
1                                HOSPITAL MARKET SERVICE AREA FILE (HMAF) RECORD - 1993


                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------

 ****  HOSPITAL MARKET SERVICE      REC      40     1   40  THIS IS A SUMMARY RECORD OF DAYS OF CARE, CHARGES
       AREA FILE (HMAF) RECORD -                            AND CASES BY THE COMBINED PROVIDER NUMBER AND
       1993                                                 ZIP CODE OF THE BENEFICIARY.

                                                            SYSTEM ALIAS: HMAF93

    1. MEDICARE PROVIDER NUMBER     CHAR      6     1    6  THIS FIELD SPECIFIES THE INSTITUTION THAT
                                                            RENDERED SERVICES TO A BENEFICIARY.  THIS IS
                                                            THE UNIQUE NUMBER ISSUED BY THE HCFA REGIONAL
                                                            OFFICE TO A PROVIDER OF SERVICES UPON INITIAL
                                                            CERTIFICATION FOR PARTICIPATION IN THE
                                                            MEDICARE PROGRAM.

                                                            CODES:
                                                            SSTPPP WHERE:
                                                            SS  = STATE OF THE PROVIDER
                                                                  (SSA STANDARD STATE CODES)
                                                            T   = TYPE OF PROVIDER
                                                            PPP = PROVIDER SEQUENCE NUMBER
                                                            -   FIRST TWO POSITIONS ARE THE STATE CODE.
                                                                CODING SCHEME:
                                                                REFER TO SSA_STD_STATE_TB

                                                            -   POSITIONS 3 AND SOMETIMES 4 ARE USED AS A
                                                                CATEGORY IDENTIFIER.  THE REMAINING POSITIONS
                                                                ARE SERIAL NUMBERS.  THE FOLLOWING BLOCKS OF NUMBERS
                                                                ARE RESERVED FOR THE FACILITIES INDICATED:

                                                                0001-0899   SHORT-TERM (GENERAL AND SPECIALTY)
                                                                            HOSPITALS
                                                                0900-0999   MULTIPLE HOSPITAL COMPONENT IN A
                                                                            MEDICAL COMPLEX (NUMBERS RETIRED)
                                                                1000-1199   RESERVED FOR FUTURE USE
                                                                1200-1224   ALCOHOL/DRUG HOSPITALS (EXCLUDED
                                                                            FROM PPS-NUMBERS RETIRED)
                                                                1225-1299   MEDICAL ASSISTANCE FACILITIES
                                                                            (MONTANA PROJECT)
                                                                1300-1399   RURAL PRIMARY CARE HOSPITAL (RPCH)
                                                                1400-1499   RESERVED FOR FUTURE USE
                                                                1500-1799   HOSPICES
                                                                1800-1899   FEDERALLY QUALIFIED HEALTH CENTERS
                                                                            (FQHC)
                                                                1900-1989   RESERVED FOR FUTURE USE
                                                                1990-1999   CHRISTIAN SCIENCE SANATORIA
                                                                            (HOSPITAL SERVICES)
                                                                2000-2299   LONG-TERM HOSPITALS (EXCLUDED FROM PPS)
                                                                2300-2499   CHRONIC RENAL DISEASE FACILITIES
                                                                            (HOSPITAL BASED)
                                                                2500-2899   NON-HOSPITAL RENAL DISEASE
                                                                            TREATMENT CENTERS
                                                                2900-2999   INDEPENDENT SPECIAL PURPOSE RENAL
                                                                            DIALYSIS FACILITY (1)
                                                                3000-3024   FORMERLY TUBERCULOSIS HOSPITALS
1                                HOSPITAL MARKET SERVICE AREA FILE (HMAF) RECORD - 1993

