The MBSF base segment includes beneficiary enrollment information, (A/B/C/D). Medicare Advantage (Part C) and the Prescription Drug Program (Part D) plan enrollment information is included.
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: The Chronic Conditions segment of the Master Beneficiary Summary File (MBSF) flags each Medicare beneficiary for the presence of one of 27 specific chronic conditions.
- Right-click a file with the extension whose association you want to change, and then click Open With. In the Open With dialog box, click the program whith which you want the file to open, or click Browse to locate the program that you want. Select the Always use.
- RIF file is a Rockwell ADPCM Format Data. Adaptive differential pulse-code modulation (ADPCM) is a variant of differential pulse-code modulation (DPCM) that varies the size of the quantization step, to allow further reduction of the required data bandwidth for a given signal-to-noise ratio.
A) Open Default Programs by clicking the Start button, and then clicking Default Programs. B) Click on Associate a file type or protocol with a program c) In the following list of file protocol look for RIF and make sure that you have associated the program that uses it and later check if it works. Change which programs Windows uses by default. How to open RIF file? After double-clicking on the unknown file icon, the system should open it in the default software that supports it. If this does not happen, download and install the Corel Painter software and then manually associate the file with it.
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The Other Chronic or Potentially Disabling Conditions segment of the MBSF flags beneficiary records for the presence of 35 chronic or potentially disabling conditions not included in the original list of 27 conditions, including:mental health,tobacco use, alcohol and drug use,developmental disorders,disability-related conditions,behavioral health andother chronic physical conditions.
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The Cost and Utilization file segment of the MBSF includes one record for each beneficiary enrolled in Medicare in the calendar year of the file.
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This segment includes cause of death information from death certificates provided through linkage with the National Death Index (NDI). This data is available for all deceased Medicare beneficiaries from 1999-2016.
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The Medicare Fee-For-Service Inpatient (IP) Claim File contains fee-for-service (FFS) claims submitted by inpatient hospital providers for reimbursement of facility costs. These claim records represent covered stays (Medicare paid FFS bills.)This file is based on information from the CMS form 1450 (UB04).
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The MedPAR file contains information about inpatient (IP) hospital and skilled nursing facility (SNF) stays that were covered by Medicare. MedPAR records are created by rolling up information for a single stay from individual IP and SNF claims. The data on these claims was originally submitted on the CMS 1450 or UB04.
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The Outpatient file contains fee-for-service (FFS) claims submitted by institutional outpatient providers. Examples of institutional outpatient providers include hospital outpatient departments, rural health clinics, renal dialysis facilities, outpatient rehabilitation facilities, comprehensive outpatient rehabilitation facilities, Federally Qualified Health Centers and community mental health centers. The file includes facility charge amounts.This file is based on information from the CMS form 1450 (UB04...
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Open Irf File
The Carrier File includes fee-for-service claims submitted by professional providers, including physicians, physician assistants, clinical social workers, nurse practitioners.Claims for some organizational providers, such as free-standing facilities are also found in the Carrier Claims File. Examples include independent clinical laboratories, ambulance providers, free-standing ambulatory surgical centers and free-standing radiology centers.Researchers rarely use this file alone.This file is based on...
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The Medicare Fee-for-Service Skilled Nursing Facility (SNF) claim file contains information from paid bills submitted by SNF institutional facility providers. Skilled nursing care is the only level of nursing home care that is covered by the Medicare program.The information on the file records is based on the CMS form 1450 (UB04).
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The Durable Medical Equipment (DME) file contains fee-for-service claims submitted by Durable Medical Equipment suppliers to the DME Medicare Administrative Contractor (MAC).
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The Medicare Fee-For-Service (FFS) Home Health Agency (HHA) containd FFS claims submitted by Medicare home health agency providers for reimbursement of home health covered services. This file is based on information from the CMS form 1450 (UB04).
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The Hospice file contains claims submitted by Medicare hospice providers. Records are included in the file regardless of whether the beneficiary is enrolled in fee-for-service (FFS) Medicare or Medicare Advantage (Medicare managed care.) This file is based on information from the CMS form 1450 (UB04).
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The Medicare Inpatient (Encounter, Final File) contains Medicare Advantage plan paid records for inpatient hospital stays.
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Open Rif File Free
The Medicare Outpatient (Encounter, Final File) contains Medicare Advantage plan paid records from a variety of outpatient providers. Examples of institutional outpatient providers include hospital outpatient departments, rural health clinics, renal dialysis facilities, outpatient rehabilitation facilities, comprehensive outpatient rehabilitation facilities, Federally Qualified Health Centers and community mental health centers.
Open Rif File Online
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The Medicare Carrier (Encounter, Final File) includes Medicare Advantage plan paid records for professional providers, including physicians, physician assistants, clinical social workers, nurse practitioners.Records for some organizational providers are also found in the Carrier (Encounter) file. Examples include independent clinical laboratories, ambulance providers, freestanding ambulatory surgical centers and freestanding radiology centers.Researchers rarely use this file alone.
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The Medicare Skilled Nursing Facility (Encounter, Final File) includes Medicare Advantage plan paid records for skilled nursing facility stays. Skilled nursing care is the only level of nursing home care that is covered by the Medicare program.
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The Medicare Durable Medical Equipment (Encounter, Final File) includes Medicare Advantage plans paid records for medical supplies.
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The Medicare Home Health Agency (Encounter, Final File) includes Medicare Advantage (MA) plan paid records for home health agency services.
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The Plan Characteristics file contains Medicare Advantage plan and Prescription Drug Plan information separated into six subfiles.The subfiles are:Plan “Base” or Benefit package filePremiumCost Sharing TierService AreaSpecial Needs PlansMulti-year crosswalk file
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The Risk Score Files are created from the final CMS risk adjustment model outputs for a payment year. These risk scores are used to adjust CMS payments to Medicare Advantage (Part C) plans to account for differences in relative costs among plan enrollees. At this time, only Payment Year (PY)14 risk score files are available for research use. Please see the Medicare Managed Care Manual, Chapter 7 for a discussion of risk adjustment in the Medicare Advantage program.
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When a Medicare beneficiary with Part D coverage fills a prescription, the prescription drug plan submits a record to CMS. The PDE file includes all transactions covered by the Medicare prescription drug plan for both Prescription Drug Plans (PDPs) and Medicare Advantage Prescription Drug Plans (MA-PDs).
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The Medicare Part D Drug Characteristics file refers to a set of variables that are appended to the Medicare Part D Event file (PDE). Researchers need to request the specific variables required for their study and CMS must approve the release.
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The Medicare Part D Formulary file is a suite of three sub-files: formulary, excluded drug and Over the Counter Drug that contain information on how the plan covers the prescription drugs filled (as described in the Part D Drug Event (PDE) file.
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The Part D Pharmacy Characteristics file provides information about the pharmacy identified as the source of the drug for each Part D Event (PDE) prescription fill record.
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