R/data.R

In cms: Calculate Medicare Reimbursement

#' Locality dictionary for 2020 Physician Fee Schedule
#' 
#' 
#' Asterisk indicates that payment locality is serviced by two carriers.
#' 
#' @format data frame with 113 rows and 5 columns:
#' \describe{
#'   \item{Carrier Number}{character; 5-digit carrier ID}
#'   \item{Locality}{character; 2-digit locality ID}
#'   \item{State}{character; uppercase, full U.S. state name}
#'   \item{Fee Schedule Area}{character; description of fee schedule area}
#'   \item{Counties}{character; counties included in Fee Schedule Area}
#' }
#' @source \url{https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/Locality}
"locality_dict"


#' 2020 Physician Fee Schedule, Ohio
#' 
#' 
#' @format data frame with 8994 rows and 15 columns:
#' \describe{
#'   \item{Year}{numeric; 4-digit year}
#'   \item{Carrier Number}{character; 5-digit carrier ID}
#'   \item{Locality}{character; 2-digit locality ID}
#'   \item{HCPCS Code}{character; CPT or level 2 HCPCS code for procedure}
#'   \item{Modifier}{factor; payment schedule modifier}
#'   \item{PCTC Indicator}{character; Professional Component/Technical Component
#'   Indicator}
#'   \item{Status Code}{character; Medicare status code (e.g. A = Active code)}
#'   \item{Multiple Surgery Indicator}{character; indicator of payment
#'   adjustment rules for multiple procedures}
#'   \item{50\% Therapy Reduction Amount (non-institutional)}{numeric; multiple
#'   procedure therapy reduction amount (non-institutional)}
#'   \item{50\% Therapy Reduction Amount (institutional)}{numeric; multiple
#'   procedure therapy reduction amount (institutional)}
#'   \item{OPPS Indicator}{character; indicator as to whether Outpatient
#'   Prospective Payment System applies}
#'   \item{Facility Fee}{numeric; reimbursement for procedure performed in a
#'   facility setting} 
#'   \item{Non-Facility Fee}{numeric; reimbursement for procedure performed in a
#'   non-facility setting}
#'   \item{OPPS Facility Fee}{numeric; reimbursement for procedure performed in
#'   a facility setting if OPPS applies} 
#'   \item{OPPS Non-Facility Fee}{numeric; reimbursement for procedure performed 
#'   in a non-facility setting if OPPS applies}
#' }
#' @source \url{https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/PFS-National-Payment-Amount-File}
"mpfs20_oh"