SAS® Programming with Medicare Administrative Data
by Matthew Gillingham
SAS Programming with Medicare Administrative Data, 2nd Edition
- About This Book
- About The Author
- Acknowledgments
- Chapter 1: Introduction
- Chapter 2: An Introduction to the Medicare Program
- Chapter 3: An Introduction to Medicare Data
- Introduction and Goals of This Chapter
- Part B Carrier Claims Data
- Durable Medical Equipment (DME) Data
- Outpatient Claims Data
- Inpatient Claims Data
- Skilled Nursing Facility (SNF) Claims Data
- Home Health Claims Data
- Hospice Claims Data
- Commonly Retained Elements in Administrative Claims Data
- Master Beneficiary Summary File
- Provider Data
- Example: Identification of Emergency Department (ED) Utilization
- Example: Identification of Surgical Services
- Chapter Summary
- Chapter 4: Planning the Research Programming Project
- Chapter 5: Request, Receive, Load, and Transform Data
- Introduction
- Requesting Medicare Administrative Claims and Enrollment Data
- Sources of Medicare Claims and Enrollment Data
- Data Available from CMS
- Our Project’s Data Requirements and Request Specifications
- Contacting ResDAC and Completing Paperwork
- Receiving, Decrypting, and Loading Medicare Administrative Claims and Enrollment Data
- Algorithms: Transforming Base Claim and Line Level Data Sets into Single Claim-Level Files
- Chapter Summary
- Chapter 6: Working with Enrollment Data
- Chapter 7: Measuring Utilization of Services
- Introduction and Goals
- Review and Approach
- Algorithms: Delimit Claims by Continuously Enrolled Beneficiary Population
- Algorithms: Measuring Evaluation and Management (E&M) Utilization
- Algorithms: Measuring Inpatient Hospital Utilization
- Algorithms: Measuring Emergency Department Utilization
- Algorithms: Measuring Utilization of Ambulance Services
- Algorithms: Measuring Outpatient Visit Information
- Algorithms: Measuring Utilization of SNF, Home Health Agency, and Hospice Care
- Chapter Summary
- Exercises
- Chapter 8: Measuring Costs to Medicare
- Chapter 9: Programming to Identify Chronic Conditions
- Introduction and Goals
- Review and Approach
- Algorithms: Identifying Beneficiaries with Diabetes or COPD
- Algorithms: Evaluation and Management Visits for Beneficiaries with Diabetes or COPD
- Algorithms: Diabetic Eye Exams for Beneficiaries with Diabetes
- Algorithms: Hospital Readmissions for Beneficiaries with COPD
- Chapter Summary
- Exercises
- Chapter 10: Presenting Output and Project Disposition
- Introduction
- Synthesis – Review and Approach
- Algorithms: Presenting Selected Measurements of Utilization, Cost to Medicare, and Quality Outcomes
- Algorithms: Presenting Inpatient Length of Stay Information by State
- Algorithms: Presenting Mean Medicare Part A Payments per Beneficiary by State and County
- Algorithms: Presenting Rates of Diabetic Eye Exams
- Production Execution in Batch
- Project Disposition
- Chapter Summary
- Exercises
- Index
-
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