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Table 5 - Idaho

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Table 5 - Idaho

fy 2014 fr post-acute drg fy 2014 fr special pay drg table 5.—list of medicare severity diagnosis-related groups (ms-drgs), relative weighting factors, ...

http://www.iic.idaho.gov/medical/FY_2014_FR_Table_5.xlsx

Date added: November 30, 2013 - Views: 28

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Medicare DRG to MS-DRG crosswalk - IWCC

Codes are listed in MS-DRG order. If you receive a bill with a MS-DRG code, find the MS-DRG code number in Column D, and note the corresponding DRG code number in ...

http://www.iwcc.il.gov/crosswalk.xls

Date added: September 10, 2011 - Views: 324

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2012 MS-DRG Updates Effective October 1, 2011 -...

Author: Dockal,Chris (HHSC) Last modified by: Kristie.Kloss Created Date: 8/24/2011 4:23:45 PM Title: 2012 MS-DRG Updates Effective October 1, 2011

http://www.tmhp.com/News_Items/2011/09-Sep/2012%20MS-DRG%20Updates%20Effective%20October%201,%202011.xls

Date added: November 25, 2011 - Views: 243

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Grouper 31 APR-DRG, Effective 9/01/2014 - Welcome...

Title: Grouper 31 APR-DRG, Effective 9/01/2014 Author: Kevin Niemeyer Last modified by: rosalie.griffin Created Date: 4/17/2012 9:54:02 PM Company

http://www.tmhp.com/Hospital_Reimbursement/Grouper%2031%20APR_DRG%20Effective%2009-01-2014.xls

Date added: September 12, 2014 - Views: 10

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ICD-9 Codes for Family Medicine 2011-2012: The FPM...

Title: ICD-9 Codes for Family Medicine 2011-2012: The FPM Short List Author: gnafzing Keywords: icd9, icd-9, coding, codes, family practice management, short list

http://www.aafp.org/fpm/icd9/icd9-short.xls

Date added: August 28, 2011 - Views: 337

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ICD-9 codes and HCC groupings for 2014 payment

Oth drg indcd pancytopna 28419 Other pancytopenia 2842 Myelophthisis ... Includes ICD-9 codes valid in FY2012 and FY2013 2014 CMS-HCC Model Category. Title: SAS Output

http://www.hccuniversity.com/documents/hcc/tools/2014%20CMS%20HCC%20ICD-9%20Codes_w_desc.xlsx

Date added: May 5, 2013 - Views: 47

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ICD9-CM Procedure Code Mapping to NHSN Operative...

Sep 30, 2009 · REVISED PROCEDURE CODE TITLES Effective October 1, ... FY10 ICD-9-CM Procedure Codes Linked to NHSN Operative Procedure Categories.xls of 32.00 34.00

http://www.cdc.gov/nhsn/XLS/ICD-9-cmCODEScurrent.xls

Date added: November 4, 2011 - Views: 95

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WEDI ICD-10 State Workers' Compensation Readiness ...

In all other parts of the Illinois fee schedule, the same CPT, HCPCS, and MS-DRG codes will work as before in determining the maximum reimbursement.

https://www.wedi.org/docs/resources/wedi-icd-10-state-workers%27-compensation-readiness-list.xlsx?sfvrsn=0

Date added: March 1, 2016 - Views: 1

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www.kmap-state-ks.us

CMS-DRG to MS-DRG Xwalk Other injury ... Addition of infections to PDX list and criteria of spinal fusion with non-or procedure 8164 ... Added procedure codes 0083 ...

https://www.kmap-state-ks.us/Documents/Content/Provider/MS-DRG%20Crosswalk.xls

Date added: September 3, 2011 - Views: 77

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ahca.myflorida.com

Used to adjust DRG relative weights should a need arise, else leave set to 1.00. F E13 E12 G Age adjustor Service Adjustor Florida Medicaid DRG Pricing Calculator

http://ahca.myflorida.com/medicaid/cost_reim/xls/Florida_DRG_Calculator.xlsx

Date added: December 29, 2013 - Views: 25

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www.health.ny.gov

See Applicable FFS Rate Publication for Psych ALC Rate Codes 2962 & 2963 ... The SIW APR-DRG Table and other Payment Tables are available on the DOH public website ...

http://www.health.ny.gov/facilities/hospital/reimbursement/apr-drg/rates/ffs/2010/docs/doh_ffs-mmc_psych_pymt_wks_oct_20_2010.xls

Date added: December 27, 2012 - Views: 9

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azahcccs.gov

The APR-DRG for the hospital stay must be determined outside of this calculator and entered as a data element by the user. For more information on APR-DRGs, ...

