{"identifier":"9f772bbe-e834-4ef1-9a8d-e783b76e0196","data":{"title":"Value Modifier Data Dictionary","fields":[{"name":"practice_id","label":"Unique identifier of practice","description":"Unique identifier of practice\n\u00a0"},{"name":"state","label":"Location (state) of practice","description":"State in which practice is located"},{"name":"num_eps_vm","label":"Practice EP count category","description":"Practice eligible professional count category. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\n\n0 EPs=Zero eligible professionals.\n\t1-9 EPs=One to nine eligible professionals.\n\t10 to 99 EPs=10 to 99 eligible professionals.\n\t100+ EPs=100 or more eligible professionals.\n\t\u00a0\n"},{"name":"mssp","label":"Practice enrolled in MSSP","description":"Indicator for whether practice was a Medicare Shared Savings Program Accountable Care Organization practice in the performance year. Value equals 1 if practice was a Medicare Shared Savings Program Accountable Care Organization practice in the performance year. If not, the value equals 0.","comment":"This variable can be found only in the data for performance years 2015 and 2016."},{"name":"gpro","label":"GPRO practice","description":"Indicator for whether practice registered to report data to the PQRS via the Group Practice Reporting Option (GPRO). Value equals 1 if practice registered to report data to the PQRS via the Group Practice Reporting Option (GPRO). If not, the value equals 0."},{"name":"elig_up_adjust","label":"Eligible for high-risk bonus adjustment","description":"Indicator for whether practice eligible for additional upward payment adjustment for treating disproportionate share of high-risk beneficiaries.\n\nN\/A=Practice did not meet minimum PQRS reporting requirements in the performance year.\n\tEligible=Practice eligible for additional upward payment adjustment for treating disproportionate share of high-risk beneficiaries.\n\tNot Eligible=Practice not eligible for additional upward payment adjustment for treating disproportionate share of high-risk beneficiaries.\n"},{"name":"category","label":"Practice met minimum PQRS reporting requirements","description":"Practice met minimum PQRS reporting requirements in the performance year.\n\nCAT1=Practice subject to the Value Modifier and met minimum \u00a0PQRS reporting requirements in the performance year.\n\tCAT2=Practice subject to the Value Modifier and did not meet minimum PQRS reporting requirements in the performance year.\n"},{"name":"vm_payment_adj","label":"Value Modifier payment adjustment","description":"Value Modifier payment adjustment for practices subject to the Value Modifier.\n\nAF=Adjustment Factor\n\t\u00a0\n"},{"name":"updated_vm","label":"Updated Value Modifier payment adjustment","description":"Value Modifier payment adjustment, incorporating Informal Review change, if applicable.\n\nAF=Adjustment Factor\n"},{"name":"cost_comp_tier_text","label":"Cost Composite Tier: High, Average, Low, N\/A","description":"Cost Composite Tier value determined based on Cost Composite Score (High, Average, Low, N\/A). \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\n\nN\/A*=Practice did not meet minimum PQRS reporting requirements in the performance year.\n\tLow=Practice\u0027s Cost Composite Score is at least one standard deviation below benchmark and statistically significantly different from benchmark.\n\tAverage*=Practice\u0027s Cost Composite Score is less than one standard deviation away from the benchmark, practice\u0027s Cost Composite Score is at least one standard deviation from benchmark but not statistically significantly different from benchmark, or practice does not have at least minimum number of eligible cases for any cost measures included in Cost Composite.\n\tHigh=Practice\u0027s Cost Composite Score is at least one standard deviation above benchmark and statistically significantly different from benchmark.\n\t\u00a0\n","comment":"*For performance year 2013, N\/A=For Category 2 (CAT2) practices: practice did not meet minimum 2013 PQRS reporting requirements. For Category 1 (CAT1) practices: (1) practice did not elect to be assessed via quality-tiering or (2) practice did not have sufficient data for a Quality Composite Score or Cost Composite Score to be calculated (that is, practice\u0027s Cost and\/or Quality Composite Score is at least one standard deviation from benchmark but not statistically significantly different from benchmark, or practice does not have at least minimum number of eligible cases for any measures included in Cost and\/or Quality Composite).\n\nAverage=Practice\u0027s Cost Composite Score is less than one standard deviation away from the benchmark.\n\t\u00a0\n"},{"name":"qual_comp_tier_text","label":"Quality Composite Tier: High, Average, Low, N\/A","description":"Quality Composite Tier value determined based on Quality Composite Score (High, Average, Low, N\/A).\n\nN\/A*=Practice did not meet minimum PQRS reporting requirements in the performance year.\n\tLow=Practice\u0027s Quality Composite Score is at least one standard deviation below benchmark and statistically significantly different from benchmark.\n\tAverage*=Practice\u0027s Quality Composite Score is less than one standard deviation away from the benchmark, practice\u0027s Quality Composite Score is at least one standard deviation from benchmark but not statistically significantly different from benchmark, or practice does not have at least minimum number of eligible cases for any quality measures with prior-year benchmark included in Quality Composite.\n\tHigh=Practice\u0027s Quality Composite Score is at least one standard deviation above benchmark and statistically significantly different from benchmark.\n\t\u00a0\n","comment":"*For performance year 2013, N\/A=For Category 2 (CAT2) practices: practice did not meet minimum 2013 PQRS reporting requirements. For Category 1 (CAT1) practices: (1) practice did not elect to be assessed via quality-tiering or (2) practice did not have sufficient data for a Quality Composite Score or Cost Composite Score to be calculated (that is, practice\u0027s Cost and\/or Quality Composite Score is at least one standard deviation from benchmark but not statistically significantly different from benchmark, or practice does not have at least minimum number of eligible cases for any measures included in Cost and\/or Quality Composite).\n\nAverage=Practice\u0027s Quality Composite Score is less than one standard deviation away from the benchmark.\u00a0\n\t\u00a0\n"},{"name":"zb_cost_cmpscr_pool_rnd","label":"(Rounded) Standardized Cost Composite Score","description":"Standardized Cost Composite Score, rounded to the nearest 0.01\n\u00a0"},{"name":"zb_qual_cmpscr_pool_rnd","label":"(Rounded) Standardized Quality Composite Score","description":"Standardized Quality Composite Score, rounded to the nearest 0.01","comment":"For performance year 2016, these scores do not reflect a negligible change to some practices\u2019 30-day All-Cause Hospital Readmission rate that did not change the Value Modifier payment adjustment for any but one practice."}]}}