centers for medicare and medicaid services woodlawn md restaurants
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Jay Angle, owner of the Salsa Grill on Security Boulevard, said he moved his business to Woodlawn because of the large customer base from the federal agencies. But the economic effect of the agencies goes far beyond their employment numbers and the stores where their employees shop and eat lunch. Their database management and software needs have turned the county into a hotbed for information technology companies.

So do many other Baltimore County businesses. ViPS Inc. Scores of smaller companies also compete for contracts to provide information technology services to the agencies, Cohen said.

These businesses have created a strong job market for workers with computer and information systems skills. The story of how Woodlawn won two federal agencies is a tale of luck and political tenacity.

Established in under President Franklin D. To accommodate the expanding agency's need for space, its offices were moved to Woodlawn, where a large and accessible tract was available, in In the early s, the agency that became CMS proposed establishing a headquarters away from the Social Security Administration campus - where most of its offices had been housed since - but then-Rep.

Helen Delich Bentley led an effort to keep the agency in Woodlawn. Bentley said Baltimore City leaders wanted to move the agency to downtown Baltimore, but she used her position on the House Appropriations Committee to persuade them to give up their efforts. Schmoke], 'I want to remind you that as a member of Congress, I have been very good to the city. The agencies are the fuel for some Woodlawn businesses. At New Kiani's Pizza and Subs, a small carryout and delivery operation tucked into a strip mall at Johnnycake Road and Ingleside Avenue, federal workers make up a majority of customers, said owner Mohammad Ashraf.

Others call for delivery to the headquarters complex. But he said he doesn't worry about the possibility of a shrinking federal workforce in the area because that's out of his control. About two blocks east at Pat's Pizzeria, about 80 percent of the customers in the dining room over lunch are from Social Security, said proprietor Akram Hamed. The restaurant has gained a large following of federal employees, who flood the phone lines in the morning to place delivery orders for later in the day, he said.

But the economic impact is far broader. Trenkle, the chief information officer at CMS, said the agency works aggressively to support the local economy, both through its network of Baltimore-based contractors and in hiring graduates from local universities and colleges. Other federal Woodlawn employees pointed out that they contribute to the economy in the same way private-sector workers do, by shopping in stores throughout the Baltimore area and sending their sons and daughters to local universities.

That's part of the reason state and local officials are working to keep the agencies in the region, particularly as the campus begins to age. Many were alarmed last year when the General Services Administration announced it was moving a Social Security data center along with several hundred jobs from Baltimore County to Frederick County. The GSA, which serves as the federal government's landlord, is conducting a yearlong study of the Social Security complex to assess the agency's future, officials said.

Benjamin L. Cardin, a Maryland Democrat, said he has talked to everyone from the president to officials at GSA and has received "strong assurances" about the government's commitment to maintaining its presence at Woodlawn.

Astrue echoed those assurances in a recent interview, saying the agency is "very committed" to remaining in the area. Nevertheless, Kamenetz said he isn't taking any chances. He has appointed a liaison who meets regularly with federal officials at the agencies.

The county also created an "enterprise zone" last year that provides tax breaks to companies that expand in the area immediately surrounding the federal campuses. Local officials are also promoting Baltimore's planned Red Line project, a The GSA has been promoting the idea that new federal office buildings should be located near mass transit.

There are some early signs of progress from those efforts. A Virginia-based technology company called CSC, which develops software for CMS, recently announced it is expanding its operations in Baltimore County to meet the agency's demands. The company has employees in the county, many of whom were hired in the past year. Alisoun Moore, vice president of CSC's health services division, said the company has been helping the agency prepare for the new health care law, most of which is set to take effect in , and also has been working on the push to computerize medical records called for in the economic stimulus law.

Baltimore Sun reporter Steve Kilar contributed to this article. The top five employers in Baltimore County and the size of their workforces numbers are rounded :. Social Security Administration: 10,

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Each MEDPAR record may represent one claim or multiple claims, depending on the length of a beneficiary's stay and the amount of inpatient services used throughout the stay. Within CMS, data can be released based on a user's "need to know. N Baltimore, Maryland mrappaport cms. In , CMS began administering this nationwide satisfaction survey to Medicare beneficiaries in managed care plans. Each year a cross-section of Medicare managed care enrollees stratified by plan are surveyed to assess their level of satisfaction with access, quality of care, plans' customer services, resolution of complaints, and utilization experience.

In , CMS expanded this effort to include beneficiaries in Medicare fee-for-service. Each year a cross-section of beneficiaries in fee-for-service are given the same CAHPS survey stratified across geographic units designed to match managed care service areas in order to facilitate comparison across delivery systems. One component is a stratum for the Medicare Satisfaction Survey for managed care enrollees discussed above.

The second component assesses beneficiaries' reasons for leaving their Medicare managed care plan. The primary purpose of Medicare CAHPS is to provide information to Medicare beneficiaries to help them make more informed choices among managed care plans. One question on race is included as well. STATUS: Started in , the summary data from round 5 of the Medicare Satisfaction Survey for managed care enrollees, and round 2 of the Medicare Satisfaction Survey for beneficiaries in fee-for-service and disenrollees, are in the process of being uploaded to Medicare Health Plan Compare , a tool on www.

Round 6 of the Medicare Satisfaction Survey for managed care enrollees, and round 3 of the Medicare Satisfaction Survey for beneficiaries in fee-for-service and disenrollees are currently in the field. Plans receive detailed reports describing the findings from the survey. QIO's receive patient-level files and reports for beneficiaries in their area. See also the CMS data website for further information. Each year, additional beneficiaries are added to the file from the EDB to maintain a five percent sample of the total Medicare population.

