Search Data Variables

Fibromyalgia, Chronic Pain and Fatigue End-of-Year Indicator - Medicare Only Claims

This variable indicates whether a beneficiary met the condition criteria for fibromyalgia, chronic pain and fatigue as of the end of the calendar year.

Fibromyalgia, Chronic Pain and Fatigue First Ever Occurrence Date - Medicare Only Claims

This variable shows the date when the beneficiary first met the criteria for the fibromyalgia, chronic pain and fatigue indicator. The variable will be blank for beneficiaries that have never had the condition.

FIBRO_COMBINED

Fibromyalgia, Chronic Pain and Chronic Fatigue - Combined Medicare & Medicaid Claims

FIBRO_COMBINED_EVER

Fibromyalgia, Chronic Pain and Chronic Fatigue - Combined Medicare & Medicaid Claims, First Ever Occurrence Date

FIBRO_MEDICAID

Fibromyalgia, Chronic Pain and Chronic Fatigue - Medicaid Only Claims

FIBRO_MEDICAID_EVER

Fibromyalgia, Chronic Pain and Chronic Fatigue - Medicaid Only Claims, First Ever Occurrence Date

FIBRO_MEDICARE

Fibromyalgia, Chronic Pain and Chronic Fatigue - Medicare Only Claims

FIBRO_MEDICARE_EVER

Fibromyalgia, Chronic Pain and Chronic Fatigue -Medicare Only Claims, First Ever Occurrence Date

Final Standard Payment Amount

This amount further adjusts the standard Medicare Payment amount (field called PPS_STD_VAL_PMT_AMT) by applying additional standardization requirements (e.g. sequestration).

First Claim Diagnosis E Code (Encounter)

The code used to identify the 1st external cause of injury, poisoning, or other adverse effect. This diagnosis E code is also stored as the 1st occurrence of the diagnosis E code trailer.

First Claim Diagnosis E Code (FFS)

The code used to identify the 1st external cause of injury, poisoning, or other adverse effect. This diagnosis E code is also stored as the 1st occurrence of the diagnosis E code trailer.

First Claim Diagnosis E Code Diagnosis Version Code (ICD-9 or ICD-10)

Effective with Version 'J', the code used to indicate if the diagnosis code is ICD-9 or ICD-10.
NOTE: With 5010, the diagnosis and procedure codes have been expanded to accomodate ICD-10, even though ICD-10 is not scheduled for implementation until 10/2013.

First Name of Provider Associated with the NPI

The first name of the provider associated with the National Provider Identifier (NPI).

Fiscal Intermediary (FI) ID Number

The identification of the fiscal intermediary (FI; CMS contractors which are currently known as Medicare administrative contractors [MACs]) processing the beneficiary's claims related to the stay.

Fixed Payment Indicator

This indicator indicates that the reimbursement amount included on the claim is for a fixed payment

Flag for reduced coverage gap cost sharing amounts

Indicates reduced cost sharing applies to the coverage gap phase of the Part D benefit. Applies only to Enhanced Alternative that offer reduced cost sharing.

Flexible Payment Amount (6th) - renamed to Hospital Acquired Conditions (HAC) Reduction Payment Amount

This field identifies the reduction in payment amount from the IPPS payment for hospitals that rank in the lowest-performing quartile of selected Hospital Acquired Conditions (HAC).

Flexible Payment Amount — 7th (placeholder)

This field is a placeholder for a dollar amount to be used for a future policy.

For internal use only. Fiscal year/calendar year segments.

MEDPAR Internal Use File Date Code. Limited availability; for internal use only to identify fiscal year/calendar year segments. Where not available, this field will contain a zero.

For internal Use Only. IPSB Code

MEDPAR Internal Use (By IPSB) Code. Limited availability; for internal use only. Where not available, this field will contain zeroes.

For internal use. MEDPAR sample size.

MEDPAR Internal Use Sample Size Code Limited availability; for internal use only to identify the MEDPAR sample size: 20% (HIC 9th digit = 0, 5); 20% (HIC 9th digit = 4, 8; 60% (remainder). Where not available, this field will contain a zero.

Formulary

Formulary identification number

This variable is the unique identification number assigned to each formulary. Part D plans submit their formularies to CMS and identify the drug products that are covered using the National Library of Medicine’s RxNorm Concept Unique Identifiers (RXCUIs).

The same formulary may be used by more than one plan benefit package (PBP) within a contract.

Free First Prescription Fill

This variable indicates whether the plan offers a free first fill (i.e. $0 copayment) to the beneficiary for any drugs.

Frequency of bladder incontinent events, day 1 (g4)