Overview
The Explore page for Marketscape Insights for HME/Infusion has seven different tabs - six tabs for different referrer types and one tab for billing Organizations. This article covers the Skilled Nursing tab.
Select the tab you want to open by clicking on the text in the tab.
Each tab will display different metrics, and some of the available features on the page will change.
For an overview of the features and tools on the Explore page, see The Explore page.
In this article
Filters
The following filters are available under the Skilled Nursing tab.
In short, the filters allow you to find skilled nursing facilities with metrics that align with specific parameters of interest to you.
In most cases, you will start by setting the Code Set filter and then you will set the Location filter. For some users you will only have access to a single code set, which will save you a step.
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Code Set - If your company specializes in providing specific services or products, by using the Code Set filter, you can limit the table to skilled nursing facilities that align with the correct code set(s) of interest.
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Location - In almost every instance of using the Explore page, set the location filters to limit the table to skilled nursing facilities in a specific territory. You can choose any number of locations, including, for example, two counties or cities in adjacent different states.
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You can select multiple code sets at the same time. For more information on how to use filters effectively, see Filters - Overview and Strategy.
Understanding the Metrics
The table below includes a brief definition of the columns in the Explore page table for the selected tab.
The following image shows all possible metrics in the Skilled Nursing Explore table.
Metric name |
Description |
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| Skilled Nursing Facility Name |
The skilled nursing facility's name - taken from the NPPES database.
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| NPI | The skilled nursing facility's NPI - taken from the NPPES database. | |
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Street Address/City/County/ State/ZIP Code/Telephone |
Information in these columns is taken from the NPPES database from the Primary Practice Address section.
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| Star Rating - Quality | This column displays the Star Rating for the skilled nursing facility in the row. The CMS five-star quality rating system measures the experiences Medicare beneficiaries have with their health plan and health care system on a scale of 1 to 5 stars, with 5 being the highest quality | |
| Code Set | The listed HME/Infusion code set is based on a list of HCPCS codes. | |
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Metric Name |
Description |
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Code Set Received: SNF Admit to 30 days post discharge - Patient Count |
The number in this column is the estimated count of distinct patients who had a claim filed with the listed organization NPI from SNF admit to 30 days after discharge from the SNF during the most recent 12 months for the listed code set | |
| Annual Total Patient Count (All Payers) | The count of distinct patients admitted to the skilled nursing facility during the most recent 12 months of data | |
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Annual Medicare Patient Count
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FFS | Count of distinct Medicare FFS patients admitted to the skilled nursing facility during the one-year reporting period |
| MA-20XX | Count of distinct Medicare Advantage patients who were admitted to the skilled nursing facility during the most recent year available from CMS. Complete Medicare Advantage metrics are not available for about 2 years after the claim year. | |
| Average Medicare Days per Stay (FFS) | Average number of Medicare-covered days spent in the skilled nursing facility for patients that completed stays during the one-year reporting period | |
| Average Medicare Daily Census (FFS) | Average number of Medicare FFS patients the listed skilled nursing facility served daily; calculated as sum of Medicare-covered patient days during the one-year reporting period divided by 365 | |
| Highest Affiliated Owner | Name | This column lists the highest affiliated direct owner of the skilled nursing facility displayed in the same row. JV indicates Joint Venture. NP indicates Not for Profit. Additional owner details can be found on the Analyze page. |
| Percentage | Percentage ownership of the highest affiliated direct owner of the skilled nursing facility in the same row. Additional owner details can be found on the Analyze page. | |
| Top Patient Location | State | Top state of residence for Medicare FFS patients who were treated during the one-year reporting period; based on the beneficiary’s state filed on the claim. Additional patient location details can be found on the Analyze page. |
| County | Top county of residence for Medicare FFS patients who were treated during the one-year reporting period; based on the beneficiary’s county filed on the claim. Additional patient location details can be found on the Analyze page. | |
| County Percentage | Percentage of Medicare FFS patients treated during the one-year reporting period associated with the top patient county. Additional patient location details can be found on the Analyze page. | |
| Assigned Users | This column displays any users from your company who have the listed skilled nursing facility assigned to them. | |
The name is a link to open the Analyze page for the selected skilled nursing facility.
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