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SAS® Programming
with Medicare Administrative Data
Matthew Gillingham
The correct bibliographic citation for this manual is as follows: Gillingham, Matthew. 2014. SAS® Programming with Medicare Administrative Data. Cary, NC: SAS Institute Inc.
SAS® Programming with Medicare Administrative Data
Copyright © 2014, SAS Institute Inc., Cary, NC, USA
ISBN 978-1-62959-153-7
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April 2014
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Contents
Introduction and Purpose of This Book
Chapter 2: An Introduction to the Medicare Program
Introduction and Goals of the Chapter
An Introduction to the Medicare Program
Medicare Enrollment and Eligibility
What Is Not Covered by Medicare?
Chapter 3: An Introduction to Medicare Data
Introduction and Goals of This Chapter
A Note on the Source and Structure of Our Claims Data
Durable Medical Equipment (DME) Data
Skilled Nursing Facility (SNF) 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