Healthcare Reference Information

About CMS Data and Information

This Reference Guide is designed to introduce healthcare data users to the Medicare and Medicaid program data maintained by CMS(previously HCFA).

Frequently Asked Questions

Have a question? It may have already been asked. This section is divided into questions asked about Medicaid and those asked about Medicare. If you still have questions, try asking our experts.

Clinical Code Look-up

Not sure what code to use? Not sure what a code means? View the free demo of this tool to see how easy it is to find out. It covers ICD9, DRG, HCPCS, APC, BETOS and Revenue Center Codes. Also, learn what the Carrier Code Modifiers mean or view Carriers by state or by code.

 

Crosswalk of the MedPAR Charges to the
Hospital Cost Reports

Not sure which Charges, Costs and/or Ratio of Cost to Charges (HCRIS) relate to the Charges on the MedPAR data elements? Use this complimentary Hospital Departmental Cost to Charge Ratios to the MedPAR Revenue Centers to find out. Also view the Revenue Center to Cost Center Crosswalk

 

Medicaid Claims Volume Statistics