U S Department of Health and Human Services www.hhs.gov
  CMS Home > Research, Statistics, Data and Systems > Identifiable Data Files > Hospital Outpatient Prospective Payment System (OPPS)

Hospital Outpatient Prospective Payment System (OPPS)

The file includes data elements such as diagnosis codes, bill type, outlier payments, and service revenue payments that may permit identification of beneficiaries. This file contains select claim level data and is derived from 2007 hospital outpatient PPS claims, updated through June 2008, that is, claims for services furnished on or after January 1, 2007 through December 31, 2007 that were received, processed, paid and passed to the National Claims History file by June 30, 2008. This file includes more than 58 million claims for services paid under the OPPS, including multiple and single claims. The record length is 11,783, blocksize is 32,760.

This file will be available twice a year. The file for the proposed rule for the annual OPPS update should be available by late spring/early summer, and the file for the final rule should be ready for release within a month of publication of the final rule.

Media: DVD
Cost: $3,000
Available: Final 2009

All requests for identifiable data must be developed and reviewed with the assistance of the Research Data Assistance Center (ResDAC), who may be contacted at www.resdac.umn.edu or at resdac@umn.edu.

Once your data request has been reviewed by ResDAC, the final request can be sent to the Centers for Medicare & Medicaid Services (CMS) as directed by ResDAC.

Downloads

Record Layout [PDF, 40 KB]
Related Links Inside CMS

Research Data Assistance Center (ResDAC)
Related Links Outside CMSExternal Linking Policy

There are no Related Links Outside CMS

 

Page Last Modified: 04/22/2009 10:58:09 AM
Help with File Formats and Plug-Ins

Submit Feedback




www4