Hospitals With Fewer Than 1600 Medicare Discharges And Potential

$179 / year

This dataset was taken from the United States Food and Drugs Association (US FDA).The datset is a list of Hospitals with Fewer than 1,600 Medicare Discharges Based on the December 2015 Update of the FY 2015 MedPAR File and Potentially Eligible Hospitals’ FY 2017 Low-Volume Hospital Payment Adjustment. Eligibility for the low-volume hospital payment adjustment is also dependent upon meeting the mileage criteria specified at 412.101(b)(2)(ii) of the regulations.

Complexity

Hospitals contract with Medicare to furnish acute hospital inpatient care and agree to accept predetermined acute inpatient prospective payment system (IPPS) rates as payment in full. The inpatient hospital benefit covers patients for 90 days of care per episode of illness with an additional 60-day lifetime reserve. Illness episodes begin when patients are admitted and end after they have been out of the hospital or Skilled Nursing Facility (SNF) for 60 consecutive days.

The IPPS pays hospitals for services provided to Medicare beneficiaries using a national base payment rate, adjusted for a number of factors that affect hospitals’ costs, including the patient’s condition and the cost of hospital labor in the hospital’s geographic area.

Discharges are assigned to diagnosis-related groups (DRGs), a classification system that groups similar clinical conditions (diagnoses) and the procedures furnished by the hospital during the stay.The patient’s principal diagnosis and up to 24 secondary diagnoses that may include comorbidities or complications will determine the DRG assignment. Similarly, DRG assignment can be affected by up to 25 procedures furnished during the stay. Other factors that may influence DRG assignment include a patient’s gender, age, or discharge status disposition.

Date Created

2015

Last Modified

2017-03-07

Version

2017-03-07

Update Frequency

Irregular

Temporal Coverage

N/A

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare & Medicaid Services;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

Hospital Inpatient Prospective Payment System, Medicare Discharges, Medicare Payment Adjustments

Other Titles

Hsopitals With Medicare Discharges And Their Potential, Inpatient Hospital Review

NameDescriptionTypeConstraints
CMS_Certification_NumberCMS Certification NumberstringmaxLength : 10
Medicare_DischargesMedicare Hosiptal Discharges (Inpatient Prospective Payment System)integerlevel : Nominal
Low_Volume_Payment_AdjustmentFY 2017 Low-Volume Payment Adjustment (Percentage Add‑on)numberlevel : Nominal
CMS Certification NumberMedicare DischargesLow Volume Payment Adjustment
100077870.15
100082100.25
1001212580.06
10018440.25
100217000.16
100223410.22
100321310.25
100347080.16
1003615010.02
100443420.22