Hospital CHOW Data Dictionary

Transcription

Hospital CHOW Data DictionaryTerm NameNameBuyer (NewOwner) Enrollment ENROLLMENT ID - BUYERIDBuyer EnrollmentState CodeBuyer Type CodeBuyer TypeDescriptionBuyer NPIDescriptionProvider enrollment ID from PECOS databaseused to link across tables. An Enrollment ID is a15-digit unique alphanumeric identifier that isassigned to each new provider enrollmentapplication. All enrollment-level information (e.g.,enrollment type, enrollment state, providerspecialty and reassignment of benefits) is linkedthrough the Enrollment ID.Provider enrollment application andenrollment specialty type of the buyer/newowner, see State reference table forENROLLMENT STATE - BUYER description of values.Provider enrollment application and enrollmentspecialty type description of the buyer/newowner, see Provider Type reference table forPROVIDER TYPE CODE - BUYERdescription of values.Provider enrollment application and enrollmentspecialty type description of the buyer/newowner, see Provider Type reference table forPROVIDER TYPE TEXT - BUYERdescription of values.NPI - BUYERBuyer Multiple NPIMULTIPLE NPI FLAG - BUYERFlagBuyer/new owner's National Provider Identifier(NPI). An NPI is a 10-digit unique numericidentifier that all providers must obtain beforeenrolling in Medicare. It is assigned to health careproviders upon application through theNational Plan and Provider Enumeration System(NPPES). If a buyer/new owner has more than onNPI, then one NPI is displayed in this field and theadditional NPIs are displayed in the HospitalCHOW NPIs file.Indicates if the buyer/new owner has more thanone NPI (Y/N). If so, the additional NPIs aredisplayed in the Hospital CHOW NPIs file.TypeLengthCHAR15CHAR2CHAR5CHAR220CHAR10CHAR1

Term NameNameDescriptionTypeLengthBuyer/new owner's CMS Certification Number(CCN), formerly called an OSCAR Number.Buyer CCNBuyer PECOSAssociateControl (PAC) IDCCN - BUYERASSOCIATE ID - BUYERBuyerOrganizationNameORGANIZATION NAME BUYERBuyer DoingBusiness asNameDOING BUSINESS AS NAME- BUYERChange ofOwnership TypeCodeChange ofOwnership TypeDescriptionChange ofOwnershipEffective DateCHOW TYPE CODECHOW TYPE TEXTEFFECTIVE DATEProvider associate level variable (PAC ID) fromPECOS database used to link across tables. APAC ID is a 10-digit unique numeric identifierthat is assigned to each individual ororganization in PECOS. All entity-levelinformation (e.g., tax identification numbersand organizational names) is linked throughthe PAC ID. A PAC ID may be associated withmultiple Enrollment IDs if the individual ororganization enrolled multiple times underdifferent circumstances.Legal Business Name (LBN) of the 0NUM8Doing Business As (DBA) Name of thebuyer/new owner.Indicates whether the associated informationis related to a change of ownership,acquisition/merger, or consolidation. SeeCHOW Type reference table for descriptionof values.Change of Ownership type description, seeCHOW Type reference table for descriptionof values.Date the change of ownership.(CHOW),acquisition/merger, or consolidation iseffective. This date can be past, present, orfuture. Only CHOWs with an effective date onor after 1/1/2016 are included in the HospitalCHOW file.

Term NameNameDescriptionSellerEnrollment IDENROLLMENT ID - SELLERSellerEnrollmentState CodeENROLLMENT STATE SELLERProvider enrollment ID from PECOS databaseused to link across tables. An Enrollment ID isa 15-digit unique alphanumeric identifier thatis assigned to each new provider enrollmentapplication. All enrollment-level information(e.g., enrollment type, enrollment state,provider specialty and reassignment ofbenefits) is linked through the Enrollment ID.Seller/former owner's enrollmentstate, abbreviated location, see Statereference table for description ofvalues.PROVIDER TYPE CODE SELLERProvider enrollment application andenrollment specialty type of the seller/formerowner, see Provider Type reference table fordescription of values.Seller TypeCodeSeller TypeDescriptionPROVIDER TYPE TEXT SELLERSeller NPINPI - SELLERSeller MultipleNPI FlagMULTIPLE NPI FLAG - SELLERSeller CCNCCN - SELLERProvider enrollment application andenrollment specialty type description of theseller/former owner, see Provider Typereference table for description of values.Seller/former owner's National ProviderIdentifier (NPI). An NPI is a 10-digit uniquenumeric identifier that all providers mustobtain before enrolling in Medicare. It isassigned to health care providers uponapplication through theNational Plan and Provider EnumerationSystem (NPPES). If a seller/former owner hasmore than on NPI, then one NPIis displayed in this field and the additional NPIsare captured in the Hospital CHOW NPIs file.Indicates if the seller/former owner has morethan one NPI (Y/N). If so, the additional NPIsare displayed in the Hospital CHOW NPIs file.Seller/former owner's CMS CertificationNumber (CCN), formerly called an 0CHAR1CHAR15

