"Supplementary Exhibit 13.  Beneficiaries Assigned to Your ACO and Attributed to Your TIN for the All-Cause Hospital Readmissions Measure: Hospital Admissions for Any Cause

"							"Supplementary Exhibit 13.  Beneficiaries Assigned to Your ACO and Attributed to Your TIN for the All-Cause Hospital Readmissions Measure: Hospital Admissions for Any Cause

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"For TINs participating in the Medicare Shared Savings Program in 2014, Supplementary Exhibit 13 displays ACO-level performance on the All-Cause Hospital Readmission Measure for beneficiaries who are assigned to your ACO and are attributed to your TIN under either: 1) the two-step attribution process used for the All-Cause Hospital Readmissions Measure; or 2) the MSPB attribution methodology.     
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Attributed Beneficiaries Admitted to the Hospital				Characteristics of Hospital Admission					Discharge Disposition		
HIC	Gender	DOB	 Index	Date of Admission	CMS Certification Number	"Principal Diagnosis
(Code, Description)"		Followed by Unplanned All-Cause Readmission within 30 Days of Discharge	Date of Discharge	"Discharge Status
(Code, Description)"	
#	F	04/01/1939	#	06/12/14	111111	481	Pneumococcal Pneumonia	?	06/19/14	3	Disch to SNF
-	-	-	-	-	-	-	-	-	-	-	-
											
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