Reflects expiration of Medicare Dependent Hospital payment status where providers have the provider type of 14 or 15 for FY
15=MDH/RRC; 16=Sole Community Hospital (SCH); 17=SCH/RRC; 21=ESSENTIAL ACCESS CMTY HSP (EACH); 22=EACH/RRC;
Type of provider - key: 0=IPPS; 7=RURAL REFERRAL CENTER (RRC); 8=INDIAN; 14=Medicare Dependent Hospital (MDH);
CCRs do not have the inflation factor applied.
Ratio of Medicare capital costs to Medicare covered charges from the March 2013 update of the Provider Specific File (PSF).
Ratio of Medicare operating costs to Medicare covered charges from the March 2013 update of the Provider Specific File (PSF).
Reflects a 75% reduction to the DSH adjustment required under Section 3133 of the Affordable Care Act
Operating Disproportionate Share Hospital (DSH) adjustment.
Disproportionate Share Hospital Patient Percentage as determined from most recent cost report data & SSA data
The number of total beds obtained from cost report data.**
Resident to Average Daily Census (ADC) ratio. Used to calculate the IME adjustment for Capital PPS
Resident to Bed Ratio. Used to determine IME factor for operating PPS payments
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
A 'YES' denotes providers eligible to receive a wage index adjustment under Sec. 505 of P.L. 108-173 for FY
A 'YES' denotes urban providers redesignated as rural under CFR 412.103 - Sec 401 of BIPA
post Reclassification CBSA for FY
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.
Large urban, Other Urban or Rural designation of the providers geographic CBSA
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
and this field be used in conjunction with the msa/cbsa crosswalk file.
SSA system is used to Identify the county in which provider is geographically located
SSA state county code. First two digits represent the state code and the last 4 digits represent the county code.
Payment CBSA ( urban vs rural) for purposes of determining capital & DSH payments
Pre-reclassification CBSA
Rural areas are designated by 2-digit SSA state codes.
The CBSA assignment is based on where the provider is physically located based on SSA state and county code information.
The Geographic CBSA location based on OMB's Core Based Statistical Area (CBSA) designations.
Name of Medicare provider from OSCAR.("blank" = unknown)
6 digit Medicare provider number; the first 2 digits are the state code
Source: imppuf09_080929.xls workbook imppuf09_080929 sheet
by Jean Roth , jroth@nber.org , 17 Jul 2015