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    HCPCS Crosswalk for Medicare Cost Drug and Average Sales Price Part B

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    Deployed on AWS
    This data package contains the Healthcare Common Procedure Coding System (HCPCS) Crosswalk for Medicare Cost Drug and Average Sales Price Part B by Centers for Medicare and Medicaid Services (CMS).

    Overview

    Overview

    This data package contains the information of Healthcare Common Procedure Coding System (HCPCS) Crosswalk Medicare Cost AWS Drug Code and Drug Price NOC NDC PartB Drug and average sale price Drug Code for October 2019. This also shows the HCPCS Medicare Outpatient Prospective Payment PartB NDC and Average Sale Price Payment Allowance Limit PartB Drugs by the Centers for Medicare and Medicaid Services. The Medicare Part B payment limits for valid HCPCS codes that are not included in the quarterly ASP pricing files will be determined by the local Medicare contractor.


    License Information

    The use of John Snow Labs datasets is free for personal and research purposes. For commercial use please subscribe to the Data Library  on AWS. The subscription will allow you to use all John Snow Labs datasets and data packages for commercial purposes.


    Metadata

    DescriptionValue
    Data Package ComplexitySimple
    Available EnrichmentsN/A
    KeywordsCost Of Medicare, Price Prescription, Drug Schedules, Drug Prices, AWP Crosswalks, Ambulatory Services to Support
    Other TitlesAverage Sales Pricing Payment Allowance Limit for Part B Drugs, Drug and Biological Pricing Data and Information, AWP based Medicare Part B Payments

    Included Datasets

    1. Average Sale Price Payment Allowance Limit PartB Drugs

    The ASP (Average Sale Price) crosswalks are maintained by the Division of Ambulatory Services to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs - National Drug Code) are assigned to which Healthcare Common Procedure Coding System (HCPCS) billing codes.

    1. HCPCS Crosswalk Medicare Cost AWP Drug Code PartB Drug

    The AWP (Average Wholesale Price) crosswalks are maintained by the Division of Ambulatory Services to support Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs- National Drug Code) are assigned to which - National Drug Code billing codes.

    1. HCPCS Crosswalk Medicare Drug Price NOC NDC PartB Drug

    The ASP (Average Sale Price) crosswalks are maintained by the Division of Ambulatory Services to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public understand which drug products (identified by NDCs- National Drug Code) are assigned to which Healthcare Common Procedure Coding System (HCPCS) billing codes.

    1. HCPCS Medicare Average Sale Price Drug Code PartB Drug

    The ASP (Average Sale Price) crosswalks are maintained by the Division of Ambulatory Services to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs- National Drug Code) are assigned to which Healthcare Common Procedure Coding System (HCPCS) billing codes.

    1. HCPCS Medicare Outpatient Prospective Payment PartB NDC

    The ASP (Average Sale Price) crosswalks are maintained by the Division of Ambulatory Services to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs- National Drug Code) are assigned to which Healthcare Common Procedure Coding System (HCPCS) billing codes.


    Data Engineering Overview

    We deliver high-quality data

    • Each dataset goes through 3 levels of quality review
      • 2 Manual reviews are done by domain experts
      • Then, an automated set of 60+ validations enforces every datum matches metadata & defined constraints
    • Data is normalized into one unified type system
      • All dates, unites, codes, currencies look the same
      • All null values are normalized to the same value
      • All dataset and field names are SQL and Hive compliant
    • Data and Metadata
      • Data is available in both CSV and Apache Parquet format, optimized for high read performance on distributed Hadoop, Spark & MPP clusters
      • Metadata is provided in the open Frictionless Data standard, and its every field is normalized & validated
    • Data Updates
      • Data updates support replace-on-update: outdated foreign keys are deprecated, not deleted

    Our data is curated and enriched by domain experts

    Each dataset is manually curated by our team of doctors, pharmacists, public health & medical billing experts:

    • Field names, descriptions, and normalized values are chosen by people who actually understand their meaning
    • Healthcare & life science experts add categories, search keywords, descriptions and more to each dataset
    • Both manual and automated data enrichment supported for clinical codes, providers, drugs, and geo-locations
    • The data is always kept up to date – even when the source requires manual effort to get updates
    • Support for data subscribers is provided directly by the domain experts who curated the data sets
    • Every data source’s license is manually verified to allow for royalty-free commercial use and redistribution.

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    About Us

    John Snow Labs , an AI and NLP for healthcare company, provides state-of-the-art software, models, and data to help healthcare and life science organizations build, deploy, and operate AI projects.

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    Delivery method

    Deployed on AWS
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    HCPCS Crosswalk for Medicare Cost Drug and Average Sales Price Part B

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    Usage information

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    Delivery details

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    Additional details

    Data sets (5)

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    You will receive access to the following data sets.

    Data set name
    Type
    Historical revisions
    Future revisions
    Sensitive information
    Data dictionaries
    Data samples
    Average Sale Price Payment Allowance Limit PartB Drugs
    All historical revisions
    All future revisions
    Not included
    HCPCS Crosswalk Medicare Cost AWP Drug Code PartB Drug
    All historical revisions
    All future revisions
    Not included
    HCPCS Crosswalk Medicare Drug Price NOC NDC PartB Drug
    All historical revisions
    All future revisions
    Not included
    HCPCS Medicare Average Sale Price Drug Code PartB Drug
    All historical revisions
    All future revisions
    Not included
    HCPCS Medicare Outpatient Prospective Payment PartB NDC
    All historical revisions
    All future revisions
    Not included

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