sas programming with medicare administrative data：sas编程与医保管理数据_推荐.pdfVIP

From SAS® Programming with Medicare Administrative Data . Full book available for purchase here. Contents About This Book ix About The Author xiii Acknowledgments xv Chapter 1: Introduction 1 Introduction and Purpose of This Book 1 Framework of This Book 2 Our Programming Project 3 Chapter Outline 5 How to Use This Book 6 Disclaimer 7 Chapter Summary 8 Chapter 2: An Introduction to the Medicare Program 9 Introduction and Goals of the Chapter 9 An Introduction to the Medicare Program 10 What is Medicare? 10 Medicare Enrollment and Eligibility 11 What Is Covered by Medicare? 11 What Is Not Covered by Medicare? 12 The Mechanics of Medicare 13 Chapter Summary 15 Chapter 3: An Introduction to Medicare Data 17 Introduction and Goals of This Chapter 17 A Note on the Source and Structure of Our Claims Data 18 Part B Carrier Claims Data 19 Durable Medical Equipment (DME) Data 19 iv Outpatient Claims Data 20 Inpatient Claims Data 20 Skilled Nursing Facility (SNF) Claims Data 21 Home Health Claims Data 21 Hospice Claims Data 22 Commonly Retained Elements in Administrative Claims Data 22 Master Beneficiary Summary File 24 Provider Data 24 Example: Identification of Emergency Department (ED) Utilization 25 Example: Identification of Surgical Services 26 Chapter Summary 26 Chapter 4: Planning the Research Programming Project29 Introduction and Goals of This Chapter 29 Our Project’s Plan: The SDLC 30 Our Project’s High-Level Requirements 32 Our Project’s Quality Assurance Plan 33 Our Project’s Flowchart 33 Our Project’s Data Storage and LIBNAMES 35 Our Research Programming Technical Specifications 36 Chapter Summary 37 Chapter 5: Request, Receive, Load, and Transform Data 39 Introduction 39 Requesting Medicare Administrative Claims and Enrollment Data 40 Sources of Medicare Claim