"DATA SOURCES FOR THIS FY 2016 PROPOSED RULE IMPACT FILE ARE THE FOLLOWING: DECEMBER 2014 UPDATE OF FY 2014 MEDPAR, DECEMBER 2014 UPDATE OF PROVIDER SPECIFIC FILE, FY2012/FY2013 COST REPORT DATA"	
NOTE: Wage Index Data has a 100% Occ Mix adjustment based on CY 2013 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  	Pre-reclassification CBSA
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	Reclass Status FY 2016:  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	post Reclassification CBSA for FY 2016
FY 2016 Wage Index	"FY 2016  wage index after applying the MGCRB reclassifications, rual floor, adjustements for the Frontier wage index provision and the P.L. 108-173 Sec 505 adjustments where applicable for FY 2016. Wage Index reflects the application of national rural floor budget neutrality required under the Affordable Care Act ."
FY 2016 Puerto Rico Specific  wage index	"FY 2016  Puerto Rico Specific wage index after applying the MGCRB reclassifications, rural floor and the P.L. 108-173 Sec 505 adjustments where applicable for FY 2016. Wage Index reflects the application of national rural floor budget neutrality required under the Affordable Care Act."
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 2016
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 2016. 
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 3333 of the Affordable Care Act
UCP_ADJ	"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 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 2016. Note, these amounts do not reflect any changes that may result from the 30-day period after the publication of the final rule for hospitals to review and submit comments on the accuracy of the list of mergers we identified in the final rule."
UCP Per Claim Amount	" FY 2016 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 FY11-FY14. 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. Note, these amounts do not reflect any changes that may result from the 30-day period after the publication of the final rule for hospitals to review and submit comments on the accuracy of the list of mergers we identified in the final rule."
DSHCPG	Capital Disproportionate Share (DSH) adjustment
Operating CCR	Ratio of Medicare operating costs to Medicare covered charges from the December 2014 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 2014 update of the Provider Specific File (PSF). CCRs do not have the inflation factor applied. 
Provider Type for FY 2016	Type of provider - key:  0=IPPS; 7=RURAL REFERRAL CENTER (RRC); 16=Sole Community Hospital (SCH); 17=SCH/RRC; 21=ESSENTIAL ACCESS CMTY HSP (EACH); 22=EACH/RRC
Provider Type for first half of FY 2015	Type of provider - key:  0=IPPS; 7=RURAL REFERRAL CENTER (RRC);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"
FY16 HSP Rate	Hospital Specific Payment (HSP) Rate updated to FY2016 for SCH  providers.
BILLS	"Total number of Medicare cases for the provider from the FY2014 MEDPAR, December 2014 Update"
TACMIV32	Transfer adjusted Case Mix Index under Grouper V32
CASETA32	Transfer Adjusted Cases under Grouper V32 and FY 2016 Post Acute Transfer Policy
CMIV32	Case Mix Index under Grouper V32 for SCH/ former MDH 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 V30 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.
TACMIV33	Transfer adjusted Case Mix Index under  Grouper V33
CASETA33	Transfer Adjusted Cases under Grouper V33  and FY2016 Post Acute Transfer Policy
CMIV33	Case Mix Index under Grouper V33 for SCH providers paid under their Hospital Specific Payment rate
IME_TACMIV33	Transfer adjusted Case Mix under Grouper V33 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_CASETA33	Transfer adjusted  cases under Grouper V33 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 2016 GAF	 Post Reclass Geographic adjustment factor (GAF) for Capital FY 2016
FY 2016 Puerto Rico Specific GAF	Post Reclass GAF for Capital for Puerto Rico Providers FY 2016
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 ."
OUT16F	Estimated operating outlier payments as a percentage of the provider's Federal operating PPS payments
COUT16F	 Estimated 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) 
Proxy Value Based Purchasing Adjustment Factor	Proxy payment adjustment for  value based purchasing program (Section 3001 of Affordable Care Act) based on performance scores from an older performance period.
Proxy Readmission Adjustment Factor	Proxy payment adjustment for Hospital Readmissions Reduction Program (Section 3025 of Affordable Care Act). Maryland and Puerto Rico hospitals are exempt from the payment adjustment. 
Quality Reduction	"Value of '1' indicates a hospital that was found not to have submitted quality data in the form and manner specified by CMS, and therefore received a reduction to the percentage increase in the market basket index for FY 2015 under §412.64(d)(2)."
EHR Reduction	"Value of '1' indicates a hospital that was found not to be a meaningful electronic health record (EHR) user for the applicable EHR reporting period and did not receive an exception, and therefore received a reduction to the percentage increase in the market basket index for FY 2015 under §§ 412.64(d)(3)-(4)."
	
"**The most recent available cost report data were used (FYs 2012 - 2013). A ""zero"" value may indicate unavailable or incomplete data. "	
