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

Date added: August 19, 2016 - Views: 3

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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: August 18, 2016 - Views: 15

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Grouper 31 APR-DRG, Effective 9/01/2014 - TMHP

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: August 18, 2016 - Views: 4

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DH – Payment by Results (PbR) NHS tariff for 2013 to 2014

BPT - HRG codes 10b. BPT - ICD codes 10a. BPT - OPCS codes 09. BPT Flags 08. BPTs 07. Non-mandatory Prices ... Deliver Chemotherapy for Regimens not on the National List

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/210979/07_-_Tariff_information_spreadsheet_2013-14_v6.xls

Date added: August 18, 2016 - Views: 1

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innovation.cms.gov

Based on clinical review of new ICD-10-CM diagnosis codes added for FY 2017 to ... in CMS making potential modifications to the current CJR MS-DRG exclusion list.

https://innovation.cms.gov/Files/x/cjr-icd10-episodeexc-categories.xlsx

Date added: September 24, 2016 - Views: 1

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

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: August 19, 2016 - Views: 4

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

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 18, 2016 - Views: 3

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www.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: August 19, 2016 - Views: 4

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www.fdhc.state.fl.us

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://www.fdhc.state.fl.us/Medicaid/cost_reim/xls/Florida_DRG_Calculator.xlsx

Date added: August 27, 2016 - Views: 1

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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: August 19, 2016 - Views: 2

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www.wedi.org

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: August 19, 2016 - Views: 3

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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: August 19, 2016 - Views: 5

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www.oregon.gov

DRG codes ICD-10 Procedure Codes and Descriptions DRG list Description HIV W EXTENSIVE O.R. PROCEDURE W MCC HIV W EXTENSIVE O.R. PROCEDURE W/O MCC

https://www.oregon.gov/oha/analytics/APACPageDocs/Excluded-Claim-Line-Codes.xls

Date added: August 24, 2016 - Views: 4

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Group Health Claims Action Codes

DRG EXCEEDS SUBMITTED CHARGES Pricing - DRG 94 ... Group Health Claims Action Codes Subject: List of active processor codes used by Group Health. Author: tsubdm1

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

Date added: August 18, 2016 - Views: 11

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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: August 21, 2016 - Views: 1

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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: August 18, 2016 - Views: 10

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www.healthdesign.com.au

Diagnosis Related Group Codes : Are numbered using a six digit number, ... This is a list of Diagnosis Related Groups (DRG's).

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

Date added: August 20, 2016 - Views: 3

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www.shafafiya.org

Add a mandatory ‘Patient weight’ observation for activities with DRG codes within MDC 15 - Newborns & Other Neonates as following: Type = LOINC Code = 3141-9 8339-4

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

Date added: August 19, 2016 - Views: 5

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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 ...

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

Date added: September 1, 2016 - Views: 1

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theincidentaleconomist.com

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

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

Date added: August 21, 2016 - Views: 1

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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: August 18, 2016 - Views: 1

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iFacets Denial Codes and Descriptions

iFacets Denial Codes 002 Increased ... This edit occurred because the modifier is not in the list of y46 ... The charge exceeds the DRG amount for this confinement

https://www.excellusbcbs.com/wps/wcm/connect/92d08e21-9ab4-4cfa-b05c-59205d946455/Facets+Claim+Denial+Codes+EX+branded.xls?MOD=AJPERES&CACHEID=92d08e21-9ab4-4cfa-b05c-59205d946455

Date added: August 18, 2016 - Views: 3

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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: August 19, 2016 - Views: 2

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Appendix 2 XLS - Australian Institute of Health and Welfare

XLS Appendix 2: Technical appendix ... exclude cases with procedure codes according to the list of procedures excluded from the Congestive ... AR-DRG version reported ...

http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=10737421825

Date added: August 18, 2016 - Views: 2

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www.hscrc.state.md.us

Same codes as Primary Health Plan Payer (data item 17) # Variable Type Len Format Char Num MMDDYY10. EMPI ... * Inpatient: 3M APR-DRG, version 30; 3M PPC, version 30

http://www.hscrc.state.md.us/documents/md-maphs/wp/hscrc-op-white-paper-non-con-data-dictionary.xlsx

Date added: August 21, 2016 - Views: 4

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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: August 28, 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: August 19, 2016 - Views: 2

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www.deancare.com

DRG Codes Needed Unproved Prov See PR1063 Auth Denied See CL1011 Poe Plan - NO UCR Cutbacks ... Watch List Provider No PCP Selected WEA Not A Subscriber Manual EOB Sent

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

Date added: August 22, 2016 - Views: 1

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www.cms.gov

Non-psychiatric MS-DRG/principal diagnosis ... In selecting ICD-10 codes for this ... taking aspirin or clopidogrel as documented in current medication list ...

http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Downloads/CMS-Measures-Inventory-revised-1115.xlsx

Date added: August 18, 2016 - Views: 8

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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: August 28, 2016 - Views: 1

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www.txdps.state.tx.us

offenses off_cod stu_cod cit_cod lda_cod lit_txt beg_dte end_dte x 55990068 agc 161.143 mb import animal into state w/prev conviction 09000001 pc 19.02(a)(1) f1

http://www.txdps.state.tx.us/administration/crime_records/docs/cjis/fullOffenseCodeList.xls

Date added: August 18, 2016 - Views: 16

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www.shafafiya.org

List of V codes for Coding Manual ... IR DRG Grouper To report IR DRG grouper issues please send all queries to the CCSC. Howeever, if sending directly to 3M, ...

http://www.shafafiya.org/dictionary/Governance/Clinicalcodingsteeringcommittee/minutes.xls

Date added: August 19, 2016 - Views: 5

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Appendix B: Technical appendix (supplementary tables ...

