"DATA SOURCES FOR THIS FY 2015 PROPOSED RULE IMPACT FILE ARE THE FOLLOWING: DECEMBER 2013 UPDATE OF FY 2013 MEDPAR, DECEMBER 2013 UPDATE OF PROVIDER SPECIFIC FILE, FY2010/FY2011 COST REPORT DATA"	
NOTE: Wage Index Data has a 100% Occ Mix adjustment based on FY 2010 survey data	
	
Provider Number	6 digit Medicare provider number; the first 2 digits are the state code.
Name	"Name of Medicare provider from OSCAR.(""blank"" = unknown)"
Geographic Labor Market Area	The Geographic CBSA location based on OMB's Core Based Statistical Area (CBSA) designations.  The CBSA assignment is based on where the provider is physically located based on SSA state and county code information.  Rural areas are designated by 2-digit SSA state codes.
Pre Reclass Labor Market Area  under old CBSA designation	Pre-reclassification CBSA based on old CBSA designations
Pre Reclass Labor Market Area  under Proposed new CBSA designation	Pre-reclassification CBSA based on proposed new OMB CBSA designations
Payment Labor Market Area (for purposes of Capital and DSH)	Payment CBSA ( urban vs rural) for purposes of determining capital & DSH payments
SSA COUNTY CODE	SSA state county code. First two digits represent the state code and the last 4 digits represent the county code. SSA system is used to Identify the county in which provider is geographically located and this field be used in conjunction with the msa/cbsa crosswalk file.
REGION	1=NEW ENGLAND; 2=MIDDLE ATLANTIC; 3=SOUTH ATLANTIC; 4=EAST NORTH CENTRAL; 5=EAST SOUTH CENTRAL; 6=WEST NORTH CENTRAL; 7=WEST SOUTH CENTRAL; 8-=MOUNTAIN; 9=PACIFIC; 40=PUERTO RICO
URGEO	"Large urban, Other Urban or Rural designation of the providers geographic CBSA"
URSPA	Urban or Rural designation based on payment CBSA
RECLASS	Proposed Reclass Status FY 2015 based on new OMB CBSA designations:  N -provider did not reclassify; W -provider reclassified for wage index ; L provider reclassified under 1886(d)(8)(B) of the SSA; S-provider redesignated as rural under Sec. 401 of BIPA. 
POST RECLASS Labor Market Area under old CBSA designations	Proposed post Reclassification CBSA for FY 2015 based on old OMB CBSA designations
POST RECLASS Labor Market Area under new  CBSA designations	Proposed post Reclassification CBSA for FY 2015 based on new OMB CBSA designations
"FY 2015 Post Reclass Rural Floor Wage Index with Budget Neutrality, calculated under the OLD CBSA designations"	"Post Reclass Rural Floor Wage Index calculated under the old CBSA desigations, with rural floor budget neutrality applied. Wage index used in proposed calculation of the transition wage index"
"FY 2015 Puerto Rico Specific, Post Reclass Rural Floor Wage Index with Budget Neutrality, calculated under the OLD CBSA designations"	"Puerto Rico SpecificPost Reclass Rural Floor Wage Index calculated under the old CBSA desigations, with rural floor budget neutrality applied. Wage index used in calculation of proposed transition wage index"
"FY 2015 Post Reclass Rural Floor Wage Index with Budget Neutrality, calculated under the Proposed NEW CBSA designations"	"Post Reclass Rural Floor Wage Index calculated under the new CBSA desigations, with rural floor budget neutrality applied. Wage index used in calculation of proposed transition to the new CBSA designations."
"FY 2015 Puerto Rico Specific Post Reclass Rural Floor Wage Index with Budget Neutrality, calculated under the proposed NEW CBSA designations"	"Puerto Rico SpecificPost Reclass Rural Floor Wage Index calculated under the new CBSA desigations, with rural floor budget neutrality applied. Wage index used in calculation of proposed transition wage indenx"
FY 2015 Wage Index	"Proposed FY 2015  wage index after applying the MGCRB reclassifications, rual floor with budget neutrality, adjustements for the Frontier wage index provision and the P.L. 108-173 Sec 505 adjustments where applicable for FY 2015. In addition, if applicable, includes a 50/50 blend of the wage index under the old OMB CBSA designations and the wage index the new OMB CBSA delineations under the proposed transition policy."
