contract numberDiagnosis (ICD diagnosis)HCPCS codeDate of service (line date)NPI for line rendering physicianNo payment informationSpecial 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 may include records for some of these additional…
Program:
Medicare
Carrier (Encounter) Data Documentation
Skilled Nursing Facility (Encounter)
 This file includes:Diagnosis codes (ICD diagnosis)Procedure codes (ICD procedure)Resource Utilization Group codes (RUGs)Admission/discharge datesOrganization NPI number onlyNo payment variablesPart C/Medicare Advantage benefit package and contract numberSpecial 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). …
Program:
Medicare
Skilled Nursing Facility (Encounter) Data Documentation
Durable Medical Equipment (Encounter)
This file includes (variable highlights):Part C Benefit Package and Contract numberDiagnosis (ICD diagnosis)HCPCS codeOrganization NPINPI for line supplierDate of service (line date)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 may include records for some of these additional items and…
Program:
Medicare
Durable Medical Equipment (Encounter) Data Documentation
Home Health Agency (Encounter)
This file includes (variable highlights):Part C Benefit Package and Contract numberDiagnosis (ICD diagnosis) codesHCPCS codeRevenue center codes, dates, unit countsOrganization NPINPI for line rendering physicianPatient discharge status codeNo payment variablesSpecial 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…
Program:
Medicare
Home Health Agency (Encounter) Data Documentation