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: August 18, 2016 - Views: 4

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www.oshpd.ca.gov

Version 30.0 MS-DRG Grouper 2013-2014 Major Diagnostic ... (names and codes) Subject: Major Diagnostic Categories (MDCs) values by year of use Author: OSHPD/HID ...

http://www.oshpd.ca.gov/HID/Data_Request_Center/documents/App_I_MDC_PDD.xlsx

Date added: August 19, 2016 - Views: 2

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www.hl7.org

G-DRG German DRG Codes v2008 German Handbook for DRGs 2008. GDRG2009 German Handbook for DRGs 2009. GMDC2004 German Major Diagnostic Codes v 1004

https://www.hl7.org/documentcenter/public/wg/vocab/Tbl0396.xls

Date added: October 4, 2016 - Views: 1

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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: August 26, 2016 - Views: 1

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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-2-Application-Tables.xlsx

Date added: September 7, 2016 - Views: 1

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Data Dictionary: Data Set IIB: Hospital Claims (xls)

Patient Status Codes ... The relative weight assigned a DRG that ... Discharged/transferred to another type of institution not defined elsewhere in this code list.

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

Date added: August 19, 2016 - Views: 4

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www.health.ny.gov

Rate, Procedure and DRG Codes 2900 29010 29011 29013 29020 29021 2903 29040 29041 29042 29043 2910 2911 2912 2913 29181 29182 29189 2919 2920 29211 29212 2922 29281 ...

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

Date added: September 4, 2016 - Views: 1

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www.dmas.virginia.gov

Diagnosis Cannot Be Used as Principal diagnosis based on the DRG Group 0906 ... SUBSTITUTE GENERIC OR SEE PDL LIST AJ 1499 PDL ... INVALID COMBINATION OF SURFACE CODES

http://www.dmas.virginia.gov/Content_atchs/cb/EOB%20crosswalk%202014%20for%20DMAS%20Website.xlsx

Date added: August 18, 2016 - Views: 7

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835 Companion Guide Appendix F - Neighborhood Health Plan

Claim DRG Amount Remark Code see List of Remark Codes in HIPAA Code Set Book ... TOTAL PPS DSH DRG AMT CAN ONLY BE USED BY MEDICARE CODES ADDED EA MEDICAR RECORED NUMBER

https://www.nhp.org/provider/Documents/835CompanionGuideAppendixF.xlsx

Date added: August 19, 2016 - Views: 1

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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).

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

Date added: October 9, 2016 - Views: 1

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mhdo.maine.gov

For records where MC041 is not blank, a valid entry means that the Principal Diagnosis is on the list of ICD-9 diagnosis codes. ... Valid DRG Version

https://mhdo.maine.gov/_xls/Chap243ValidationChanges160112_icd10changes.xlsx

Date added: August 26, 2016 - Views: 1

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November DQ Summary - TRICARE

Inpatient medical records (DRG codes) 7 ... I am aware of data quality issues identified by the DQMC Review list ... 2001 DQMC Commander's Statement TMA Summary ...

http://www.tricare.mil/ocfo/_docs/TMASummaryFY2001.xls

Date added: September 5, 2016 - Views: 1

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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: August 18, 2016 - Views: 1

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Explanaton of Benefits Code Crosswalk - ForwardHealth Portal

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/medicaid/eob_xwalk.xls.spage

Date added: August 18, 2016 - Views: 3

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M2 Data Dictionary - NCC Pediatrics Residency

The M2 Data Dictionary is updated monthly and at interim times that coincide with major universe releases. ... DRG Codes DMIS Table CPT-HCPCS Codes APG Codes Data Status

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

Date added: August 18, 2016 - Views: 6

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ra.pnc.com

Additional information is supplied using the remittance advice remarks codes whenever ... The DRG rate reimbursed on this claim has been adjusted based on an ...

https://ra.pnc.com/PNCGH/help/Oxford/HIPAAAdjustmentCodeCrosswalk.xls

Date added: August 18, 2016 - Views: 8

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HRET CDS Encyclopedia of Measures Spreadsheet - FHA

Codes within these ranges on the CC/MCC list: ... identified by DRG, MS-DRG, or by ICD-9-CM procedure codes if they are reported without a hysterectomy procedure

http://www.fha.org/showDocument.aspx?f=HEN-HRETCDSEncylopediaMeasures.xlsx

Date added: August 18, 2016 - Views: 5