"DATA SOURCES FOR THIS FY 2011 SUPPLEMENTAL PROPOSED RULE IMPACT FILE: DECEMBER 2009 UPDATE OF FY 2009 MEDPAR, DECEMBER 2009 UPDATE OF PROVIDER SPECIFIC FILE, FY2008/FY2007 COST REPORT DATA"								
								
								
WAGE INDEX DATA has a 100% Occ Mix adjustment based on FY 2007/2008 survey data								
								
Provider Number	6 character provider number; the first 2 digits are the state code.							
Name	Hospital Name - from the OSCAR database							
Geographic Labor Market Area	The Geographic CBSA location for the provider							
Pre Reclass Labor Market Area  	Pre-Reclass CBSA 							
Payment Labor Market Area (for purposes of Capital and DSH)	Payment CBSA ( urban vs rural) for purposes of determining capital & DSH payments							
SSA COUNTY CODE	SSA state county code. SSA system for Identifying county in which provider is geographically located.  Can be used in conjunction with the msa/cbsa crosswalk file.							
REGION	1=NEW ENGLAND; 2=MIDDLE ATLANTIC; 3=SOUTH ATLANTIC; 4=EAST NORTH CENTRAL; 5=EAST SOUTH CENTRAL; 6=WEST NORTH CENTRAL; 7=WEST SOUTH CENTRAL; 8-=MOUNTAIN; 9=PACIFIC; 40=PUERTO RICO							
URGEO	"Large urban, Other Urban or Rural designation of the providers geographic CBSA"							
URSPA	Urban or Rural designation based on payment CBSA							
RECLASS	Reclass Status FY 2011:  N -provider did not reclassify; W -provider reclassified for wage index ; L provider reclassified under 1886(d)(8)(B) of the SSA; S-provider redesignated as rural under Sec. 401 of BIPA. 							
POST RECLASS Labor Market Area	 Post Reclass CBSA for FY 2011							
Post Reclass Wage Index	"Post reclass wage index after applying the MGCRB reclassifications, the P.L. 108-173 Sec 505 adjustments where applicable for FY 2011. Wage Index reflects the application of national rural floor budget neutrality required under the Affordable Care Act ."							
Puerto Rico Specific Post Reclass wage index	Puerto Rico Specific post reclass wage index after applying the MGCRB reclassifications and the P.L. 108-173 Sec 505 adjustments where applicable for FY 2011							
LUGAR	Provider is located in a Lugar County as defined in 1886(d)(8)(B)							
Section 401 hospital	A 'SEC401' denotes urban providers redesignated as rural under CFR 412.103 - Sec 401 of BIPA							
Section 505 eligible	A 'YES' denotes providers eligible  to receive a wage index adjustment under  Sec. 505  of  P.L. 108-173 for  FY 2011							
Section 505 wage adjustment	Wage adjustment for providers who are eligible to receive a wage index adjustment under  Sec. 505  of P.L. 108-173 for FY 2011. 							
Cost of Living Adjustment	Cost of living adj. For providers in AK & HI for operating PPS							
Resident to Bed Ratio	Resident to Bed Ratio. Used to determine IME factor for operating PPS payments							
RDAY	Resident to Average Daily Census (ADC) ratio. Used to calculate the IME adjustment for Capital PPS							
BEDS	From Medicare Cost Reports							
Average Daily Census	Average Daily Census from Medicare Cost Report							
TCHOP	IME adjustment factor for Operating PPS							
TCHCP	IME adjustment factor for Captial PPS							
DSHPCT	Disproportionate Share Hospital Patient percent as determined from cost report data & SSA data							
DSHOPG	Operating Disproportionate Share Hospital (DSH) adjustment							
DSHCPG	Capital Disproportionate Share (DSH) adjustment							
Operating CCR	From Provider Specific File; ratio of Medicare operating costs to Medicare covered charges							
Capital CCR	From Provider Specific File; ratio of Medicare capital costs to Medicare covered charges							
Provider Type	Type of provider - key:  0=IPPS; 7=RURAL REFERRAL CENTER (RRC); 8=INDIAN; 14=MEDICARE DEPENDENT  SMALL RURAL HOSP (MDH); 15 MDH/RRC 16=Sole Community Hospital (SCH); 17=SCH/RRC; 21=ESSENTIAL ACCESS CMTY HSP (EACH); 22=EACH/RRC							
FY11 HSP Rate	82/87/96/06 Hospital Specific Payment (HSP) Rate updated to FY2011 for SCH providers; 82/87 /02 hospital specific rate for MDH providers updated to FY 2011.  							
BILLS	"Total cases for the provider from the FY2009 MEDPAR, December 2009 Update"							
TACMIV27	Transfer adjusted Case Mix Index under Grouper V27 							
CASETA27	Transfer Adjusted Cases under Grouper V27 and FY 2010 Post Acute Transfer Policy							
CMIV27	Case Mix Index under Grouper V27 for SCH/MDH providers paid under their hospital specific rate							
IME_TACMIV27	Transfer adjusted Case Mix under Grouper V27 for Medicare Advantage cases submitted by teaching hospitals that received a Fee-for-Service IME payment. These CMIs are included to calculate the IME payments for  budget neutrality. 							
IME_CASETA27	Transfer adjusted  cases under Grouper V27 for Medicare Advantage cases submitted by teaching hospitals that receive a fee-for-service IME payment. The IME payment associated with these cases are included in the budget neutrality calculations and in payment modelling.							
TACMIV28	Transfer adjusted Case Mix Index under Grouper V28							
CASETA28	Transfer Adjusted Cases under Grouper V28  and FY2011 Post Acute Transfer Policy							
CMIV28	Case Mix Index under Grouper V28 for SCH/MDH providers paid under their hospital specific rate							
IME_TACMIV28	Transfer adjusted Case Mix under Grouper V28 for Medicare Advantage cases submitted by teaching hospitals that received a Fee-for-Service IME payment. These CMIs are included to calculate the IME payments for  budget neutrality. 							
IME_CASETA28	Transfer adjusted  cases under Grouper V28 for Medicare Advantage cases submitted by teaching hospitals that receive a fee-for-service IME payment. The IME payment associated with these cases are included in the budget neutrality calculations and in payment modelling.							
Post Reclass GAF	Post Reclass Geographic adjustment factor (GAF) for Capital FY 2011							
Puerto Rico Specific Post Reclass GAF	Post Reclass GAF for Capital for Puerto Rico Providers FY 2011							
Cost of Living Adjustment-Capital	Cost of living adj. For providers in AK & HI for capital PPS							
OUT11F	Estimated operating outlier payments as a percentage of the provider's Federal operating PPS payments							
COUT11F	 Estimated capital outlier payments as a percentage of the provider's Federal capital PPS payments							
MCR_PCT	Medicare days as a percent of total inpatient days (not available for all providers that receive HSP rate) 							
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
