Value Modifier PUF Performance Year 2016

$179 / year

This dataset shows the value modifier public use file (PUF) Performance Year 2016 (Payment Year 2018) by the Centers for Medicare and Medicaid Services (CMS).

Complexity

The Centers for Medicare and Medicaid Services (CMS) has created a standard analytical file intended to promote transparency. For each Value Modifier (VM) performance year, CMS publishes a public use file (PUF) that contains VM performance results of de-identified practices that were subject to the VM program. CMS provides supporting documentation for each PUF that contains the field name, length, type, label, description, and notes for each variable included in the PUF.

Date Created

2018-08-24

Last Modified

2018-08-28

Version

2018-08-28

Update Frequency

Annual

Temporal Coverage

2016

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

Medical Billing, Billing Cost, Value Modifier, PUF Value Modifier, Common Procedure Coding System, Value Modifier PUF, Payment Adjustment, Medicare Shared Savings Program, Value Modifier Performance, Value Modifier Performance Results

Other Titles

VM PUF 2016, Value Modifiers for 2016

NameDescriptionTypeConstraints
Practice_IDUnique identifier of practiceintegerlevel : Nominal
State_AbbreviationState in which practice is locatedstring-
Practice_EP_Count_CategoryPractice eligible professional count category (0 EPs=Zero eligible professionals. 1-9 EPs=One to nine eligible professionals. 10 to 99 EPs=10 to 99 eligible professionals. 100+ EPs=100 or more eligible professionals.)string-
Is_Practice_Enrolled_in_MSSPIndicator for whether the practice was a Medicare Shared Savings Program Accountable Care Organization practice in the performance year 2016boolean-
Is_GPRO_PracticeIndicator for whether practice registered to report data to the PQRS via the Group Practice Reporting Option (GPRO)boolean-
Is_Eligible_High_Risk_Bonus_AdjustmentIndicator for whether practice eligible for the additional upward payment adjustment for treating the disproportionate share of high-risk beneficiariesboolean-
PQRS_Minimum_RequirementPractice met minimum 2016 PQRS reporting requirementsstring-
Value_Modifier_Payment_AdjustmentValue Modifier payment in percentage for adjustment for practices subject to the Value Modifier. AF refers to a payment adjustment factor yet to be determined.string-
Updated_Value_Modifier_Payment_AdjustmentValue Modifier payment adjustment in percentage, incorporating Informal Review change, if applicable. AF refers to a payment adjustment factor yet to be determined.string-
Cost_Composite_Tier_ValueCost Composite Tier value determined based on Cost Composite Scorestring-
Cost_Composite_Tier_DescriptionDescription of Cost Composite Tier value determined based on Cost Composite Scorestring-
Quality_Composite_Tier_ValueQuality Composite Tier value determined based on Quality Composite Scorestring-
Quality_Composite_Tier_DescriptionDescription of Quality Composite Tier value determined based on Quality Composite Scorestring-
Standardized_Cost_Composite_ScoreStandardized Cost Composite Score, rounded to the nearest 0.01string-
Standardized_Quality_Composite_ScoreStandardized Quality Composite Score, rounded to the nearest 0.01string-
Practice_IDState_AbbreviationPractice_EP_Count_CategoryIs_Practice_Enrolled_in_MSSPIs_GPRO_PracticeIs_Eligible_High_Risk_Bonus_AdjustmentPQRS_Minimum_RequirementValue_Modifier_Payment_AdjustmentUpdated_Value_Modifier_Payment_AdjustmentCost_Composite_Tier_ValueCost_Composite_Tier_DescriptionQuality_Composite_Tier_ValueQuality_Composite_Tier_DescriptionStandardized_Cost_Composite_ScoreStandardized_Quality_Composite_Score
113864125311 to 9 Eligible ProfessionalsfalsetruePractice subject to the 2018 Value Modifier and did not meet minimum 2016 PQRS reporting requirements.-1.00-1.00
125056654591 to 9 Eligible ProfessionalsfalsetruePractice subject to the 2018 Value Modifier and did not meet minimum 2016 PQRS reporting requirements.-1.00-1.00
131790035341 to 9 Eligible ProfessionalsfalsetruePractice subject to the 2018 Value Modifier and did not meet minimum 2016 PQRS reporting requirements.-1.00-1.00
132370147691 to 9 Eligible ProfessionalstruefalsePractice subject to the 2018 Value Modifier and did not meet minimum 2016 PQRS reporting requirements.-1.00-1.00
133343304811 to 9 Eligible ProfessionalstruefalsePractice subject to the 2018 Value Modifier and did not meet minimum 2016 PQRS reporting requirements.-1.00-1.00
138991572271 to 9 Eligible ProfessionalstruefalsePractice subject to the 2018 Value Modifier and did not meet minimum 2016 PQRS reporting requirements.-1.00-1.00
154135783691 to 9 Eligible ProfessionalstruefalsePractice subject to the 2018 Value Modifier and did not meet minimum 2016 PQRS reporting requirements.-1.00-1.00
171410290551 to 9 Eligible ProfessionalstruefalsePractice subject to the 2018 Value Modifier and did not meet minimum 2016 PQRS reporting requirements.-1.00-1.00
176798415181 to 9 Eligible ProfessionalstruefalsePractice subject to the 2018 Value Modifier and did not meet minimum 2016 PQRS reporting requirements.-1.00-1.00
192593558081 to 9 Eligible ProfessionalsfalsetruePractice subject to the 2018 Value Modifier and did not meet minimum 2016 PQRS reporting requirements.-1.00-1.00