Data Dictionary

HCRIS Data Dictionary
Null/Not
Null
Table
Column Code
Usage
HOSP_RPT
RPT_REC_NUM
NUMBER NOT NULL Report Record Number
HOSP_RPT
PRVDR_CTRL_TYPE_CD
CHAR(2) NULL
HOSP_RPT
PRVDR_NUM
Title
Provider Control Type Code
CHAR(6) NOT NULL Provider Number
Description
Valid Entries
HCRIS assigned cost report

specific number.
See Provider_Control_Type.xls
for the meanings of the codes
Valid Provider Number defined
as follows: xxyyyy where xx =
State Code and yyyy = Assigned
Provider Number.
HOSP_RPT
RPT_STUS_CD
CHAR(1) NOT NULL Report Status Code
HOSP_RPT
FY_BGN_DT
DATE
NULL
Fiscal Year Begin Date
HOSP_RPT
FY_END_DT
DATE
NULL
Fiscal Year End Date
HOSP_RPT
PROC_DT
DATE
NULL
Process Date
HOSP_RPT
INITL_RPT_SW
CHAR(1) NULL
Initial Report Switch
HOSP_RPT
LAST_RPT_SW
CHAR(1) NULL
Last Report Switch
HOSP_RPT
TRNSMTL_NUM
CHAR(2) NULL
Transmittal Number
Y or N, Y = the last or final cost

report filed for this provider.
The current transmittal number
in effect for each sub-system.
Fiscal Intermediary Number
Provider specific Fiscal

Intermediary Number in effect at 5 Characters from FI
the time of cost report filing.
Listing.
HOSP_RPT
FI_NUM
CHAR(5) NULL
HOSP_RPT
ADR_VNDR_CD
CHAR(1) NULL
Automated Desk Review Vendor Code
HOSP_RPT
FI_CREAT_DT
DATE
Fiscal Intermediary Create Date
HOSP_RPT
HOSP_RPT
UTIL_CD
NPR_DT
CHAR(1) NULL
DATE
NULL
HOSP_RPT
SPEC_IND
HOSP_RPT
FI_RCPT_DT
HOSP_RPT_ALPHNMRC RPT_REC_NUM
NULL
Type of cost report.

Cost Report Fiscal or Calender
Year beginning date.
Cost Report Fiscal or Calender
Year ending date.
The date the cost report was
processed into HCRIS.
Y or N, Y = the first ever cost
report filed for this provider.
1=As Submitted
2=Settled w/o Audit
3=Settled with
Audit 4=Reopened
Vendor for Fiscal Intermediary.

Date the FI created the HCRIS
file.
MM/DD/YYYY
MM/DD/YYYY
MM/DD/YYYY
Y or N
Y or N
2-E&Y
3 - KPMG
4 - HFS
MM/DD/YYYY
L - Low Medicare Util
N - No Medicare
Util F - Full
Medicare Util
MM/DD/YYYY
Level of Medicare utilization of

Utilization Code
filed cost report.
Notice of Program Reimbursement Date Date Provider received NPR.
HCRIS code used for special
purposes.
CHAR(1) NULL
Special Indicator
Date cost report was received by
Fiscal Intermediary.
DATE
NULL
Fiscal Intermediary Receipt Date
MM/DD/YYYY
specific number.
HCRIS Data Dictionary

Table
Column Code
HOSP_RPT_ALPHNMRC WKSHT_CD
HOSP_RPT_ALPHNMRC LINE_NUM
Usage
Null/Not
Null
Title
Description
Valid Entries
CHAR(7) NOT NULL Worksheet Code
Valid worksheet code from Subsystem Worksheet Indicator

Table (Table 2).
Example: Worksheet
S-2 = S200000
CHAR(5) NOT NULL Line Number
Valid Line Number defined as

follows: xxxyy where xxx = Line
Number and yy = Sub-Line
Number
Example: Line 1 =
00100, Line 1.01 =
00101
HOSP_RPT_ALPHNMRC CLMN_NUM
CHAR(4) NOT NULL Column Number
HOSP_RPT_ALPHNMRC ALPHNMRC_ITM_TXT
CHAR(40) NOT NULL Alphanumeric Item Text
HOSP_RPT_NMRC
Valid Column Number defined as

follows: xxyy where xx = Column Example: Column 1 =
Number and yy = Sub-Column
0100, Column 1.01 =
Number
0101
Per HCRIS
Specification Table
Provider reported alpha data.
specific number.
CHAR(7) NOT NULL Worksheet Code
Valid worksheet code from Subsystem Worksheet Indicator

Table (Table 2).
Example: Worksheet
S-2 = S200000
CHAR(5) NOT NULL Line Number
Valid Line Number defined as

follows: xxxyy where xxx = Line
Number and yy = Sub-Line
Number
Example: Line 1 =
00100, Line 1.01 =
00101
HOSP_RPT_NMRC
HOSP_RPT_NMRC
RPT_REC_NUM
WKSHT_CD
LINE_NUM
HOSP_RPT_NMRC
CLMN_NUM
CHAR(4) NOT NULL Column Number
HOSP_RPT_NMRC
ITM_VAL_NUM
NUMBER NOT NULL Item Value Number
Valid Column Number defined as

follows: xxyy where xx = Column Example: Column 1 =
Number and yy = Sub-Column
0100, Column 1.01 =
Number
0101
Per HCRIS
Provider reported numeric data. Specification Table
HOSP_ROLLUP_DATA
RPT_REC_NUM

specific number.
HOSP_ROLLUP_DATA
LABEL
CHAR(30) NOT NULL Label
Valid Label for Rolled Up Data

fields.
HOSP_ROLLUP_DATA
ITEM
NUMBER NOT NULL ITEM
Calculated Data Fields
*Valid Sub-systems:
Simplified Skilled Nursing Facility