https://azahcccs.gov/PlansProviders/Downloads/FFSrates/APR/AzDrgCalculator2016.xlsx

Date added: February 9, 2016 - Views: 1

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Candida Research And Education Foundation - SC...

diag_cds_serv_levels diag_cds_serv_levels 047.8 VIRAL MENINGITIS NEC 047.9 VIRAL MENINGITIS NOS 048. OTH ENTEROVIRAL CNS DIS 049.0 LYMPHOCYTIC CHORIOMENING

https://www.scdhhs.gov/internet/pdf/diagnosis%20codes.xls

Date added: April 17, 2013 - Views: 54

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azahcccs.gov

The "DRG Table" worksheet contains a list of the APR-DRG codes and parameters used in pricing individual hospital inpatient stays.

https://azahcccs.gov/PlansProviders/Downloads/FFSrates/APR/AzDrgCalculator.xlsx

Date added: February 13, 2016 - Views: 1

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RI DRG calculator 2010-06-14.xls

RI DRG calculator 2010-06-14.xls Author: 11001561 Last modified by: Douglas Henault Created Date: 8/8/2008 2:49:05 AM Company: acs Other titles:

http://www.eohhs.ri.gov/Portals/0/Uploads/Documents/MA%20Providers/MA%20Reference%20Guides/Hospitals/DRG_calculator_2012.xls

Date added: December 24, 2013 - Views: 23

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theincidentaleconomist.com

OK to Share DRG Codes HCPCS (CPT) Codes Procedure Codes Diagnosis Codes Columns to Search Summary of Methodology Table DGNS PRCDR HCPCS DRG HHA Hospice Inpatient

http://theincidentaleconomist.com/wordpress/wp-content/uploads/2014/12/SAMHSACodesV3-04302014.xls

Date added: December 18, 2014 - Views: 3

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Action Codes - Group Health Cooperative

inactive codes active system ... non specific operating room procedure-return code from drg grouper 371 ... modifier is on the valid list but not on the approved for ...

https://provider.ghc.org/open/billingAndClaims/codesAndStandards/GroupHealth-ClaimsActionCodes.xls

Date added: September 13, 2011 - Views: 241

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www.shafafiya.org

Alternative/additional proposal: introduce a list of base DRG codes (5-digit codes) to be used in PriorRequest/Authorisation transactions Rationale: ...

http://www.shafafiya.org/dictionary/guidance/DataStandardsPanel.xls

Date added: September 15, 2012 - Views: 77

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DRG Calculator - ctdssmap.com

The "DRG Table CT" worksheet contains a list of the APR DRG codes and parameters used in pricing individual hospital inpatient stays.

https://www.ctdssmap.com/CTPortal/portals/0/StaticContent/Publications/CT_DRG_Calculator.xlsx

Date added: February 15, 2015 - Views: 13

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www.hhsc.state.tx.us

... (DRG) codes. This extraction will be used to audit the DRG reimbursement rate as part of a medical claims record review to ensure appropriate provider reimbursement.

http://www.hhsc.state.tx.us/contract/529160001/docs/procurement-library/vision21-interfaces-edw.xls

Date added: January 22, 2015 - Views: 27

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medicaid.alabama.gov

The "DRG Table" worksheet contains a list of the APR-DRG codes and parameters used in pricing individual hospital inpatient stays.

http://medicaid.alabama.gov/documents/4.0_Programs/4.4_Medical_Services/4.4.6_Hospital_Services/4.4.6_AL_DRG_Calculator_3-29-16.xlsx

Date added: April 29, 2016 - Views: 1

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Explanaton of Benefits Code Crosswalk -...

Missing/incomplete/invalid DRG code ... PDN Codes W9045/w9046 Are Not Payable On The Same Date As PDN Codes W9030/W9031 For The Same Provider And Member. ...

https://www.forwardhealth.wi.gov/WIPortal/Tab/42/icscontent/Provider/EOBs/eob_xwalk.xls.spage

Date added: March 27, 2012 - Views: 130

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www.shafafiya.org

ICD9CM Dental Codes (2008) Dental Diagnosis codes Clinical Coding Steering Committee ... Based on that Payer remits the claimwith the following DRG activity in the ...

http://www.shafafiya.org/dictionary/Codes/Codes.xls

Date added: September 9, 2012 - Views: 65

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M2 Data Dictionary - NCC Pediatrics Residency

