Others titles
- VM PUF 2016
- Value Modifiers for 2016
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
Value Modifier PUF Performance Year 2016
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).
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Description
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.
About this Dataset
Data Info
Date Created | 2018-08-24 |
---|---|
Last Modified | 2019-01-24 |
Version | 2019-01-24 |
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 |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Practice_ID | Unique identifier of practice | integer | level : Nominal |
State_Abbreviation | State in which practice is located | string | - |
Practice_EP_Count_Category | Practice 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_MSSP | Indicator for whether the practice was a Medicare Shared Savings Program Accountable Care Organization practice in the performance year 2016 | boolean | - |
Is_GPRO_Practice | Indicator for whether practice registered to report data to the PQRS via the Group Practice Reporting Option (GPRO) | boolean | - |
Is_Eligible_High_Risk_Bonus_Adjustment | Indicator for whether practice eligible for the additional upward payment adjustment for treating the disproportionate share of high-risk beneficiaries | boolean | - |
PQRS_Minimum_Requirement | Practice met minimum 2016 PQRS reporting requirements | string | - |
Value_Modifier_Payment_Adjustment | Value 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_Adjustment | Value 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_Description | Cost Composite Tier description determined based on Cost Composite Score | string | - |
Quality_Composite_Tier_Description | Quality Composite Tier description determined based on Quality Composite Score | string | - |
Standardized_Cost_Composite_Score | Standardized Cost Composite Score, rounded to the nearest 0.01 | string | - |
Standardized_Quality_Composite_Score | Standardized Quality Composite Score, rounded to the nearest 0.01 | string | - |
Data Preview
Practice ID | State Abbreviation | Practice EP Count Category | Is Practice Enrolled in MSSP | Is GPRO Practice | Is Eligible High Risk Bonus Adjustment | PQRS Minimum Requirement | Value Modifier Payment Adjustment | Updated Value Modifier Payment Adjustment | Cost Composite Tier Description | Quality Composite Tier Description | Standardized Cost Composite Score | Standardized Quality Composite Score |
10000056203 | FL | 1 to 9 EPs | False | False | CAT2 | -1.00% | -1.00% | |||||
10000058339 | TX | 10 to 99 EPs | False | False | False | CAT1 | 0 | 0 | Average Cost | Average Quality | ||
10000077431 | CA | 1 to 9 EPs | False | False | CAT2 | -1.00% | -1.00% | -0.34 | ||||
10000105571 | FL | 1 to 9 EPs | False | False | CAT2 | -1.00% | -1.00% | |||||
10000140789 | NJ | 1 to 9 EPs | False | False | CAT2 | -1.00% | -1.00% | |||||
10000179271 | MO | 1 to 9 EPs | False | False | CAT2 | -1.00% | -1.00% | -1.25 | ||||
10000253527 | MS | 1 to 9 EPs | False | False | CAT2 | -1.00% | -1.00% | |||||
10000305814 | 1 to 9 EPs | False | False | CAT2 | -1.00% | -1.00% | ||||||
10000330520 | MD | 1 to 9 EPs | False | False | False | CAT1 | 0 | 0 | Average Cost | Average Quality | -0.66 | 0.57 |
10000375652 | NC | 1 to 9 EPs | False | False | False | CAT1 | 0 | 0 | Average Cost | Average Quality | -0.07 | -0.24 |