COST REPORTS

Renal Dialysis Facilities

The Renal Dialysis Facilities Cost Report Extract contains cost and statistical data for free-standing and hospital-based renal dialysis providers. The data are in two separate files on each diskette. The data set includes only the most precise version of each cost report filed with CMS(previously HCFA). The data set is normally updated quarterly and is available on the last day of the month following quarter end.

Home Health Agency (HHA) Cost Report System Master File

The Home Health Agency Cost Report Master File contains one copy of each version (as submitted, settled, reopened) of each HCFA-1728-94 cost report filed by the provider with CMS. The data comprise every line item originally included in the cost report extract created for CMS by the Medicare Fiscal Intermediary. The earliest cost reports on the file are those with beginning dates of January 1, 1994. The file is updated on a flow basis as cost report extracts are received at CMS for successive fiscal periods until the HCFA-1728-94 form is obsolete.

HHA Practical Data Set

The HHA Practical Data Set contains statistical and utilization data, total cost and Medicare cost by cost center, settlement date and financial data for Medicare-certified free standing, hospital-based, and skilled nursing facility (SNF)-based HHAs. The data sets include only the most current report (as submitted, final settled or reopened) submitted for a certified facility by the Medicare Fiscal Intermediary to CMS. These data sets are updated at the end of each calendar quarter and are available on the last day of the following month.

Hospital Cost Report System Master File

The Hospital Cost Report System Master File contains one copy of each version (as submitted, settled, reopened) of each HCFA-2552 cost report filed with CMS. The data consists of every data element included in the Hospital Cost Report Information System (HCRIS) extract created for CMS by that provider’s fiscal intermediary. These files are updated as cost reports are received at CMS.

PPS IX-XII Capital Data Sets

The Capital Data Set contains selected data for capital-related costs, interest expense and related information, and complete balance sheet data from the Medicare Hospital Cost Report. The data set includes only the most current cost report (as submitted, final settled, or reopened) submitted for a Medicare Certified Hospital by the Medicare Fiscal Intermediary to CMS. This data set is updated at the end of each calendar quarter and is available on the last day of the following month.

PPS Exempt Units

The Exempt Hospitals and Excluded Units file contains cost, statistical and ancillary charge data for hospitals and subproviders of hospitals that are exempt from the Prospective Payment System (PPS). The data set includes only the most precise version of the cost report filed with CMS. The data set is normally updated quarterly and is available on the last day of the month following quarter end.

PPS IV-XII Minimum Data Sets

The Minimum Data Set contains cost, statistical, financial, and other data from the Medicare Hospital Cost Report. The dataset includes only the most current cost report (as submitted, final settled, or reopened) submitted for a Medicare Certified Hospital by the Medicare Fiscal Intermediary to CMS. This dataset is updated at the end of each calendar quarter and is available on the last day of the following month.

PPS IX-XII Medicare Part B Data Set

This file contains Part B Medicare cost and charges by cost center from the Medicare Hospital Cost Report. The data set includes only the most current cost report (as submitted, final settled, or reopened) submitted for a Medicare certified hospital by the Medicare Fiscal Intermediary to CMS. This dataset is updated at the end of each calendar quarter and is available on the last day of the following month.

Worksheet A Data Set

The Worksheet A Data Set file contains the extract of the trial balance portion of HCFA-2552-92 Hospital Cost Reports. The data set includes only the most precise version of the cost report filed with CMS. The data set is normally updated quarterly and is available on the last day of the month following quarter end.

PPS Hospital Data Set

The PPS Hospital Data Set contains cost, statistical, financial, and other data from the Medicare Hospital Cost Report. The data set includes only the most current cost report (as submitted , final settled, or reopened) submitted for a Medicare Certified Hospital by the Medicare Fiscal Intermediary to CMS. The data set is updated at the end of each calendar quarter and is available on the last day of the following month.

Note: The following change has been implemented with the release of the Fiscal year 10/01/95 to 10/01/96 Hospital Cost Report Data Files. Five files have been combined into one data file called the PPS XIII Hospital Data Set. The five files are:

1. PPS Minimum Data Set

2. Capital Data Set

3. PPS Exempt Data Set

4. Worksheet A Data Set

5. Medicare Part B Data Set

Historical data will remain available as separate files. Upon release of the new Hospital Data Set the above data sets will no longer exist as individual files for current and future years.

Skilled Nursing Facility Minimum Data Sets

The Skilled Nursing Facility (SNF) Minimum Data Set contains cost, statistical, financial and other data from the Medicare SNF Cost Report and Hospital-Based SNF Cost Report. The data set includes only the most current cost report (as submitted, final settled, or reopened) submitted for a Medicare Certified SNF by the Medicare Fiscal Intermediary to CMS. This data set is updated at the close of each calendar quarter and is available on the last day of the following month.

Skilled Nursing Facility Cost Report System Master File

The Skilled Nursing Facility Cost Report System Master File contains one copy of each version (as submitted, settled, reopened) of HCFA-2540 cost report filed by the provider with CMS. The data comprise every line item originally included in the cost report extract created for CMS by the Medicare Fiscal Intermediary . These files are updated on a flow basis as cost report extracts are received at CMS.