Profile Definitions and Methodology

Medicare Information

HCRIS format
Close Window

Administrative Information

Fiscal Year Ending Date

Cost reports are filed annually by facilities according to their individual reporting years. The Healthcare Cost Report Information System (HCRIS) dataset contains the most recent version (i.e. as submitted, settled, reopened) of each cost report filed since federal FY 1996.

Fiscal Intermediary

Medicare Fiscal Intermediaries (FIs) are private insurance companies that serve as the federal government's agents in the administration of the Medicare program, including the payment of claims.  The name of the FI is obtained from a facility's most recent Medicare cost report.

Certifications

Provider Number

All facilities that participate in the Medicare program are assigned a federal Medicare Provider Number.  This number identifies a facility for claim processing, cost reporting etc.

National Provider Identifier (NPI)

The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated the adoption of a standard unique identifier for health care providers. The National Plan and Provider Enumeration System (NPPES) collects identifying information on health care providers and assigns each a unique National Provider Identifier (NPI). This number is obtained from a facility’s Medicare cost report.

Date Certified

Certification information is taken from the facility’s most recent Medicare cost report (W/S S-2 part I, columns 2-3, lines 4-13).

Day and Discharge Statistics

Beds

Bed size of components is taken from the facility’s most recent Medicare cost report (W/S S-3, part I, column 1, line 8). Categories labeled “Other” are computed from other categories.

Inpatient Days

The number of Inpatient Days by component is taken from the facility’s most recent Medicare cost report (W/S S-3, part I, column 7, line 8). Categories labeled “Other” are computed from other categories.

Discharges

The number of Discharges by component is taken from the facility’s most recent Medicare cost report (W/S S-3, part I, column 12, line 8). Categories labeled “Other” are computed from other categories.

Average Length of Stay

The Average Length of Stay is computed by dividing total Inpatient Days by the total Discharges.

Wage Index Information

Direct Care

Salary information for Direct Care is taken from the facility’s most recent Medicare Cost Report (W/S S-3, part II, columns 3-5, lines 13-22).

Overhead

Salary information for Overhead is taken from the facility’s most recent Medicare Cost Report (W/S S-3, part III, columns 3-5, lines 1-14).