"Note: In each of the tables in this workbook, if certain fields are missing for rows that are otherwise populated, indicate the missing data with a blank (-) cell. "				
"For example, the Percentage of Total Costs columns of Supplementary Exhibit 3 will have missing data for beneficiaries who died during the year; the cells in these columns should therefore be displayed as blank."				
				
Definitions for Hover-Over Terms				
				
Supplementary Exhibit 1: 				
" Physician A doctor of medicine, doctor of osteopathy, doctor of dental surgery or dental medicine, doctor of podiatric medicine, doctor of optometry, or chiropractor."				
" Non-Physician Eligible Professional An anesthesiology assistant, audiologist, clinical nurse specialist, certified nurse midwife, certified registered nurse anesthetist, clinical psychologist, licensed clinical social worker, physical or occupational therapist, physician assistant, registered dietician or nutrition professional, or speech language pathologist. "				
" Specialty Designation The specialty listed in the Provider Enrollment, Chain, and Ownership System (PECOS). Where multiple specialties are listed, the provider is assigned the specialty recorded most often on those 2013 Part B claims for which the professional was the performing provider."				
				
Supplementary Exhibit 2:				
" Index A unique beneficiary identification number that can be used in place of personally identifiable information (HIC, DOB, gender) to analyze beneficiary-level data."				
" HCC Percentile Ranking The beneficiarys hierarchical condition category (HCC) risk score, compared with all other Medicare beneficiaries, with higher percentiles indicating higher risk. Risk scores are based on HCCs reflecting differences in patient characteristics that can affect their medical costs or utilization, including medical history, age, gender, disability, and Medicaid eligibility. "				
" Basis for Attribution  The rationale for attributing a beneficiary to a taxpayer identification number (TIN), through a two-step attribution process: "				
"Step 1:  Assigns a beneficiary to a TIN/CCN if the beneficiary receives the plurality of his or her primary care services, as measured by allowed charges, from primary care physicians within the group. "				
"Step 2: Only if a beneficiary did not receive a primary care service from any primary care physician in 2013 (under Step 1), the beneficiary is assigned to a TIN/CCN if the beneficiary (a) received at least one primary care service from a physician within the group and (b) received a plurality of his or her primary care services from specialist physicians or certain non-physician practitioners (nurse practitioners, clinical nurse specialists, and physician assistants) within the group."				
" Number/Percentage of Primary Care Services Provided/Billed by TIN The number and percentage of all primary care services for this beneficiary provided and billed by this TINs physicians and non-physician practitioners (including clinical nurse specialists, nurse practitioners, or physician assistants). A Medicare beneficiary is attributed to the group or solo practice, identified by TIN, that billed the plurality of his or her primary care services in 2013. "				
" EP. . . Billing Most . . . Professional Service Based on dollar amount of claims submitted for this beneficiary by physicians or non-physician practitioners.  If two or more EPs billed the same amount, the EP submitting the most recent claim is identified. "				
" Chronic Condition Subgroup A diamond symbol shows whether this beneficiary was included in one of the four chronic condition subgroups used to calculate Per Capita Costs for Patients with Specific Conditions.  Chronic health conditions are diseases or illnesses commonly expected to last at least six months, require ongoing monitoring to avoid loss of normal life functioning, and are not expected to improve or resolve without treatment. "				
" Total Payment-Standardized Medicare Fee-for-Services Costs Payment standardization equalizes costs associated with specific services so that they are priced equally across similar providers, regardless of locale, differences in facility payment rates, or the service date. Your costs are payment-standardized (before calculating per capita payment- and risk-adjusted cost measures) to facilitate comparisons to peers who may practice where reimbursement rates are different. Cost information is displayed only for beneficiaries included in the per capita cost measures."				
				
				
Supplementary Exhibit 3:				
" Index A unique beneficiary identification number that can be used in place of personally identifiable information (HIC, DOB, gender) to analyze beneficiary-level data."				
" Principal Diagnosis The principal diagnosis on claims for inpatient care indicates the condition determined, after study, to be chiefly responsible for the patients hospital admission. Hospital admissions for conditions associated with alcohol or substance abuse are not shown in Supplementary Exhibit 3.  "				
" ACSC Admission Shows whether this hospital admission counted in the calculation of this TINs Hospitalization Rates for Ambulatory Care-Sensitive Conditions (ACSCs), as part of the Care Coordination quality domain. "				
"Primary admitting diagnoses counted in the measure include those for bacterial pneumonia (PNEU), urinary tract infection (UTI), dehydration (DHY), diabetes (DIAB) (or related lower-extremity amputations), chronic obstructive pulmonary disease or asthma (COPD), and heart failure (HF). "				
" Followed by Unplanned All-Cause Readmission within 30 Days of Discharge A diamond symbol shows that an unplanned readmission for any cause followed within 30 days from the date of discharge. The measure does not apply to beneficiaries hospitalized for treatment of cancer or psychiatric disease, discharged against medical advice, transferred to another acute care hospital, or who died within 30 days of discharge. "				
"     Discharge Status The disposition of this patient on discharge, based on discharge status codes listed on Medicare inpatient hospital claims. Please click on Discharge Status to see a list of discharge codes and descriptions."				
				
Discharge Status Code	Description	Discharge Status Abbreviation		
1	Discharged to home/self-care (routine charge).	Disch Home		
2	Discharged/transferred to other short-term general hospital for inpatient care.	Txfr to STCH		
3	"Discharged/transferred to skilled nursing facility (SNF) with Medicare certification in anticipation of covered skilled care -- (For hospitals with an approved swing bed arrangement, use Code 61 - swing bed. For reporting discharges/transfers to a non-certified SNF, the hospital must use Code 04 - ICF.)"	Disch to Medicare SNF		
4	Discharged/transferred to intermediate care facility (ICF).	Disch to ICF		
5	"Discharged/transferred to another type of institution for inpatient care (including distinct parts). NOTE: Effective 1/2005, psychiatric hospital or psychiatric distinct unit of a hospital will no longer be identified by this code. New code is '65'."	Disch to Other Hosp		
6	Discharged/transferred to home care of organized home health service organization.	Disch to Home Health		
7	Left against medical advice or discontinued care.	Left AMA		
8	Discharged/transferred to home under care of a home IV drug therapy provider. (Discontinued effective 10/1/05.)	(discontinued)		
9	"Admitted as an inpatient to this hospital (effective 3/1/91). In situations in which a patient is admitted before midnight of the third day following the day of an outpatient service, the outpatient services are considered inpatient."	Admit to Same Hosp		
20	Expired (did not recover - Christian Science patient).	Expired		
21	Discharged/transferred to court/law enforcement.	Disch to Court		
30	Still patient.	Still Patient		
40	Expired at home (Hospice claims only).	Expired Home - Hospice		
41	"Expired in a medical facility such as hospital, SNF, ICF, or freestanding hospice (Hospice claims only)."	Expired Facility - Hospice		
42	Expired - place unknown (Hospice claims only).	Expired Unknown - Hospice		
43	Discharged/transferred to a federal hospital (eff. 10/1/03).	Disch to Fed Hosp		
50	Hospice - home (eff. 10/96).	Disch to Hospice-Home		
51	Hospice - medical facility (eff. 10/96).	Disch to Hospice-Facility		
61	Discharged/transferred within this institution to a hospital-based Medicare approved swing bed (eff. 9/01).	Txfr to Swing Bed		
62	Discharged/transferred to an inpatient rehabilitation facility including distinct parts units of a hospital (eff. 1/2002).	Disch to Rehab		
63	Discharged/transferred to a long term care hospitals (eff. 1/2002).	Disch to LTCH		
64	Discharged/transferred to a nursing facility certified under Medicaid but not under Medicare (eff. 10/2002).	Disch to Medicaid SNF		
65	Discharged/tansferred to a psychiatric hospital or psychiatric distinct unit of a hospital (these types of hospitals were pulled from patient/discharge status code '05' and given their own code) (eff. 1/2005).	Disch to Psych		
66	Discharged/transferred to a critical access hospital (CAH) (eff. 1/1/06).	Disch to CAH		
69	Discharged/transferred to a designated disaster alternate care.	Disch to Disaster		
70	Discharged/transferred to another type of health care institution not defined elsewhere in code list.	Disch to Other Facility		
71	Discharged/transferred/referred to another institution for outpatient services as specified by the discharge plan of care (eff. 9/01) (discontinued effective 10/1/05).	(discontinued)		
72	Discharged/transferred/referred to this institution for outpatient services as specified by the discharge plan of care (eff. 9/01) (discontinued effective 10/1/05).	(discontinued)		
81	Discharged to home or self-care with a planned acute care hospital inpatient readmission.	Disch Home-Planned Readmit		
82	Discharged/transferred to a short-term general hospital for inpatient care with a planned acute care hospital inpatient readmission.	Txfr to STCH-Planned Readmit		
83	Discharged/transferred to a skilled nursing facility (SNF) with Medicare certification with a planned acute care hospital inpatient readmission.	Disch Medicare SNF-Planned Readmit		
84	Discharged/transferred to a facility that provides custodial or supportive care with a planned acute care hospital inpatient readmission.	Disch ICF-Planned Readmit		
85	Discharged/transferred to a designated cancer center or childrens hospital with a planned acute care hospital inpatient readmission.	Disch Other Hosp-Planned Readmit		
86	Discharged/transferred to home under care of organized home health service organization with planned acute care hospital inpatient readmission.	Disch Home Health-Planned Readmit		
87	Discharged/transferred to court/law enforcement with a planned acute care hospital inpatient readmission.	Disch Court-Planned Readmit		
88	Discharged/transferred to federal health care facility with a planned acute care hospital inpatient readmission.	Disch Fed Hosp-Planned Readmit		
89	Discharged/transferred to a hospital-based Medicare-approved swing bed with a planned acute care hospital inpatient readmission.	Txfr Swing Bed-Planned Readmit		
90	Discharged/transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital with a planned acute care hospital inpatient readmission.	Disch Rehab-Planned Readmit		
91	Discharged/transferred to a Medicare-certified long-term care hospital (LTCH) with a planned acute care hospital inpatient readmission.	Disch LTCH-Planned Readmit		
92	Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare with a planned acute care hospital inpatient readmission.	Disch Medicaid SNF-Planned Readmit		
93	Discharged/transferred to a psychiatric distinct unit of a hospital with a planned acute care hospital inpatient readmission.	Disch Psych-Planned Readmit		
94	Discharged/transferred to a critical access hospital (CAH) with a planned acute care hospital inpatient readmission.	Disch CAH-Planned Readmit		
95	Discharged/transferred to another type of health care institution not defined elsewhere in this code list with a planned acute care hospital inpatient readmission.	Disch Other Fac-Planned Readmit		
				
Supplementary Exhibit 4:				
" Index A unique beneficiary identification number that can be used in place of personally identifiable information (HIC, DOB, gender) to analyze beneficiary-level data."				
 Total Payment Standardized Episode Cost Total of Part A and Part B billing from all medical groups in the period starting three days before the episode's index admission through 30 days after discharge from the index admission.				
" Principal Diagnosis The principal diagnosis on claims for inpatient care indicates the condition determined, after study, to be chiefly responsible for the patients hospital admission. Hospital admissions for conditions associated with alcohol or substance abuse are not shown in Supplementary Exhibit 4.  "				
"     Discharge Status The disposition of this patient on discharge, based on discharge status codes listed on Medicare inpatient hospital claims. Please click on Discharge Status to see a list of discharge codes and descriptions."				
				
				
Discharge Status Code	Description	Discharge Status Abbreviation		
1	Discharged to home/self care (routine charge).	Disch Home		
2	Discharged/transferred to other short-term general hospital for inpatient care.	Txfr to STCH		
3	"Discharged/transferred to skilled nursing facility (SNF) with Medicare certification in anticipation of covered skilled care -- (For hospitals with an approved swing bed arrangement, use Code 61 - swing bed. For reporting discharges/transfers to a non-certified SNF, the hospital must use Code 04 - ICF.)"	Disch to Medicare SNF		
4	Discharged/transferred to intermediate care facility (ICF).	Disch to ICF		
5	"Discharged/transferred to another type of institution for inpatient care (including distinct parts). NOTE: Effective 1/2005, psychiatric hospital or psychiatric distinct unit of a hospital will no longer be identified by this code. New code is '65'."	Disch to Other Hosp		
6	Discharged/transferred to home care of organized home health service organization.	Disch to Home Health		
7	Left against medical advice or discontinued care.	Left AMA		
8	Discharged/transferred to home under care of a home IV drug therapy provider. (Discontinued effective 10/1/05.)	(discontinued)		
9	"Admitted as an inpatient to this hospital (effective 3/1/91). In situations in which a patient is admitted before midnight of the third day following the day of an outpatient service, the outpatient services are considered inpatient."	Admit to Same Hosp		
20	Expired (Did not recover - Christian Science patient).	Expired		
21	Discharged/transferred to court/law enforcement.	Disch to Court		
30	Still patient.	Still Patient		
40	Expired at home (Hospice claims only).	Expired Home - Hospice		
41	"Expired in a medical facility such as hospital, SNF, ICF, or freestanding hospice (Hospice claims only)."	Expired Facility - Hospice		
42	Expired - place unknown (Hospice claims only).	Expired Unknown - Hospice		
43	Discharged/transferred to a federal hospital (eff. 10/1/03).	Disch to Fed Hosp		
50	Hospice - home (eff. 10/96).	Disch to Hospice-Home		
51	Hospice - medical facility (eff. 10/96).	Disch to Hospice-Facility		
61	Discharged/transferred within this institution to a hospital-based Medicare approved swing bed (eff. 9/01).	Txfr to Swing Bed		
62	Discharged/transferred to an inpatient rehabilitation facility including distinct units of a hospital (eff. 1/2002).	Disch to Rehab		
63	Discharged/transferred to a long-term care hospitals (eff. 1/2002).	Disch to LTCH		
64	Discharged/transferred to a nursing facility certified under Medicaid but not under Medicare (eff. 10/2002).	Disch to Medicaid SNF		
65	Discharged/transferred to a psychiatric hospital or psychiatric distinct unit of a hospital (these types of hospitals were pulled from patient/discharge status code '05' and given their own code) (eff. 1/2005).	Disch to Psych		
66	Discharged/transferred to a critical access hospital (CAH) (eff. 1/1/06).	Disch to CAH		
69	Discharged/transferred to a designated disaster alternate care.	Disch to Disaster		
70	Discharged/transferred to another type of health care institution not defined elsewhere in code list.	Disch to Other Facility		
71	Discharged/transferred/referred to another institution for outpatient services as specified by the discharge plan of care (eff. 9/01) (discontinued effective 10/1/05).	(discontinued)		
72	Discharged/transferred/referred to this institution for outpatient services as specified by the discharge plan of care (eff. 9/01) (discontinued effective 10/1/05).	(discontinued)		
81	Discharged to home or self-care with a planned acute care hospital inpatient readmission.	Disch Home-Planned Readmit		
82	Discharged/transferred to a short-term general hospital for inpatient care with a planned acute care hospital inpatient readmission.	Txfr to STCH-Planned Readmit		
83	Discharged/transferred to a skilled nursing facility (SNF) with Medicare certification with a planned acute care hospital inpatient readmission.	Disch Medicare SNF-Planned Readmit		
84	Discharged/transferred to a facility that provides custodial or supportive care with a planned acute care hospital inpatient readmission.	Disch ICF-Planned Readmit		
85	Discharged/transferred to a designated cancer center or childrens hospital with a planned acute care hospital inpatient readmission.	Disch Other Hosp-Planned Readmit		
86	Discharged/transferred to home under care of organized home health service organization with planned acute care hospital inpatient readmission.	Disch Home Health-Planned Readmit		
87	Discharged/transferred to court/law enforcement with a planned acute care hospital inpatient readmission.	Disch Court-Planned Readmit		
88	Discharged/transferred to federal health care facility with a planned acute care hospital inpatient readmission.	Disch Fed Hosp-Planned Readmit		
89	Discharged/transferred to a hospital-based Medicare-approved swing bed with a planned acute care hospital inpatient readmission.	Txfr Swing Bed-Planned Readmit		
90	Discharged/transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct units of a hospital with a planned acute care hospital inpatient readmission.	Disch Rehab-Planned Readmit		
91	Discharged/transferred to a Medicare-certified long-term care hospital (LTCH) with a planned acute care hospital inpatient readmission.	Disch LTCH-Planned Readmit		
92	Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare with a planned acute care hospital inpatient readmission.	Disch Medicaid SNF-Planned Readmit		
93	Discharged/transferred to a psychiatric distinct unit of a hospital with a planned acute care hospital inpatient readmission.	Disch Psych-Planned Readmit		
94	Discharged/transferred to a critical access hospital (CAH) with a planned acute care hospital inpatient readmission.	Disch CAH-Planned Readmit		
95	Discharged/transferred to another type of health care institution not defined elsewhere in this code list with a planned acute care hospital inpatient readmission.	Disch Other Fac-Planned Readmit		
				
				
Supplementary Exhibit 5: 				
" Reporting Mechanism Provides information on all of the mechanisms through which PQRS data were reported by the EP. Only the data submitted through the mechanism with the highest performance rate are incorporated into the group performance shown in QRUR Exhibit 14.  For inverse measures (for which lower performance rates indicate better quality), only the data submitted through the mechanism with the lowest performance rate are incorporated into your TIN-level performance."				
" Number of Eligible Cases Indicates the number of eligible cases in the performance denominator, by reporting mechanism."				
				