FY 2015 Puerto Rico Specific  wage index	"Proposed FY 2015  Puerto Rico Specific wage index after applying the MGCRB reclassifications, rural floor with budget neutrality and the P.L. 108-173 Sec 505 adjustments where applicable for FY 2015. In addition, if applicable, includes a 50/50 blend of the wage index under the old OMB CBSA designations and the wage index the new OMB CBSA delineations under the proposed transition policy."
LUGAR	Provider is located in a Lugar County as defined in 1886(d)(8)(B) of the Act
Section 401 hospital	A 'YES' denotes urban providers redesignated as rural under CFR 412.103 - Sec 401 of BIPA
Section 505 eligible	A 'YES' denotes providers eligible  to receive a wage index adjustment under  Sec. 505  of  P.L. 108-173 for  FY 2014
Section 505 wage adjustment	Wage adjustment for providers who are eligible to receive a wage index adjustment under  Sec. 505  of P.L. 108-173 for FY 2014. 
Cost of Living Adjustment	Cost of Living Adjustment factor obtained from the U.S. Office of Personnel Management  for IPPS providers located in Alaska or Hawaii for IPPS operating payments
Resident to Bed Ratio	Resident to Bed Ratio. Used to determine IME factor for operating PPS payments
RDAY	Resident to Average Daily Census (ADC) ratio. Used to calculate the IME adjustment for Capital PPS
BEDS	The number of total beds obtained from cost report data.**
Average Daily Census	Calculated as the ratio of Total Acute Inpatient Days to Total Days in the Cost Reporting Period obtained from cost report data.**
TCHOP	IME adjustment factor for Operating PPS
TCHCP	IME adjustment factor for Captial PPS
DSHPCT	Disproportionate Share Hospital Patient Percentage as determined from most recent cost report data & SSA data
DSHOPG	Operating Disproportionate Share Hospital (DSH) adjustment. Reflects a 75% reduction to the DSH adjustment required under Section 3133 of the Affordable Care Act
UCP_ADJ	Proposed Uncompensated Care Payment Factor is the proportion of the additional payment amount for uncompensated care costs that a DSH hospital will receive under the  implementation of Section 3133 of the Affordable Care Act. The  Proposed Uncompensated Care Payment Factor is the hospital's  uncompensated care costs relative to all DSH hospital's  uncompensated care costs. DSH hospitals are identified as those hospitals that are projected to receive DSH for FY 2015.
UCP Per Claim Amount	Proposed FY 2015 Uncompensated Care Per Claim Amount based on a hospital's assigned Uncompensated Care Payment amount divided by the 3 year claims average based on MedPARs from FY10-FY13. Per Claim Amount is used in determination of outliers and used in to determine if the SCH is paid on a hospital specific rate or federal rate on a per claim basis. 
DSHCPG	Capital Disproportionate Share (DSH) adjustment
Operating CCR	Ratio of Medicare operating costs to Medicare covered charges from the December 2013 update of the Provider Specific File (PSF). CCRs do not have the inflation factor applied. 
Capital CCR	Ratio of Medicare capital costs to Medicare covered charges from the December 2013 update of the Provider Specific File (PSF). CCRs do not have the inflation factor applied. 
"Updated May 19, 2014: Provider Type for FY 2014"	"Updated May 19, 2014: Identifies special provider types for FY 2014. Type of provider - key:  0=IPPS; 7=RURAL REFERRAL CENTER (RRC); 8=INDIAN; 14=Medicare Dependent Hospital (MDH); 15=MDH/RRC; 16=Sole Community Hospital (SCH); 17=SCH/RRC; 21=ESSENTIAL ACCESS CMTY HSP (EACH); 22=EACH/RRC; Reflects extension  of Medicare Dependent Hospital payment status through  FY 2014 where providers have the provider type of 14 or 15  "
Provider Type for first half of FY 2015	Type of provider - key:  0=IPPS; 7=RURAL REFERRAL CENTER (RRC); 8=INDIAN; 14=Medicare Dependent Hospital (MDH); 15=MDH/RRC; 16=Sole Community Hospital (SCH); 17=SCH/RRC; 21=ESSENTIAL ACCESS CMTY HSP (EACH); 22=EACH/RRC; Reflects extension  of Medicare Dependent Hospital payment status through  mid year of FY 2015 where providers have the provider type of 14 or 15  
Provider Type for second half of FY 2015	"Reflects expiration of Medicare Dependent Hospital payments status after March 31, 2015"
FY15 HSP Rate	82/87/96/06 Hospital Specific Payment (HSP) Rate updated to FY2015 for SCH and MDH providers.  
