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The sum of the claim base operating DRG amounts reported on the claims that comprise the stay.
Step in which beneficiary was attributed to practice: Step 1 or 2
The data in this column identifies the patient's ability to express ideas and wants at the time of admission. Includes verbal and non-verbal expression; excluding any language barriers.
The data in this column identifies the patient's ability to understand verbal or non-verbal content, with hearing aid or device if used and excluding language barriers during the three-day assessment period.
A count of the number of beds available at the facility for the category of bed identified in the bed type code data element (BED_TYPE_CD).
A code to classify types of beds available at a facility.
The beginning date of the beneficiary's qualifying stay.
For Inpatient claims, the date relates to the prospective payment system (PPS) portion of the inlier for which there is no utilization to benefits. For skilled nursing facility (SNF) claims, the date relates to the qualifying stay from a hospital that is at least two days in a row if the source of admission is an 'A', or at least three days in a row if the source of admission is other than an 'A'.
THE BEGINNING DATE OF SERVICE FOR THIS CLAIM.
Indicates whether the provider’s taxonomy value maps to the behavioral health and social service provider category; ever in the calendar year.
Behavioral Signs & Symptoms Section Notes
The amount of money the beneficiary paid towards coinsurance
The date the beneficiary paid the coinsurance amount
The amount of money the beneficiary paid towards a copayment
The date the beneficiary paid the copayment amount
The 3-digit social security administration (SSA) standard county code of a beneficiary's residence.
This is the beneficiary's date of birth.
Source: CMS Common Medicare Environment (CME)
Beneficiary date of birth.
Values: Ex — 10/12/1945
Source: CCW Master Beneficiary Summary File (MBSF)
Beneficiary date of death.
Values: Ex — 10/12/2020
Source: CCW Master Beneficiary Summary File (MBSF)
This field indicates the date of death of the enrollee according to the Medicaid enrollment data, or if the person was dually enrolled in Medicare, the date of death from Medicare administrative data.
Formatted as YYYYMMDD.
Source: CMS Common Medicare Environment (CME)
The amount of money the beneficiary paid towards an annual deductible.
The date the beneficiary paid the deductible amount.
On an inpatient, SNF or Home Health claim, the date the beneficiary was discharged / transferred from the facility, or died.
The date the beneficiary ended its association with a specific APM Entity.
Values: CCYYMMDD
Beneficiary gender
A flag to indicate that there is a record in the Disability and Need supplemental file for this person that indicates one or more Home- and Community-Based Services (HCBS) conditions.
This variable indicates if the beneficiary was identified as being cognitively impaired at the time of the CMR offer or delivery.
Indicates whether the beneficiary was identified as residing in a long-term care facility when the CMR was offered or delivered
Indicator for whether beneficiary was included in calculation of Per Capita Costs for All Attributed Beneficiaries measure
Indicates the beneficiary is enrolled in Medicaid pending citizenship verification; most recent in the calendar year.
Indicates the beneficiary is enrolled in Medicaid pending immigration verification; most recent in the calendar year.
A flag to indicate that there is a record in the Disability and Needs supplemental file for this person that includes data on lock-in status.
A flag to indicate that there is record in the Disability and Needs supplemental file for this person that includes Long-Term Services and Supports (LTSS) data.
The last date for which the beneficiary had Medicare coverage. This field is completed only where benefits were exhausted before the discharge date and during the period covered by stay.
The number of lifetime reserve days that the beneficiary has elected to use during the period covered by the institutional claim.
Under Medicare, each beneficiary has a one-time reserve of sixty additional days of inpatient hospital coverage that can be used after 90 days of inpatient care have been provided in a single benefit period.
This count is used to subtract from the total number of lifetime reserve days that a beneficiary has available.
This variable identifies how a beneficiary qualifies for Medicare benefits as of a particular date.
This variable indicates if the beneficiary met the specified targeting criteria for Medication Therapy Management (MTM) per CMS's Part D requirements.
Beneficiary monthly alignment status.
Beneficiary monthly alignment status.
Beneficiary monthly alignment status.
Beneficiary monthly alignment status.
Beneficiary monthly alignment status.
Beneficiary monthly alignment status.
Beneficiary monthly alignment status.
Beneficiary monthly alignment status.
Beneficiary monthly alignment status.
Beneficiary monthly alignment status.
Beneficiary monthly alignment status.