Entity Geographic Price Factors

DescriptionAn association between an organization, a procedure code, and a geographic area. These are factors used to adjust pricing for procedures based on variations in cost across different locations and carriers. Used with relative value units (RVU) and the conversion factor to determine the CMS reimbursement rate for a service.

Attributes
Effective From DtEffective From Dt
Effective To DtEffective To Dt
Geographic Area SkGeographic Area Sk
Load Info SkLoad Info Sk
Malpractice GPCI RtMalpractice GPCI Rt
Organization SkOrganization Sk
Practice Expense GPCI RtPractice Expense GPCI Rt
Procedure Code SkProcedure Code Sk
Relationship Type Code SkRelationship Type Code Sk
Source Code SkSource Code Sk
Tenant SkTenant Sk
Valid From TsValid From Ts
Valid To TsValid To Ts
Work GPCI RtWork GPCI Rt

Relationship
Geographic Price Factors_Organization_FKGeographic Price Factors_Organization_FK
Geographic Price Factors_Geographic Area_FKGeographic Price Factors_Geographic Area_FK
Geographic Price Factors_Procedure Code_FKGeographic Price Factors_Procedure Code_FK

Primary Key
Geographic Price Factors PKGeographic Price Factors PK

Dependencies
 

Reverse Dependencies
 

Attribute Details

 Effective From Dt
DescriptionEstablishes a period where a set of attributes are true according to the business.
Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Effective To Dt
DescriptionEnds a period of effectivity.
Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Geographic Area Sk
DescriptionSurrogate key for Geographic Area.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Load Info Sk
DescriptionThe surrogate key of the load information entry describing the details regarding the loading of the row.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Malpractice GPCI Rt
DescriptionGeographic Practice Cost Index for the malpractice component of an RVU.
Data TypeStandards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Organization Sk
DescriptionAnchor surrogate key for the Organization data
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Practice Expense GPCI Rt
DescriptionGeographic Practice Cost Index for the practice expense component of an RVU.
Data TypeStandards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Procedure Code Sk
DescriptionThe generated unique key for a Procedure.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Relationship Type Code Sk
DescriptionIdentifies the type of the relationship as defined in the business data model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Source Code Sk
DescriptionThe origin of the data identifying the actual load source, vendor, manual key entry, or context of the data in a specific row in the database.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Tenant Sk
DescriptionThe surrogate key of the entry identifying the legal owner of the data.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Valid From Ts
DescriptionEstablishes a period where a set of attributes are true in the source system. This would be populated with the transaction timestamp and would be used for the snapshot date.
Data TypeStandards - Data Domains.ddm/Data Domains/Timestamp [TIMESTAMP]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Valid To Ts
DescriptionEnds a period of validity.
Data TypeStandards - Data Domains.ddm/Data Domains/Timestamp [TIMESTAMP]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Work GPCI Rt
DescriptionGeographic Practice Cost Index for the work component of an RVU.
Data TypeStandards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse

Relationship Details

 Geographic Price Factors_Organization_FK
Is Identifying Relationshiptrue
Child TableGeographic Price Factors
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableOrganization
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Geographic Price Factors_Geographic Area_FK
Is Identifying Relationshiptrue
Child TableGeographic Price Factors
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableGeographic Area
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Geographic Price Factors_Procedure Code_FK
Is Identifying Relationshiptrue
Child TableGeographic Price Factors
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableProcedure Code
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE

Primary Key Details

 Geographic Price Factors PK
Key AttributeProcedure Code Sk
Key AttributeOrganization Sk
Key AttributeGeographic Area Sk
Key AttributeRelationship Type Code Sk
Key AttributeValid From Ts