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------
                                                                            (NUMBERS RETIRED)
                                                                3025-3099   REHABILITATION HOSPITALS (EXCLUDED
                                                                            FROM PPS)
                                                                3100-3299   RESERVED FOR FUTURE USE
                                                                3300-3399   CHILDREN'S HOSPITALS (EXCLUDED FROM PPS)
                                                                3400-3499   CONTINUATION OF RURAL HEALTH CLINICS
                                                                            (PROVIDER-BASED) (3975-3999)
                                                                3500-3699   RENAL DISEASE TREATMENT CENTERS
                                                                            (HOSPITAL SATELLITES)
                                                                3700-3799   HOSPITAL BASED SPECIAL PURPOSE RENAL
                                                                            DIALYSIS FACILITY (1)
                                                                3800-3974   RURAL HEALTH CLINICS (FREE-STANDING)
                                                                3975-3999   RURAL HEALTH CLINICS (PROVIDER-BASED)
                                                                4000-4499   PSYCHIATRIC HOSPITALS (EXCLUDED
                                                                            FROM PPS)
                                                                4500-4599   COMPREHENSIVE OUTPATIENT
                                                                            REHABILITATION FACILITIES (CORF)
                                                                4600-4799   COMMUNITY MENTAL HEALTH CENTERS (CMHC)
                                                                4800-4999   RESERVED FOR FUTURE USE
                                                                5000-6399   SKILLED NURSING FACILITIES
                                                                6400-6499   RESERVED FOR FUTURE USE (2)
                                                                6500-6899   OUTPATIENT PHYSICAL THERAPY SERVICES
                                                                6900-6989   RESERVED FOR FUTURE USE
                                                                6990-6999   CHRISTIAN SCIENCE SANATORIA (SKILLED
                                                                            NURSING SERVICES)
                                                                7000-7299   HOME HEALTH AGENCIES (3)
                                                                7300-7399   SUBUNITS OF 'NONPROFIT' AND
                                                                            'PROPRIETARY' HOME HEALTH AGENCIES (4)
                                                                7400-7799   CONTINUATION OF 7000-7299 SERIES
                                                                7800-7999   SUBUNITS OF STATE AND LOCAL GOVERNMENTAL
                                                                            HOME HEALTH AGENCIES (4)
                                                                8000-8499   CONTINUATION OF 7400-7799 SERIES
                                                                8500-8899   CONTINUATION OF RURAL HEALTH
                                                                            CENTER (PROVIDER BASED) (3400-3499)
                                                                8900-8999   CONTINUATION OF RURAL HEALTH
                                                                            CENTER (FREE-STANDING) (3800-3975)
                                                                9000-9799   RESERVED FOR FUTURE USE

                                                                MEDICAID PROVIDERS (TITLE XIX-ONLY):

                                                                A001-A999   NURSING FACILITY
                                                                B001-B999   NURSING FACILITY (EXPANSION OF A001-A999)
                                                                E001-E999   NURSING FACILITY
                                                                F001-F999   NURSING FACILITY (EXPANSION OF E001-E999)
                                                                G001-G999   INTERMEDIATE CARE FACILITY FOR THE
                                                                            MENTALLY RETARDED
                                                                H001-H999   INTERMEDIATE CARE FACILITY FOR THE
                                                                            MENTALLY RETARDED
                                                                            (EXPANSION OF G001-G999)
                                                                P001-P999   ORGAN PROCUREMENT ORGANIZATION

                                                            (1) THESE FACILITIES (SPRDFS) WILL BE ASSIGNED
                                                                THE SAME PROVIDER NUMBER WHENEVER THEY
                                                                ARE RECERTIFIED.
1                                HOSPITAL MARKET SERVICE AREA FILE (HMAF) RECORD - 1993

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------

                                                            (2) THE 6400-6499 SERIES OF PROVIDER NUMBERS
                                                                IN IOWA (16), SOUTH DAKOTA (43) AND TEXAS (45)
                                                                HAVE BEEN USED IN REDUCING ACUTE CARE COSTS (RACC)
                                                                EXPERIMENTS.

                                                            (3) IN VIRGINIA (49), THE SERIES 7100-7299 HAS
                                                                BEEN RESERVED FOR STATEWIDE SUBUNIT COMPONENTS
                                                                OF THE VIRGINIA STATE HOME HEALTH AGENCIES.

                                                            (4) PARENT AGENCY MUST HAVE A NUMBER IN THE
                                                                7000-7299, 7400-7799 OR 8000-8499 SERIES.

                                                            NOTE:
                                                              THERE IS A SPECIAL NUMBERING SYSTEM FOR UNITS
                                                              OF HOSPITALS THAT ARE EXCLUDED FROM PROSPECTIVE
                                                              PAYMENT SYSTEM (PPS) AND HOSPITALS WITH SNF
                                                              SWING-BED DESIGNATION.  AN ALPHA CHARACTER IN
                                                              THE THIRD POSITION OF THE PROVIDER NUMBER
                                                              IDENTIFIES THE TYPE OF UNIT OR SWING-BED
                                                              DESIGNATION AS FOLLOWS:

                                                                S = PSYCHIATRIC UNIT (EXCLUDED FROM PPS)
                                                                T = REHABILITATION UNIT (EXCLUDED FROM PPS)
                                                                U = SHORT TERM/ACUTE CARE SWING-BED HOSPITAL
                                                                V = ALCOHOL DRUG UNIT (PRIOR TO 10/87 ONLY)
                                                                W = LONG TERM SNF SWING-BED HOSPITAL
                                                                    (EFF 3/91)
                                                                Y = REHAB HOSPITAL SWING-BED (EFF 9/92)
                                                                Z = RURAL PRIMARY CARE SWING-BED HOSPITAL
                                                                    (TO BE EFFECTIVE IN 1994)

                                                            SOURCE:
                                                            UNIFORM BILL 82, FORM HCFA-1450,
                                                            ITEM 7 (MEDICARE PROVIDER NUMBER).

