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Data File Search
What does this file include? (variable highlights)
- Model ID (in which the Provider participates)
- Entity ID (with which the Provider is associated)
- National Provider Identifier (NPI)
- Tax Identification Number (TIN)
- CMS Certification Number (CCN)
- Provider Start Date
- Provider End Date
- Provider Participation Type Code
The Entity ID is the only key field needed to link a Provider to their Entity.
The NPI,…
What does this file include? (variable highlights)
- NPI of the Participating Provider
- Provider First and Last Name
- Model-Assigned Practice ID the provider is associated with
- Practice Name
- Practice TIN
A record represents a provider (NPI) who is enrolled in the registry.
The Model-Assigned Practice ID can be used to link all Million Hearts® data files for provider-oriented analytics. It does not link to other CCW provider data.
This file contains CCS information submitted for the third through eleventh OCM performance periods (episodes initiating July 2, 2017 - December 31, 2021), primarily including data reported by OCM participants to the Oncology Care Model Registry (OCMR).
What does this file include? (variable highlights)
- Beneficiary ID
- ICD10 Cancer Diagnosis Code
- Initial Diagnosis Date
- Current Clinical Status coded into one of 10 categories
- Current…
What does this file include? (variable highlights)
- Beneficiary ID
- Model-Assigned Practice ID
- Model-Assigned Patient ID
- Provider NPI
- Activity Date
- Activity End Date
- Provider NPI
- Clinical Service Procedure Code
- Clinical Service Procedure Modifier
- Service Units
A record represents one clinical data element per beneficiary. Beneficiaries that have multiple clinical data elements will have multiple…
The AHCAH dataset contains two files, a Hospital file and a Patient file, which are both provided for a research request (i.e., cannot be requested separately). The Hospital file contains hospital-specific information, including facility location information, the waiver participation tier, and the submission date for the data represented in the file record. The submission date represents the data submitted by the facility for the previous month or week.
The Hospital file also contains three key…
These data files may be used as ‘finder files’ in combination with other requested Chronic Conditions Warehouse (CCW) files to isolate results to include (or not include as desired) entities, providers and or beneficiaries participating in specific models.
Each model has a set of up to three (3) files, one per participant type:
Data for each…
What does this file include? (variable highlights)
- Model-Assigned Practice ID
- Model-Assigned Patient ID
- Visit Date
- Baseline CVD Risk Score
- CVD Risk Score at the time of the visit
- Baseline risk group (low, medium, high)
A record represents a patient at the time of a particular visit, and includes information such as visit date, baseline risk score, visit risk score, and baseline group.
The Unique Model-Assigned Patient ID…
Under OCM, physician practices entered into payment arrangements with CMS that included financial and performance accountability for episodes of care surrounding chemotherapy administration to cancer patients. The practices which participated in OCM committed to providing enhanced services to Medicare beneficiaries such as care coordination, navigation, and adherence to national treatment guidelines for care.
OCM participants submitted staging and clinical data to the OCM Data Registry, a web-based…
What does this file include? (variable highlights)
- Model ID (with which the Beneficiary is associated)
- Entity ID (with which the Beneficiary is associated)
- CCW Beneficiary ID
- Beneficiary Start Date
- Beneficiary End Date
- Voluntary Alignment Indicator
The Entity ID is the only key field needed to link a Beneficiary to their Entity.
The Beneficiary file also contains the CCW Beneficiary ID that can be used to link to…
What does this file include? (variable highlights)
- Model-Assigned Practice ID
- Practice Name
- Practice TIN
- Unique Model-Assigned Patient ID
- Aligned Flag
- Eligible Flag
- Patient Status Change Reason Code
A record represents the eligibility and alignment status of a beneficiary.
The Unique Model-Assigned Patient ID can be used to link to other Million Hearts® beneficiary files (demographic, visit, and alignment), but…
What is a clinical data element? Data fields that can be collected, utilized, or stored in various application systems.