Diagnosis Related Groups Commands APG Grouper Codes AHFS Therapeutic Class ... DRG Codes DMIS Table CPT-HCPCS Codes APG Codes Data Status Survey Information CSS ...

http://www.nccpeds.com/research/M2DataDictionary.xls

Date added: June 10, 2012 - Views: 586

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www.oregon.gov

Missing DRG Ther Abort-Op Hosp Steril-Op ... Any inpatient claim with at least 1 diagnosis code in the following list: ... /** New DRG Codes after Oct 1, 2007 ...

http://www.oregon.gov/oha/healthplan/ContractorWorkgroupsMeetingMaterials/Final%20Template%20Definitions%20Crosswalk.xls

Date added: November 22, 2014 - Views: 8

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www.fieldsresearch.com

70 = Discharge/transfer to health care institution not defined elsewhere in the code list DOS 2 = CMS V.24 DRG codes 4 = ICD-9 codes 5 = Hospital unit 6 = New York ...

https://www.fieldsresearch.com/HOSPITAL-SAMPLE-STRUCTURE.xls

Date added: November 6, 2011 - Views: 14

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www.research.buffalo.edu

Optional- please list the 5 digit CPT, ICD-9, or DRG codes if known. If there is not a code for the service or procedure, please list NA (not applicable).

http://www.research.buffalo.edu/cro/files/CoverageAnalysisProtocolBillingTemplate.xls

Date added: February 28, 2015 - Views: 2

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innovation.cms.gov

Please list the principal diagnosis codes that you propose to use to identify ... Describe the volume of the listed MS-DRG for all Medicare beneficiaries where ...

https://innovation.cms.gov/Files/worksheets/Bundled-Payments-for-Care-Improvement-Model-3-Application-Tables.xlsx

Date added: November 15, 2015 - Views: 1

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www.healthdesign.com.au

Medical Treatment / Surgical procedure decreption for the DRG Application submitted to HAAD ... This is a list of Diagnosis Related Groups ... These are DRG Codes ...

http://www.healthdesign.com.au/haad.hfg/Full_Index/Appendix_15_-_Pro-forma_for_the_proposed_Service_Lines_and_DRG_s.xlsx

Date added: June 22, 2013 - Views: 10

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healthsciences.utah.edu

List the services and procedures required by the protocol. Also list device or supply items provided by the study. List the 5 digit CPT, ICD-9, or DRG codes.

http://healthsciences.utah.edu/crce/forms/paper%20pbg%20example.xls

Date added: August 18, 2013 - Views: 14

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www.michigan.gov

A8 - Ungroupable DRG. N208 - Missing/incomplete/invalid DRG code ... Your claim can not be processed based on the adjustment reason codes supplied by the primary payer.

http://www.michigan.gov/documents/mdch/Reason-Remark_Codes_and_Crosswalk_03162010_version_1_321085_7.xls

Date added: January 29, 2012 - Views: 23

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www.cms.gov

... DRG code, among cases meeting the inclusion and exclusion rules for the denominator. DRG codes: 372, 373, 374, 375 MS-DRG codes: 767, 768, 774, 775

http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Downloads/2015-Measures-Under-Consideration-List-Spreadsheet.xlsx

Date added: February 20, 2016 - Views: 4

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www.tricare.mil

Percentage of Inpatient medical records whose assigned DRG Codes were correct? d. DOWDR or Daily Patient Appointments File – daily transmissions 3.

http://www.tricare.mil/ocfo/_docs/T-1_DHA%20Summary%20April%2015%20Data%20DQMC_print.xlsx

Date added: July 21, 2015 - Views: 2

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innovation.cms.gov

Please list the principal diagnosis codes that you propose to use to identify Part B professional ... Describe the volume of the listed MS-DRG for all Medicare ...

https://innovation.cms.gov/Files/worksheets/Bundled-Payments-for-Care-Improvement-Model-4-Application-Tables.xlsx

Date added: December 15, 2015 - Views: 1

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www1d.cms.gov

Non-psychiatric MS-DRG/principal ... aspirin or clopidogrel as documented in current medication list ... CPT Codes with or without Modifier 26 to ...

https://www1d.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Downloads/CMS-Measures-Inventory.xlsx

Date added: October 28, 2015 - Views: 12

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www.tricare.mil

5.a) Percentage of inpatient medical records whose assigned DRG Codes were correct? 4 DRG changes;audit review with coders regarding encounters, ...

http://www.tricare.mil/ocfo/_docs/Monthly%20Report_TMA%20Version.xls

Date added: May 2, 2013 - Views: 18

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www.scdhhs.gov

This pricing calculator spreadsheet includes the list of APR-DRG and ... can use to input diagnosis and procedure codes for a claim and receive an APR-DRG ...

