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Knowledgebase
Introductory
Articles
CMS offers files from aggregate data to individual person level data. This article describes the differences between the aggregate, public use files, the limited data sets,…
This article describes the Federal Regulations that govern the release of CMS data for research.
The purpose of this article is to identify 1) common strengths of Medicare and Medicaid administrative data and 2) broad limitations for researchers to consider when…
Popular
Articles
This article provides guidance on how to identify hospital emergency room claims from the Medicare files.
Providers that bill Medicare use codes for patient diagnoses and codes for care, equipment, and medications provided. This articles provides resources to identify the codes…
To describe the CMS cell size suppression policy and provide examples of common scenarios and possible options.
Featured Article
There are many different provider variables in the Medicare Fee-for-Service (FFS) Claims and Encounter data. Researchers are often interested in the performing NPI and/or the facility CCN or organizational NPI, but other variables are sometimes…
The Medicare cost report files are created by Fiscal Year. The definition used to create the fiscal year files vary depending on the provider type.
This article outlines the availability of date of service information for the Limited Data Set (LDS) Medicare claims files.
Researchers may request Research Identifiable File (RIF) Medicare data on a quarterly basis, in addition to the annual files. Data available on a quarterly basis includes Medicare Research Identifiable FFS claims (Inpatient, Outpatient, Home Health Agency, Hospice, Skilled Nursing Facility, Carrier, and Durable Medical Equipment) and the Master Beneficiary Summary File: Base A/B segment.
CMS began offering quarterly claims and enrollment data with Quarter 3, 2015. This article describes the quarterly data file creation, availability, and pricing.
This article is designed to provide a brief overview of the differences between the Medicare Current Beneficiary Survey (MCBS) Public Use File (PUF) and MCBS Limited Data Set (LDS) files so researchers can decide which file is appropriate for their study needs.
CMS offers files from aggregate data to individual person level data. This article describes the differences between the aggregate, public use files, the limited data sets, and research identifiable files.
Researchers who are interested in studying inpatient utilization (e.g. hospital stays) have two options: the Inpatient claims file or the Medicare Provider Analysis and Review (MedPAR) file. It is important to note that the differences between the two files will vary depending on whether a researcher is interested in the Research Identifiable File (RIF) or Limited Data Set (LDS) versions of the two files.
This article provides guidance on how to identify hospital emergency room claims from the Medicare files.
Provide the steps to identify the drug name from the RxNorm database for the NDCs in the BSA PDE PUF.
Researchers working with the Research Identifiable (RIF) MedPAR or Inpatient and Skilled Nursing Facility (SNF) claims may find records that do not appear to correspond to the year of the file. This article explains these instances.
This article describes the difference between two similiar variables in the carrier file -the Line NCH Payment Amount and Line Provider Payment Amount.