Measure Description
One record for each Skilled Nursing Facility (SNF) encounter. Case effective date is the Encounter Start Date.
Metadata
- Measure Type: Registry
- Temporal Structure: Event
- Component Class: Normal-Form
- Denominator Case Field: Encounter ID
- Target Direction: None
Published Fields
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Data Model Keys
- Encounter ID
- Patient ID
- Encounter Primary Payor ID
- Encounter Primary Plan ID
- Facility Provider ID
- Attending Provider ID
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Date Fields
- Encounter Start Date
- Encounter End Date
- Segment Start Date -- The start date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
- Segment End Date -- The end date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
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Encounter Fields
- Encounter LOS in Elapsed Midnights
- Encounter LOS in Distinct Calendar Days
- Encounter Calendar Days LOS Category Tier 1
- Is LOS in Days > 100
- Is Discharge Status Home or Home with Home Health
- Is Routine Discharge Home
- Is Discharged Home with Home Health
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Diagnosis Fields
- Principal Discharge Diagnosis ICD-10-CM Code
- Principal Discharge Diagnosis ICD-10-CM Description
- Principal Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Code
- Principal Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Description
- Principal Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Code
- Principal Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Description
- Principal Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 2 Code
- Principal Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 2 Description
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Billing and Claims Fields
- CMS Admit Source Code
- CMS Admit Source Description
- CMS Admit Type Code
- CMS Admission Type Description
- CMS Place of Service Code
- CMS Place of Service Description
- CMS Patient Discharge Status Code
- CMS Patient Discharge Status Description
-
Clinical Services Fields
- MS-DRG Code
- MS-DRG Description
- MS-DRG MDC Code
- MS-DRG MDC Description
- Is CMS DRG Medical-Surgical Type Medical
- Is CMS DRG Medical-Surgical Type Surgical
- CMS DRG Weight
- CMS DRG Arithmetic Mean LOS
- CMS DRG Geometric Mean LOS
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Provider Fields
- Facility Provider Description
- Facility Provider Primary NUCC Provider Taxonomy Code
- Facility Provider Primary NUCC Provider Taxonomy Description
- Attending Provider Description
- Attending Provider Primary NUCC Provider Taxonomy Code
- Attending Provider Primary NUCC Provider Taxonomy Description
-
Insurance Fields
- Encounter Primary Payor Description
- Encounter Primary Plan Description
- Encounter Primary Plan Financial Class Description
- Is Encounter Primary Plan Financial Class Commercial
- Is Encounter Primary Plan Financial Class Medicare FFS
- Is Encounter Primary Plan Financial Class Medicare Advantage
- Is Encounter Primary Plan Financial Class Medicaid
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Financial Fields
- Total Plan Paid Amount from All Plans
- Primary Plan Paid Amount
- Primary Plan Allowed Amount
- Patient Paid Amount
- Encounter Total Plan Paid Amount Category
- Is Encounter with Zero Dollar Plan Paid Amount
- Average Calendar Day Plan Paid Amount
- Average Calendar Day Patient Paid Amount
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Location Fields
- Facility Provider Practice Address ZIP Code 5-Digit
- Facility Provider Practice Address State Abbreviation
- Facility Provider Dartmouth Atlas HRR ID
- Facility Provider Dartmouth Atlas HRR Description
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Measure Fields