Medicare Data to Calculate Your Primary Service Areas The Centers for Medicare & Medicaid Services (CMS) has posted to the CMS website Medicare data that allows applicants of the Medicare Shared Savings Program to calculate their share of services in each applicable Primary Service Area (PSA), as described in the Federal Trade Commission/Department of Justice (FTC/DOJ) Proposed Antitrust Enforcement Policy Statement Regarding Accountable Care Organizations Participating in the Medicare Shared Savings Program<http://www.ftc.gov/opp/aco/>. Data sets available include:
* Physician file - all physician fee-for-service claims for calendar year 2010 (1/1/2010-12/31/2010) * Inpatient facility file - all Inpatient fee for service claims for Federal FY 2010 (10/1/2009-9/30/2010) * Outpatient facility file - all outpatient fee for service claims for calendar year 2010 (1/1/2010-12/31/2010) Crosswalk files of inpatient and outpatient services treatment codes include: * Crosswalk from Ambulatory Surgical Center (ASC) Healthcare Common Procedure Coding System (HCPCS) codes to outpatient categories * Crosswalk from Ambulatory Payment Classifications (APCs) to outpatient categories * Crosswalk from diagnosis-related groups (DRGs) to Major Diagnostic Categories (MDCs) To access this data, visit the CMS Shared Savings Program website at www.cms.gov/sharedsavingsprogram<http://www.cms.gov/sharedsavingsprogram>, select the Medicare Data to Calculate Your Primary Service Area tab, and scroll to the bottom of the web page to the "Downloads" section. For detailed instructions on how to use this data to calculate PSA shares, applicants should refer to the FTC/DOJ Policy Statement<http://www.ftc.gov/opp/aco/>. -------------------------------------------------------------------------------------------------- Note: If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser. If you know someone who would like to subscribe to a Medicare Fee-For-Service (FFS) provider listserv, go to (http://www.cms.gov/prospmedicarefeesvcpmtgen/downloads/Provider_Listservs.pdf). If you would like to unsubscribe from a specific provider listserv, please go to (https://list.nih.gov/cgi-bin/wa.exe?INDEX) to unsubscribe or to leave the appropriate listserv. Please DO NOT respond to this email. This email is a service of CMS and routed through an electronic mail server to communicate Medicare policy and operational changes and/or updates. Responses to this email are not routed to CMS personnel. Inquiries may be sent by going to (http://www.cms.gov/ContactCMS). Thank you.
