Book description
SAS Programming with Medicare Administrative Data is the most comprehensive resource available for using Medicare data with SAS. This book teaches you how to access Medicare data and, more importantly, how to apply this data to your research.
Knowing how to use Medicare data to answer common research and business questions is a critical skill for many SAS users. Due to its complexity, Medicare data requires specific programming knowledge in order to be applied accurately. Programmers need to understand the Medicare program in order to interpret and utilize its data.
With this book, you'll learn the entire process of programming with Medicare data—from obtaining access to data; to measuring cost, utilization, and quality; to overcoming common challenges. Each chapter includes exercises that challenge you to apply concepts to real-world programming tasks.
SAS Programming with Medicare Administrative Data offers beginners a programming project template to follow from beginning to end. It also includes more complex questions and discussions that are appropriate for advanced users. Matthew Gillingham has created a book that is both a foundation for programmers new to Medicare data and a comprehensive reference for experienced programmers.
This book is part of the SAS Press program.
Table of contents
- About This Book
- About The Author
- Acknowledgments
- Chapter 1: Introduction
- Chapter 2: An Introduction to the Medicare Program
-
Chapter 3: An Introduction to Medicare Data
- Introduction and Goals of This Chapter
- Part B Carrier Claims Data
- Durable Medical Equipment (DME) Data
- Outpatient Claims Data
- Inpatient Claims Data
- Skilled Nursing Facility (SNF) Claims Data
- Home Health Claims Data
- Hospice Claims Data
- Commonly Retained Elements in Administrative Claims Data
- Master Beneficiary Summary File
- Provider Data
- Example: Identification of Emergency Department (ED) Utilization
- Example: Identification of Surgical Services
- Chapter Summary
- Chapter 4: Planning the Research Programming Project
-
Chapter 5: Request, Receive, Load, and Transform Data
- Introduction
- Requesting Medicare Administrative Claims and Enrollment Data
- Sources of Medicare Claims and Enrollment Data
- Data Available from CMS
- Our Project’s Data Requirements and Request Specifications
- Contacting ResDAC and Completing Paperwork
- Receiving, Decrypting, and Loading Medicare Administrative Claims and Enrollment Data
- Algorithms: Transforming Base Claim and Line Level Data Sets into Single Claim-Level Files
- Chapter Summary
- Chapter 6: Working with Enrollment Data
-
Chapter 7: Measuring Utilization of Services
- Introduction and Goals
- Review and Approach
- Algorithms: Delimit Claims by Continuously Enrolled Beneficiary Population
- Algorithms: Measuring Evaluation and Management (E&M) Utilization
- Algorithms: Measuring Inpatient Hospital Utilization
- Algorithms: Measuring Emergency Department Utilization
- Algorithms: Measuring Utilization of Ambulance Services
- Algorithms: Measuring Outpatient Visit Information
- Algorithms: Measuring Utilization of SNF, Home Health Agency, and Hospice Care
- Chapter Summary
- Exercises
- Chapter 8: Measuring Costs to Medicare
-
Chapter 9: Programming to Identify Chronic Conditions
- Introduction and Goals
- Review and Approach
- Algorithms: Identifying Beneficiaries with Diabetes or COPD
- Algorithms: Evaluation and Management Visits for Beneficiaries with Diabetes or COPD
- Algorithms: Diabetic Eye Exams for Beneficiaries with Diabetes
- Algorithms: Hospital Readmissions for Beneficiaries with COPD
- Chapter Summary
- Exercises
-
Chapter 10: Presenting Output and Project Disposition
- Introduction
- Synthesis – Review and Approach
- Algorithms: Presenting Selected Measurements of Utilization, Cost to Medicare, and Quality Outcomes
- Algorithms: Presenting Inpatient Length of Stay Information by State
- Algorithms: Presenting Mean Medicare Part A Payments per Beneficiary by State and County
- Algorithms: Presenting Rates of Diabetic Eye Exams
- Production Execution in Batch
- Project Disposition
- Chapter Summary
- Exercises
- Index
Product information
- Title: SAS Programming with Medicare Administrative Data, 2nd Edition
- Author(s):
- Release date: May 2014
- Publisher(s): SAS Institute
- ISBN: 9781629591537
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