Term NameSeller PECOSAssociateControl IDSellerOrganizationNameSeller DoingBusiness asNameNameASSOCIATE ID - SELLERORGANIZATION NAME SELLERDOING BUSINESS AS NAME- SELLERDescriptionProvider associate level variable (PAC ID)from PECOS database used to link acrosstables. A PAC ID is a 10-digit unique numericidentifier that is assigned to each individualor organization in PECOS. All entity-levelinformation (e.g., tax identification numbersand organizational names) is linked throughthe PAC ID. A PAC ID may be associated withmultiple Enrollment IDs if the individual ororganization enrolled multiple times underdifferent circumstances.Legal Business Name (LBN) of theseller/former owner.Doing Business As (DBA) Name of theseller/former owner.TypeLengthCHAR10CHAR70CHAR150

State Reference SCDescriptionAlaskaAlabamaArkansasAmerican SamoaArizonaCaliforniaColoradoConnecticutDistrict of MarylandMaineMichiganMinnesotaMissouriMariana Islands,NorthernMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoPalauRhode IslandSouth Carolina

SDTNTXUTVAVIVTWAWIWVWYValueDescriptionSouth DakotaTennesseeTexasUtahVirginiaVirgin IslandsVermontWashingtonWisconsinWest VirginiaWyoming

Provider Type Reference TableValueDescription00-00PART A PROVIDER - RELIGIOUS NON-MEDICAL HEALTH CARE INSTITUTION 1000-1300-1400-1700-1800-1900-85PART A PROVIDER - COMMUNITY MENTAL HEALTH CENTERPART A PROVIDER - COMPREHENSIVE OUTPATIENT REHABILITATION FACILITYPART A PROVIDER - END-STAGE RENAL DISEASE FACILITY (ESRD)PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)PART A PROVIDER - HISTOCOMPATIBILITY LABORATORYPART A PROVIDER - HOME HEALTH AGENCYPART A PROVIDER - HOSPICEPART A PROVIDER - HOSPITALPART A PROVIDER - INDIAN HEALTH SERVICES FACILITYPART A PROVIDER - ORGAN PROCUREMENT ORGANIZATION (OPO)PART A PROVIDER - OUTPATIENT PHYSICAL THERAPY/OCCUPATIONAL THERAPY/SPEECH PATHOLOGY SERVICEPART A PROVIDER - RURAL HEALTH CLINICPART A PROVIDER - SKILLED NURSING FACILITYPART A PROVIDER - OTHERPART A PROVIDER - CRITICAL ACCESS HOSPITAL

CHOW Type Code Reference e of OwnershipConsolidation

Owner Role Code Reference % OR MORE OWNERSHIP INTERESTPARTNERCONTRACTED MANAGING EMPLOYEE5% OR GREATER DIRECT OWNERSHIP INTEREST5% OR GREATER INDIRECT OWNERSHIP INTEREST5% OR GREATER MORTGAGE INTEREST5% OR GREATER SECURITY INTERESTGENERAL PARTNERSHIP INTERESTLIMITED PARTNERSHIP INTERESTOFFICERDIRECTORW-2 MANAGING EMPLOYEEOPERATIONAL/MANAGERIAL CONTROLOTHER

NPI - BUYER ; Buyer/new owner's National Provider Identifier (NPI). An NPI is a 10-digit unique numeric identifier that all providers must obtain before enrolling in Medicare. It is assigned to health care providers upon application through the National Plan and Provider Enumeration System (NPPES). If a buyer/new owner has more than on