                                                            LIMITATIONS:
                                                            THE MEDPAR FILE CONTAINS ONLY INPATIENT
                                                            HOSPITAL RECORDS.  PROVIDER NUMBERS ARE
                                                            VALIDATED AGAINST A FILE OF MEDICARE-CERTIFIED
                                                            PROVIDERS BY THE INTERMEDIARY.  HOWEVER,
                                                            THIS PROCESS IS NOT REPEATED WHEN THE MEDPAR
                                                            FILE IS CONSTRUCTED.

    2. ZIP CODE OF RESIDENCE        CHAR      5     7   11  THIS FIELD SPECIFIES THE ZIP CODE AND IS
                                                            BASED UPON THE MAILING ADDRESS USED FOR
                                                            CASH BENEFITS TO THE BENEFICIARY OR FOR
                                                            OTHER PURPOSES (E.G., PREMIUM BILLING).

                                                            STANDARD ALIAS: BENE_MLG_CNTCT_ZIP_CD

                                                            COMMENT:
                                                            CODES IDENTIFY POSTAL SERVICE AREAS
                                                            WITHIN THE U.S.A. BUT DO NOT NECESSARILY
1                                HOSPITAL MARKET SERVICE AREA FILE (HMAF) RECORD - 1993

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------
                                                            ADHERE TO BOUNDARIES OF CITIES, COUNTIES,
                                                            STATES,  OR OTHER JURISDICTIONS.  THE
                                                            CODE IS APPENDED TO THE RECORD AT TIME
                                                            OF PROCESSING IN CENTRAL OFFICE.
                                                            THE FIRST THREE POSITIONS OF THE ZIP CODE
                                                            REPRESENT A PARTICULAR SECTIONAL POSTAL
                                                            CENTER OR A METROPOLITAN CITY.  THE LAST
                                                            TWO DIGITS REPRESENT THE ASSOCIATED POST
                                                            POST OFFICE SERVED BY THE POSTAL CENTER OR
                                                            THE DELIVERY AREA SERVED BY THE POSTAL
                                                            STATION.

                                                            SOURCE:
                                                            SSA AND RRB BENEFICIARY RECORD SYSTEMS

                                                            LIMITATIONS:
                                                            ZIP CODE MAY NOT CORRESPOND WITH STATE
                                                            OF RESIDENCE.

    3. TOTAL DAYS OF CARE           NUM      10    12   21  THIS TEN-DIGIT FIELD IS THE TOTAL DAYS OF CARE.
                                                            IT IS DERIVED BY SUBTRACTING THE DATE OF ADMISSION
                                                            FROM THE DATE OF DISCHARGE AND SUMMING OVER ALL
                                                            CASES IN THAT HOSPITAL/ZIP CODE COMBINATION.

                                                            10 DIGITS

                                                            DERIVATION:
                                                            UNIFORM BILL HCFA-1450, ITEM 15 (ADMISSION
                                                            DATE) MINUS ITEM 22 (DISCHARGE DATE)

                                                            CODES:
                                                            N,NNN,NNN,NNN - NUMBER OF DAYS OF SERVICE

                                                            COMMENT:
                                                            SAME DAY DISCHARGES ARE COUNTED AS ONE DAY
                                                            OF CARE AND NEXT DAY DISCHARGES ARE COUNTED
                                                            AS ONE DAY OF CARE.

    4. TOTAL CHARGES                NUM      10    22   31  THIS ITEM RECORDS THE TOTAL CHARGES FOR ALL
                                                            HOSPITAL VISITS FOR THIS HOSPITAL/ZIP CODE
                                                            COMBINATION.  ONLY WHOLE DOLLARS ARE SHOWN.

                                                            10 DIGITS

                                                            CODES:
                                                            $,$$$,$$$,$$$ - AMOUNT OF TOTAL CHARGES

                                                            SOURCE:
                                                            UNIFORM BILL HCFA-1450, REVENUE CODE 001
                                                            FROM ITEM 51 AND TOTAL CHARGES CONTAINED IN
                                                            ITEM 53

    5. TOTAL CASES                  NUM       9    32   40  THIS NINE-DIGIT FIELD REPRESENTS THE TOTAL
                                                            NUMBER OF CASES RECORDED FOR EACH HOSPITAL/ZIP
1                                HOSPITAL MARKET SERVICE AREA FILE (HMAF) RECORD - 1993

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------
                                                            CODE COMBINATION.

                                                            9 DIGITS

                                                            EDIT-RULES:
                                                            NNN,NNN,NNN = TOTAL NUMBER OF CASES FOR EACH
                                                                          HOSPITAL/ZIP CODE COMBINATION

                                                            SOURCE:
                                                            MEDICARE PROVIDER ANALYSIS AND REVIEW FILE
 
