"DATA SOURCES FOR THIS FY 2014 FINAL RULE IMPACT FILE ARE THE FOLLOWING: MARCH 2013 UPDATE OF FY 2012 MEDPAR, MARCH 2013 UPDATE OF PROVIDER SPECIFIC FILE, FY2010/FY2011 COST REPORT DATA" NOTE: Wage Index Data has a 100% Occ Mix adjustment based on FY 2008/2009 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 2014: 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 2014 FY 2014 Wage Index "FY 2014 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 2014. Wage Index reflects the application of national rural floor budget neutrality required under the Affordable Care Act ." FY 2014 Puerto Rico Specific wage index "FY 2014 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 2014. 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 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 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 2014. DSHCPG Capital Disproportionate Share (DSH) adjustment Operating CCR Ratio of Medicare operating costs to Medicare covered charges from the March 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 March 2013 update of the Provider Specific File (PSF). CCRs do not have the inflation factor applied. Provider Type 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 expiration of Medicare Dependent Hospital payment status where providers have the provider type of 14 or 15 for FY 2014. FY14 HSP Rate 82/87/96/06 Hospital Specific Payment (HSP) Rate updated to FY2014 for SCH and MDH providers with the -0.2 percent adjustment for presumptive inpatient hospital status policy. BILLS "Total number of Medicare cases for the provider from the FY2012 MEDPAR, December 2012 Update" TACMIV30 Transfer adjusted Case Mix Index under Grouper V30 CASETA30 Transfer Adjusted Cases under Grouper V30 and FY 2013 Post Acute Transfer Policy CMIV30 Case Mix Index under Grouper V30 for SCH/ former MDH providers paid under their Hospital Specific Payment rate IME_TACMIV30 Transfer adjusted Case Mix under Grouper V30 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_CASETA30 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. TACMIV31 Transfer adjusted Case Mix Index under Grouper V31 CASETA31 Transfer Adjusted Cases under Grouper V31 and FY2014 Post Acute Transfer Policy CMIV31 Case Mix Index under Grouper V31 for SCH 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. FY 2014 GAF Post Reclass Geographic adjustment factor (GAF) for Capital FY 2014 FY 2014 Puerto Rico Specific GAF Post Reclass GAF for Capital for Puerto Rico Providers FY 2014 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 ." OUT14F Estimated operating outlier payments as a percentage of the provider's Federal operating PPS payments COUT14F 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. Final Readmission Adjustment Factor "Payment adjustment for Hospital Readmissions Reduction Program (Section 3025 of Affordable Care Act). Maryland and Puerto Rico hospitals are exempt from the payment adjustment. Readmission Adjustment Factors are based on excess readmission ratios from a performance period of July 1, 2009 to June 30, 2012. The excess readmission ratios include the application of the planned readmissions algorithm. " "**The most recent available cost report data were used (FYs 2010 - 2011). A ""zero"" value may indicate unavailable or incomplete data. "