FY 2014 IMPACT FILE- UPDATED JANUARY 2014 TO REFLECT CHANGES FROM THE SEPTEMBER 2013 CORRECTION NOTICE AND INTERIM FINAL RULE WITH COMMENT 								
"DATA SOURCES FOR THIS FY 2014 FINAL RULE IMPACT FILE ARE THE FOLLOWING: MARCH 2013 UPDATE OF FY 2012 MEDPAR, MARCH 2013 UPDATE OF PROVIDER SPECIFIC FILE, FY2010/FY2011 COST REPORT DATA"								
NOTE: Wage Index Data has a 100% Occ Mix adjustment based on FY 2008/2009 survey data								
								
Provider Number	6 digit Medicare provider number; the first 2 digits are the state code.							
Name	"Name of Medicare provider from OSCAR.(""blank"" = unknown)"							
Geographic Labor Market Area	The Geographic CBSA location based on OMB's Core Based Statistical Area (CBSA) designations.  The CBSA assignment is based on where the provider is physically located based on SSA state and county code information.  Rural areas are designated by 2-digit SSA state codes.							
Pre Reclass Labor Market Area  	Pre-reclassification 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. First two digits represent the state code and the last 4 digits represent the county code. SSA system is used to Identify the county in which provider is geographically located and this field 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-updated January 2014 to reflect corrections published in September 2013	Reclass Status FY 2014:  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 Reclassification CBSA for FY 2014							
FY 2014 Wage Index-updated September 2013	"FY 2014  wage index after applying the MGCRB reclassifications, rual floor, adjustements for the Frontier wage index provision and the P.L. 108-173 Sec 505 adjustments where applicable for FY 2014. Wage Index reflects the application of national rural floor budget neutrality required under the Affordable Care Act ."							
FY 2014 Puerto Rico Specific  wage index	"FY 2014  Puerto Rico Specific wage index after applying the MGCRB reclassifications, rural floor and the P.L. 108-173 Sec 505 adjustments where applicable for FY 2014. Wage Index reflects the application of national rural floor budget neutrality required under the Affordable Care Act."							
LUGAR	Provider is located in a Lugar County as defined in 1886(d)(8)(B) of the Act							
Section 401 hospital	A 'YES' denotes urban providers redesignated as rural under CFR 412.103 - Sec 401 of BIPA							
Section 505 eligible-updated January 2014 to reflect corrections published in September 2013	A 'YES' denotes providers eligible  to receive a wage index adjustment under  Sec. 505  of  P.L. 108-173 for  FY 2014							
Section 505 wage adjustment- updated January 2014 to reflect corrections published in September 2013	Wage adjustment for providers who are eligible to receive a wage index adjustment under  Sec. 505  of P.L. 108-173 for FY 2014. 							
Cost of Living Adjustment	Cost of Living Adjustment factor obtained from the U.S. Office of Personnel Management  for IPPS providers located in Alaska or Hawaii for IPPS operating payments							
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	The number of total beds obtained from cost report data.**							
Average Daily Census	Calculated as the ratio of Total Acute Inpatient Days to Total Days in the Cost Reporting Period obtained from cost report data.**							
TCHOP	IME adjustment factor for Operating PPS							
TCHCP	IME adjustment factor for Captial PPS							
DSHPCT	Disproportionate Share Hospital Patient Percentage as determined from most recent cost report data & SSA data							
DSHOPG	Operating Disproportionate Share Hospital (DSH) adjustment. Reflects a 75% reduction to the DSH adjustment required under Section 3133 of the Affordable Care Act							
UCP_ADJ-Updated September 2013	Uncompensated Care Payment Factor is the proportion of the additional payment amount for uncompensated care costs that a DSH hospital will receive under the  implementation of Section 3133 of the Affordable Care Act. The  Uncompensated Care Payment Factor is the hospital's  uncompensated care costs relative to all DSH hospital's  uncompensated care costs. DSH hospitals are identified as those hospitals that are projected to receive DSH for FY 2014.							
DSHCPG	Capital Disproportionate Share (DSH) adjustment							
Operating CCR	Ratio of Medicare operating costs to Medicare covered charges from the March 2013 update of the Provider Specific File (PSF). CCRs do not have the inflation factor applied. 							
Capital CCR	Ratio of Medicare capital costs to Medicare covered charges from the March 2013 update of the Provider Specific File (PSF). CCRs do not have the inflation factor applied. 							
Provider Type	Type of provider - key:  0=IPPS; 7=RURAL REFERRAL CENTER (RRC); 8=INDIAN; 14=Medicare Dependent Hospital (MDH); 15=MDH/RRC; 16=Sole Community Hospital (SCH); 17=SCH/RRC; 21=ESSENTIAL ACCESS CMTY HSP (EACH); 22=EACH/RRC; Reflects expiration  of Medicare Dependent Hospital payment status where providers have the provider type of 14 or 15 for FY 2014.							
FY14 HSP Rate	82/87/96/06 Hospital Specific Payment (HSP) Rate updated to FY2014 for SCH and MDH providers with the -0.2 percent adjustment for presumptive inpatient hospital status policy.  							
BILLS	"Total number of Medicare cases for the provider from the FY2012 MEDPAR, December 2012 Update"							
TACMIV30	Transfer adjusted Case Mix Index under Grouper V30							
CASETA30	Transfer Adjusted Cases under Grouper V30 and FY 2013 Post Acute Transfer Policy							
CMIV30	Case Mix Index under Grouper V30 for SCH/ former MDH providers paid under their Hospital Specific Payment rate							
IME_TACMIV30	Transfer adjusted Case Mix under Grouper V30 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_CASETA30	Transfer adjusted  cases under Grouper V30 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.							
TACMIV31	Transfer adjusted Case Mix Index under  Grouper V31							
CASETA31	Transfer Adjusted Cases under Grouper V31  and FY2014 Post Acute Transfer Policy							
CMIV31	Case Mix Index under Grouper V31 for SCH providers paid under their Hospital Specific Payment rate							
IME_TACMIV31	Transfer adjusted Case Mix under Grouper V31 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_CASETA31	Transfer adjusted  cases under Grouper V31 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.							
FY 2014 GAF-Updated September 2013	 Post Reclass Geographic adjustment factor (GAF) for Capital FY 2014							
FY 2014 Puerto Rico Specific GAF	Post Reclass GAF for Capital for Puerto Rico Providers FY 2014							
Cost of Living Adjustment-Capital	"Capital COLA factor for hospitals located in Alaska and Hawaii, which is based on the applicable operating IPPS COLA factor ."							
OUT14F	Estimated operating outlier payments as a percentage of the provider's Federal operating PPS payments							
COUT14F	 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) 							
Final Value Based Purchasing Adjustment Factor- Updated January 2014	Payment adjustment for  value based purchasing program (Section 3001 of Affordable Care Act)							
Final Readmission Adjustment Factor- Updated September 2013	"Payment adjustment for Hospital Readmissions Reduction Program (Section 3025 of Affordable Care Act). Maryland and Puerto Rico hospitals are exempt from the payment adjustment. Readmission Adjustment Factors are based on excess readmission ratios from a performance period of July 1, 2009 to June 30, 2012. The excess readmission ratios include the application of the planned readmissions algorithm. "							
								
								
"**The most recent available cost report data were used (FYs 2010 - 2011). A ""zero"" value may indicate unavailable or incomplete data. "								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
								
