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NOTE: The 2005 - 2009 Carrier Data Files are available as a downloads (see link to data files in the Related Links Inside CMS below). The download format is CSV (Comma Separated Values): A data format in which each piece of data is separated by a comma. This is a popular format for transferring data from one application to another, because most database and spreadsheet systems are able to import and export comma-delimited data. CSV files can be opened by the majority of spreadsheet and database programs available. If opened in Excel, column widths will have to be adjusted. The data sets are summarized at the carrier level by meaningful Healthcare Common Procedure Coding/Current Procedural Terminology, (HCPC/CPT), code ranges. For ease of reference, included is a listing of the Medicare carriers arrayed by State. Brief descriptions for the code ranges and modifiers are also provided in the Readme file (see Numeric and Alpha numeric Code Ranges and Descriptions). The data set name contains the year followed by a carrier number. Within each code range are, procedural, condition, or description subheadings. Each data set displays the allowed services, allowed charges, payment amounts by HCPCS/CPT codes and prominent modifiers. These reports will only illustrate the modifiers where duplicative claim submissions occur. This is to avoid duplicate counting of services. Utilization for modifiers not affected by duplicative counting are collapsed into the Other category on the reports. Therefore, not all CMS published modifiers are illustrated. The file is updated annually and usually available by September for the previous year. Data Format: CSV Approximate Size: 10 MB per year Compatible Software Programs: Microsoft Excel, Microsoft Access, Microsoft SQL/DB2/Oracle, SAS or other statistical software. Available: CY 2005 through 2009 are downloadable below.
Page Last Modified: 03/30/2011 11:34:58 AM
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