Medicare Fee for Service Parts A and B (MEDPAR)
Organization
US Centers for Medicare and Medicaid Services (CMS)
Description
- Medicare home health utilization by state
- Medicare ranking for all short stay hospitals by discharges
- Medicare hospice utilization by state
- MEDPAR files by state and diagnosis related group (DRG), including total charges, covered charges, Medicare reimbursement, total days, number of discharges, and average total days for 100% of Medicare beneficiaries using hospital inpatient services
- BETOS
- Top Level II HCPCS Codes by charges and by services
- Expenditures and services by specialty
Vintage/Release Frequency
Varies, but generally, annual
Collection Methodology
- Most hospitals are now paid a fixed amount, determined in advance, for the operating costs of each case according to one of approximately 500 Diagnosis Related Groups (DRGs). A discharge is assigned to a DRG based on diagnosis, surgery, patient age, discharge destination and sex. Each DRG has a weight established for it based primarily on Medicare billing and cost data. Each weight reflects the relative cost, across all hospitals, of treating cases classified in that DRG. The short stay hospital files include PPS exempt units (rehabilitation and psychiatric) and waiver state (Maryland) hospitals not paid under the PPS.
- MEDPAR files contain information for 100% of Medicare beneficiaries using hospital inpatient services.
- Data is provided by state and then by DRG for all short stay and inpatient hospitals for fiscal years 2005-2007.
User Guide/Data Dictionary
n/a
Proposal or Application required?
No