Once a beneficiary is included in the sample, he or she remains in the file regardless of utilization activity or death. These characteristics are based on data from the midpoint of the year. Since CWF implementation, claims records are used instead of bill and payment records. For further discussion of race data limitations, see Arday, Arday, et. C Baltimore, Maryland mkapp cms. It is the only file that contains only hospice claims.

Included in the file are drugs for symptom control and pain relief, short-term respite care, care in a hospice facility, hospital, or nursing home when necessary, and other services not otherwise covered by Medicare. Home care is also covered. Beneficiaries who elect hospice care are not permitted to use standard Medicare to cover services for the treatment of conditions related to the terminal illness. Standard Medicare benefits are provided, however, for the treatment of conditions unrelated to the terminal illness.

It is a final action claims level file in which all adjustments have been resolved. The Hospice SAF is obtained by processing NCH hospice claims through a series of algorithms designed to match original claims with adjustment claims to resolve all adjustments. Final action data relieves users of the need to account for adjustments and provides a uniform file for analysis purposes. Annual files are created each July for services incurred in the prior calendar year and processed through June of the current year month window.

Current year incurred activity is created after 6 months and then updated quarterly September, December, and March and finalized after 18 months in July. Calendar year files are available beginning in Several options are available for extracting complete files as well as subsets of the files. Record selections can be based on finder files of health insurance claim numbers, diagnosis codes, etc.

DESY provides the option of extracting only those fields necessary a view or the entire file. If released to a CMS contractor or grantee, both must sign a Data Use Agreement that binds the user to protect confidentiality of the data.

Other Federal agencies or outside requestors can receive identifiable data when needed for a project. CMS requires that research protocols be submitted, appropriate data release agreements signed, and fees paid. CMS reviews all study protocols. There are five data files, for each state and year:. A Person Summary File - This file contains one record for each person enrolled in Medicaid in that state and year.

The file includes eligibility information for each month of the year, demographic characteristics of the enrollee and a summary of services received and Medicaid payments, by selected types of covered services.

Files are organized by calendar year and date of service. The number of states included in the database has steadily increased. Therefore, there must be a disclosure exception of the Privacy Act or a routine use in the appropriate Privacy Act System of Records Notice that allows for disclosure of these data. Additionally, a written request, completed Data Use Agreement, evidence of sufficient funding and a copy of an appropriate protocol or study design must be forwarded to CMS.

Finally, if beneficiary names and addresses are being released for the purpose of contacting beneficiaries, a draft Beneficiary Notification Letter is required.

The RAI helps the facility staff to gather definitive information on a resident's strengths and needs that must be addressed in an individualized care plan. It also assists staff to evaluate goal achievement and revise care plans accordingly by enabling the facility to track changes in the resident's status.

MDS contains a core set of screening, clinical and functional assessments elements of the RAI, including common definitions and coding categories, that forms the foundation of the comprehensive assessment for all residents of long term care facilities certified to participate in Medicare or Medicaid. This assessment system provides a comprehensive, accurate, standardized, reproducible assessment of each long-term care facility resident's functional capabilities and helps staff to identify health problems.

MDS has been in use by long term care facilities since to conduct assessments of residents on admission, annually, and when a resident experiences a significant change in status, in addition to abbreviated assessments on a quarterly basis. A final regulation requiring facilities to electronically submit MDS data was published December 23, , with an effective date of June 22, MDS data for all residents of long term care facilities certified to participate in Medicare or Medicaid with an effective date of June 22, , or later, is available from our National Repository and can be disclosed under the Privacy Act of These legal requirements protect the confidentiality of individually identifiable data.

Once approval for release of the data is granted and fees are paid, the data may be obtained from CMS. The data is available on magnetic tape cartridges with a compressed or non-compressed format.

S Baltimore, Maryland KEdrington cms. S population. For each reported case, SEER receives information on month and year of diagnosis, cancer site, patient demographics, extent of disease at diagnosis, therapy received within four months of diagnosis, and follow-up of vital status. SEER data from to have been linked to Medicare enrollment records, using primarily Social Security Number, name, and date of birth.

Medicare claims data are available for linked cases from onward. Over 1 million cancer cases have been linked to Medicare records. Information on race is determined through medical records and provider records. The linkage has been updated three times. Current plans are to update the linkage at three year intervals. Room C Baltimore, Md. The OASIS is a key component of Medicare's partnership with the home care industry to foster and monitor improved home health care outcomes and is proposed to be an integral part of the revised Conditions of Participation for Medicare-certified home health agencies HHAs.

The core data items were refined through several iterations of clinical and empirical research. Other items were added later by a work group of home care experts to augment the outcome data set with selected items deemed essential for patient assessment.

The goal was not to produce a comprehensive assessment instrument, but to provide a set of data items necessary for measuring patient outcomes and essential for assessment. Overall, the OASIS items have utility for outcome monitoring, clinical assessment, care planning, and other internal agency-level applications. OASIS data items encompass sociodemographic, environmental, support system, health status, and functional status attributes of adult nonmaternity patients.

In addition, selected attributes of health service utilization are included. These several different types of attributes should be part of a comprehensive patient assessment, but the OASIS was not developed as a comprehensive assessment tool. In addition to measuring patient outcomes, OASIS data have three important uses in the areas of patient assessment and care planning for individual adult patients; agency-level case mix reports that contain aggregate statistics on various patient characteristics such as demographic, health, or functional status at start of care; and internal HHA performance improvement.

OASIS data for Medicare and Medicaid patients receiving skilled services with an effective date of August 24, , or later, is available from our National Repository and can be disclosed under the Privacy Act of Auditing the Government's Books. Unpacking the Financial Report. Action Tracker. About This Work. About the Center. Why It's High Risk. What Remains To Be Done.

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