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
HCRIS assigned cost report
specific number.
NUMBER NOT NULL Report Record 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

NUMBER NOT NULL Report Record 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
Specification Table
Provider reported alpha data.
HCRIS assigned cost report
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

NUMBER NOT NULL Report Record Number

HCRIS assigned cost report

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 HHA's (7400-7799 series)
Continuation of RHC's (Provider-based) (3400-3499 series)
Continuation of RHC's (Free-Standing) (3800-3974 series)
Continuation of HHA's (8000-8499 series)
Reserved for Future Use