Home Health Agency
Hospital
Hospice
End Stage Renal Disease (ESRD)
Skilled Nursing Facility
BHOSP
HHA
HOSP
HOSPC
RNL
HOSP
See
RollUp_Requirements
.xls document for valid
labels.
SSA State Code Table (First and second number of Provider Number)
State_Name
UNKNOWN
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Washington D.C.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
Ssa_State_Cd
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
West Virginia
Wisconsin
Wyoming
California
American Samoa
Guam
Texas
Florida
Other
51
52
53
55
64
65
67
68
99
Numbering Convention for Types of Facilities:

From
0001
0880
0900
1000
1200
1225
1300
1400
1500
1800
1990
2000
2300
2500
2900
3000
3025
3100
3200
3300
3400
3500
3700
3800
3975
4000
4500
4600
4800
4900
5000
6500
6990
7000
7300
7400
7800
8000
8500
8900
9000
9500
To
0879
0899
0999
1199
1224
1299
1399
1499
1799
1989
1999
2299
2499
2899
2999
3024
3099
3199
3299
3399
3499
3699
3799
3974
3999
4499
4599
4799
4899
4999
6499
6989
6999
7299
7399
7799
7999
8499
8899
8999
9499
9999
Type of Facility
Short Term (General and Specialty) Hospitals
Reserved for Hospitals participating in ORD Demo Project
Multiple Hospital Component in a Medical Complex (#'s Retired)
Reserved for Future Use
Alcohol/Drug Hospitals (#'s Retired)
Medical Assistance Facilities
Rural Primary Care Hospitals
Continuation of CMHC's (4900-4999 series)
Hospices
Federally Qualified Health Centers (FQHC)
Religious Non-Medical Health Care Institutions
Long-Term Hospitals (Excluded from PPS)
Chronic Renal Disease Facilities (Hospital Based)
Non-Hospital Renal Disease Treatment Centers
Independent Special Purpose Renal Dialysis Facility
Formerly Tuberculosis Hospitals (#'s Retired)
Rehabilitation Hospitals (Excluded from PPS)
Continuation of Subunits of Nonprofit & Proprietary HHA's (7300-7399 series)
Continuation of CORF's (4800-4899 series)
Children's Hospitals (Excluded from PPS)
Continuation of RHC's (Provider-based) (3975-3999 series)
Renal Disease Treatment Centers (Hospital Satellites)
Hospital Based Special Purpose Renal Dialysis Facility
Rural Health Clinics (Free Standing)
Rural Health Clinics (Provider Based)
Psychiatric Hospitals (Excluded from PPS)
Comprehensive Outpatient Rehabilitation Facilities
Community Mental Health Centers
Continuation of CORF's (4500-4599 series)
Continuation of CMHC's (4600-4799 series)
Skilled Nursing Facilities
Outpatient Physical Therapy Services/Speech Pathology Services
Skilled Nursing Services (Religious)
Home Health Agencies
Subunits of "Nonprofit" and "Proprietary" HHA's
Continuation of HHA's (7000-7299 series)
Subunits of State and Local Governmental HHA's
Continuation of RHC's (Provider-based) (3400-3499 series)
Continuation of RHC's (Free-Standing) (3800-3974 series)
Reserved for Future Use

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HCRIS Data Dictionary

NUMBER NOT NULL Report Record Number

Provider Control Type Code

CHAR(6) NOT NULL Provider Number

HCRIS assigned cost report

CHAR(1) NOT NULL Report Status Code

Fiscal Year Begin Date

Fiscal Year End Date

Initial Report Switch

Last Report Switch

Y or N, Y = the last or final cost

Fiscal Intermediary Number

Provider specific Fiscal

Automated Desk Review Vendor Code

Fiscal Intermediary Create Date

Type of cost report.

Vendor for Fiscal Intermediary.

Level of Medicare utilization of

HCRIS Data Dictionary

CHAR(7) NOT NULL Worksheet Code

Valid worksheet code from Subsystem Worksheet Indicator

CHAR(5) NOT NULL Line Number

Valid Line Number defined as

CHAR(4) NOT NULL Column Number

CHAR(40) NOT NULL Alphanumeric Item Text

NUMBER NOT NULL Report Record Number

Valid Column Number defined as

CHAR(7) NOT NULL Worksheet Code

Valid worksheet code from Subsystem Worksheet Indicator

CHAR(5) NOT NULL Line Number

Valid Line Number defined as

CHAR(4) NOT NULL Column Number

NUMBER NOT NULL Item Value Number

Valid Column Number defined as

NUMBER NOT NULL Report Record Number

HCRIS assigned cost report

CHAR(30) NOT NULL Label

Valid Label for Rolled Up Data

NUMBER NOT NULL ITEM

Calculated Data Fields

Simplified Skilled Nursing Facility

Numbering Convention for Types of Facilities:

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