What does this file include? (variable highlights)
- Beneficiary ID
- Model-Assigned Practice ID
- Model-Assigned Patient ID
- Provider NPI
- Activity Date
- Activity End Date
- Provider NPI
- Clinical Service Procedure Code
- Clinical Service Procedure Modifier
- Service Units …
The AHCAH dataset contains two files, a Hospital file and a Patient file, which are both provided for a research request (i.e., cannot be requested separately). The Patient file contains a record for each AHCAH admission for the patient, and includes other beneficiary-specific data such as the beneficiary’s program eligibility status (Medicare, Medicaid, Dual) and the state Medicaid identifier, if applicable. The file also contains the facility submission date for the data represented in the file record.…
What does this file include? (variable highlights)
- Model ID (in which the Entity participates)
- Model Name (in which the Entity particpates)
- Entity ID
- Entity Name
- Entity Type
- Entity Start Date
- Entity End Date
The Entity ID is unique to CMMI systems and cannot be used to link to claims data or other CCW data. The Entity ID is the key field for tying CMDS Provider and Beneficiary participation data to a specific Entity and…
What does this file include? (variable highlights)
- Model-Assigned Practice ID
- Practice Billing TIN
- Practice Location
- Comma-Separated Lists of Affiliated Practice NPIs and CCNs (Facility Numbers)
A record represents a single physician practice (billing TIN).
The practice TIN can be linked to other Medicare data that contains TINs.
The Model-Assigned Practice ID can be used to link all Million Hearts® data files for provider-oriented…
This file contains data for the third through eleventh OCM performance periods (episodes initiating July 2, 2017 - December 31, 2021), primarily including data reported by OCM participants to the Oncology Care Model Registry (OCMR).
What does this file include? (variable highlights)
- Beneficiary ID
- Episode Beginning Date
- Episode Ending Date
- OCM-Assigned Practice ID
- OCM-Assigned Cancer Type
- OCM 6-Month Episode Performance…
The Million Hearts® Cardiovascular Disease Risk Reduction Model used data-driven predictive modeling approaches to generate individualized risk scores and mitigation plans for eligible Medicare fee-for-service beneficiaries.
The data from the trial is released as a suite of seventeen linked data files. The data include detailed information about the beneficiaries, physician practices, specific providers and clinic visits. The files do not contain names, street addresses or contact information.…
What does this file include? (variable highlights)
- Beneficiary ID
- Model-Assigned Patient ID
- Patient Date of Birth
- Patient Gender
- Patient Race
- Patient Ethnicity
A record represents a single beneficiary. Some beneficiaries may have more than one record if more than one organization tried to enroll them in the trial.
The Unique Model-Assigned Patient ID can be used to link to other Million Hearts® beneficiary files (…
The MBISG algorithm was developed by CMS to augment existing race and ethnicity data from the Social Security Administration and produce more accurate indirect estimates of the race and ethnicity of the Medicare beneficiary population. The MBISG data includes a set of probabilities that the beneficiary is a member of six racial and ethnic groups: American Indian or Alaska Native (AI/AN), Asian American and Native Hawaiian or Other Pacific Islander (AA and NHPI), Black, Hispanic, Multiracial, or White.…
What does this file include? (variable highlights)
- State, county annual SSA codes
- State, county monthly FIPS codes
- Zip code, State and County
- Date of birth, date of death
- Race
- Reason for entitlement
- Monthly enrollment for each part of the Medicare program, A/B/C/D
- Dual eligible status …
What does this file include? (variable highlights)
- Two flags for each chronic condition:
- First occurrence date
- End of year indicator
Special considerations
- The algorithms used to assign the flags are available from the CCW website.
- Algorithms requiring a multiple-year look back period are completed without requiring the…
What does this file include? (variable highlights)
- Three flags for each chronic condition:
- First occurrence date
- Mid year indicator
- End of year indicator
Special considerations
- The algorithms used to assign the flags are available from the CCW website.
- Algorithms requiring a multiple-year look back period are…
What does this file include? (variable highlights)
- Two flags for each chronic condition:
- First ever occurrence date
- End of year indicator
- This file is a segment that can be requested in addition to the Master Beneficiary Summary File (…
What does this file include? (variable highlights)
- Summary of utilization and total annual payments for services such as:
- Number of hospital stays, Medicare covered days and total annual inpatient…
What does this file include? (variable highlights)
- NDI date of death
- ICD-10 code for cause of death
- Underlying conditions for cause of death
- CDC category code for cause of death
This file is a segment that can be requested in addition to the Master Beneficiary Summary File (MBSF) base file.
What does this file include? (variable highlights)
- Admission, discharge dates
- Diagnosis (ICD diagnosis)
- Procedure (ICD procedure code)
- FFS reimbursement amount
- Hospital provider number