Medicare Encounter Data for Research

Details

The Medicare Encounter data workshop is an introductory-level, didactic+interactive workshop, delivered virtually via Zoom, which will walk attendees through information on the Medicare Adantage program, creation of data files, and Medicare enrollment data and encounter data from clinical visits, hospitalizations, and other care covered under the Medicare program. Its content consists of several segments, as well as some preparatory 'homework' video segments and materials for those needing more background.

Presenters are expert CMS and Medicare data users and have taught similar workshops for several years; they will present material in regular presentations, through activities, and help in question-and-answer sessions.

Coming in summer 2027
Official dates will be announced soon.

Workshop Segments

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Workshop Segments

Pre-recorded

  • Using Health Care Billing Data for Research: Opportunities and Limitations
  • Introduction to Health Care Billing Coding Systems
  • Medicare Enrollment Data: Using the MBSF for Enrollment and Demographic Information
  • Resources for Defining Measures in Traditional Medicare Research Files
  • Creating an Analytic File

In-person

  • Traditional Medicare: Policy and Population Impacts on Research
  • Structure of Traditional Medicare Research Files: How They Were Created and How They Fit Together
  • Medicare Enrollment Data: Using the MBSF and Plan Characteristics Data for Managed Care Plan Enrollment
  • Hands-on Data Use: Defining a Denominator and Applying Plan Characteristics
  • Medicare Encounter Inpatient File: Identifying Hospitalizations and Associated Data in the Inpatient File
  • Hands-on Data Use: Measuring Hospitalization and Rehospitalization
  • Medicare Encounter Post-Acute Care Files: Skilled Nursing, Home Health and Hospice
  • Hands-on Data Use: Measuring Post-Acute Care
  • Medicare Encounter Part B Files: Outpatient, Carrier, DME (and some Home Health)
  • Hands-on Data Use: Measuring Surgery and Evaluation and Management
  • How to Overcome the Lack of Charges and Payments in Medicare Encounter Research Files
  • Thinking about Medicare Advantage Data Quality
  • Applied Topics: (examples) Comorbidities, Economic Studies
  • Hands-on Data Use: Building a Model
  • Research Design and Considerations when Requesting Medicare Encounter Research Data, Including Linkages