http://www.scdhhs.gov/internet/pdf/SC%20DRG%20calculator.xls

Date added: November 12, 2011 - Views: 64

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Exception Codes and Descriptions - Mississippi...

ungroupable drg code ... procedure codes 92507 & 92508 ... a surgery procedure code can only be billed once per date of service unless identified on system list ...

https://msmedicaid.acs-inc.com/msenvision/xls/editcodes.xls

Date added: September 5, 2011 - Views: 85

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www.health.ny.gov

Behavioral Health Claims: See Criteria tab for complete list of Rates, Procedures and DRG's included. 1 ... Rate, Procedure and DRG Codes 0425-1

http://www.health.ny.gov/health_care/medicaid/redesign/docs/long_island_medicaid_bh.xlsx

Date added: June 16, 2014 - Views: 4

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www.maine.gov

... If the stay is primarily for medical reasons, the IP claim needs to be reimbursed via DRG. ... Claims for service codes not covered by Medicare are paying $ ...

http://www.maine.gov/dhhs/oms/pdfs_doc/resrcs/MIHMS_Known_Issue_Prov.xls

Date added: February 12, 2013 - Views: 59

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www.doh.wa.gov

See International Organization of Standards (ISO) 3166-1 code list http://www.iso.org/iso/country_codes ... DRG calculated excluding HAC diagnosis codes

http://www.doh.wa.gov/Portals/1/Documents/5300/DictionaryCHARSLimited.xlsx

Date added: August 3, 2014 - Views: 9

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www.oregon.gov

Missing DRG Ther Abort-Op Hosp Steril-Op Hosp ... /** New DRG Codes after Oct 1, 2007 ... Any inpatient claim with at least 1 diagnosis code in the following list:

http://www.oregon.gov/oha/analytics/Documents/TemplateCrossWalkCOS_201504.xlsx

Date added: April 11, 2015 - Views: 7

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www.deancare.com

DRG Codes Needed Unproved Prov See PR1063 Auth Denied See CL1011 Poe Plan - NO UCR Cutbacks ... Service -Contractual Adjustment No Discount Applied

http://www.deancare.com/app/files/public/3469/pdf-aboutus-plan-claim-adjustment-reason-codes.xlspdf/aboutus/plan/claim-adjustment-reason-codes.xls

Date added: September 12, 2015 - Views: 5

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Appendix B: Technical appendix (supplementary...

Relevant AR-DRG version Table B.S1: ICD-10-AM codes for adverse events ... Exclude cases according to the list of procedures excluded from the Congestive cardiac ...

http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=60129550683

Date added: April 2, 2015 - Views: 17

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Current Data Dictionary - VA Northwest Health...

Data Dictionary vha20sql217_MetaData ... Bilateral Wilms's tumors Laterality codes of '1' ... DRG AVG LENGTH OF STAY(days) Average Length of Stay for this DRG

http://www.visn20.med.va.gov/VISN20/V20/DataWarehouse/Documents/ExcelDD.xls

Date added: August 7, 2011 - Views: 185

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www.fha.org

Number of Cesarean deliveries, identified by DRG, MS-DRG, or by ICD-9-CM procedure codes if they are reported without a hysterectomy procedure All deliveries.

http://www.fha.org/files/HEN/FL-Recommended-Measures-2-7-14.xlsx

Date added: March 28, 2014 - Views: 12

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www.colorado.gov

In order for the Colorado Medical Assistance Program to group correctly to the neonatal DRG codes, ... 2014. See bulletin to view list of codes. Beginning July 1 ...

https://www.colorado.gov/pacific/sites/default/files/Provider_Bulletin_Index_0316.xlsx

Date added: March 1, 2016 - Views: 1

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www.khima.com

DRG Grouper Systems Electronic Processing systems EMR Sytems Encoding E-prescribing ... Are there system interfaces that use ICD-9 codes? (Y/N) (list on next column)

http://www.khima.com/downloads/ICD10/CopyofKHIMAImpactAssessmentTools02122012.xls

Date added: March 12, 2013 - Views: 56

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Data Dictionary: Data Set IIB: Hospital Claims...

Patient Status Codes Data Dictionary EP=experience period, AD=anchor date, LED=last eligibility date ... Our old DRG-V12 1995 code Char(3) ProviderChargeAmt

https://www.illinois.gov/hfs/SiteCollectionDocuments/DataDictionaryHospitalDataSetIIB.xls

Date added: March 20, 2016 - Views: 1