topic Center for Medicare and Medicaid in SAS Health and Life Sciences

Center for Medicare and Medicaid

xxxxx3 — Sun, 12 May 2019 13:52:50 GMT

Can anyone help me with what is CMS ( Center for Medicare and Medicaid) and what is a SAS Programmer role in using the CMS claims related info?

Center for Medicare and Medicaid

xxxxx3 — Sun, 12 May 2019 13:38:55 GMT

Can anyone help me with what is CMS ( Center for Medicare and Medicaid) and what is a SAS Programmer role in using the CMS claims related info?

Re: Center for Medicare and Medicaid

Doc_Duke — Sun, 12 May 2019 15:32:56 GMT

You can find out about CMS from their web site

https://www.cms.gov/

The site has a tab for statistics and data and that's where the SAS programming can come in.

Re: Center for Medicare and Medicaid

swyatt — Sun, 12 May 2019 15:36:28 GMT

https://www.cms.gov

There are many different programming positions that work with CMS claims data. There are programmers within CMS working with claims data, as well as programmers working with the claims data for payers, providers and vendors after it has left CMS. The SAS programmer's work is usually limited to one or two CMS programs, like Medicare Advantage or any number of the other value-based payment programs. Many of the programs also utilize claims-based HCC risk adjustment which is derived using a CMS published SAS model. SAS programmers are working within CMS on the risk adjustment models and outside of CMS to reconcile CMS risk scoring and assist in technology strategies to improve patient care using claims data, risk scores, appointment data, etc..