BILLS	"Total number of Medicare cases for the provider from the FY2013 MEDPAR, December 2013 Update"
TACMIV31	Transfer adjusted Case Mix Index under Grouper V31
CASETA31	Transfer Adjusted Cases under Grouper V31 and FY 2014 Post Acute Transfer Policy
CMIV31	Case Mix Index under Grouper V31 for SCH/ former MDH providers paid under their Hospital Specific Payment rate
IME_TACMIV31	Transfer adjusted Case Mix under Grouper V31 for Medicare Advantage cases submitted by teaching hospitals that received a Fee-for-Service IME payment. These CMIs are included to calculate the IME payments for  budget neutrality. 
IME_CASETA31	Transfer adjusted  cases under Grouper V31 for Medicare Advantage cases submitted by teaching hospitals that receive a fee-for-service IME payment. The IME payment associated with these cases are included in the budget neutrality calculations and in payment modelling.
TACMIV32	Transfer adjusted Case Mix Index under Proposed Grouper V32
CASETA32	Transfer Adjusted Cases under Proposed Grouper V32  and FY2015 Post Acute Transfer Policy
CMIV32	Case Mix Index under Proposed Grouper V32 for SCH providers paid under their Hospital Specific Payment rate
IME_TACMIV32	Transfer adjusted Case Mix under Grouper V32 for Medicare Advantage cases submitted by teaching hospitals that received a Fee-for-Service IME payment. These CMIs are included to calculate the IME payments for  budget neutrality. 
IME_CASETA32	Transfer adjusted  cases under Grouper V32 for Medicare Advantage cases submitted by teaching hospitals that receive a fee-for-service IME payment. The IME payment associated with these cases are included in the budget neutrality calculations and in payment modelling.
FY 2015 GAF	Proposed Post Reclass Geographic adjustment factor (GAF) for Capital FY 2015
FY 2015 Puerto Rico Specific GAF	Proposed Post Reclass GAF for Capital for Puerto Rico Providers FY 2015
Cost of Living Adjustment-Capital	"Capital COLA factor for hospitals located in Alaska and Hawaii, which is based on the applicable operating IPPS COLA factor ."
OUT15F	Estimated proposed operating outlier payments as a percentage of the provider's Federal operating PPS payments
COUT15F	 Estimated proposed capital outlier payments as a percentage of the provider's Federal capital PPS payments
MCR_PCT	Medicare days as a percent of total inpatient days (not available for all providers that receive HSP rate) 
Proposed Proxy Value Based Purchasing Adjustment Factor	Proposed Proxy payment adjustment for  value based purchasing program (Section 3001 of Affordable Care Act) based on performance scores from an older performance period.
Proposed Readmission Adjustment Factor	"Proposed Payment adjustment for Hospital Readmissions Reduction Program (Section 3025 of Affordable Care Act). Maryland and Puerto Rico hospitals are exempt from the payment adjustment. Proposed Readmission Adjustment Factors are based on excess readmission ratios from an older performance period of July 1, 2009 to June 30, 2012 and will be updated based on excess readmission ratios from the finalized performance period of July 1, 2010 to June 30, 2013 in the final rule. Proposed payment adjustment factor includes expansion to five readmissions measures, AMI, PN, HF, COPD and TKA/THA for FY 2015. "
Proxy Hospital Acquired Conditions Reduction Program Flag	Variable identifies the proposed set of hospitals subject to the 1 percent payment reduction to total IPPS payments for FY 2015 under the Hospital Acquired Conditions Reduction Program (Section 3008 of the Affordable Care Act) based on proxy data. Hospitals ranking in the worst performing quartile of HAC scores are subject to the 1 percent reduction.  A “Y” indicates that the hospital is subject to the reduction based on the proxy data. 
	
"**The most recent available cost report data were used (FYs 2010 - 2011). A ""zero"" value may indicate unavailable or incomplete data. "	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
