Basic ICD-9-CM Coding 2011 CHAP 3 Author: Lou Ann Schraffenberger. AHIMA
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| Declared by the U.S. Department of Health, Education, and Welfare as a minimum, common core of data on individual acute care short-term hospital discharges in Medicare and Medicaid programs. It has been expanded to include all in patient settings. | show 🗑
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| