Medicare Provider Utilization and Payment Data: Post-Acute Care and Hospice
The Post-Acute Care and Hospice Provider Utilization and Payment Public Use Files (herein referred to as “PAC PUF”) present information on services provided to Medicare beneficiaries by home health agencies, hospices, skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs), and long-term care hospitals (LTCHs). The PAC PUF contains information on demographic and clinical characteristics of beneficiaries served, professional and paraprofessional service utilization, submitted charges, and payments at the provider, state, and national levels. Additionally, the PUF includes information at the payment system level for home health agencies, SNFs, and IRFs. The PAC PUF is derived from information in CMS’s Chronic Conditions Data Warehouse (CCW) data files, and is based on 100 percent final-action (i.e., all claim adjustments have been resolved) Part A institutional claims. The PAC PUF is segmented by year and covers calendar years 2013 through 2018.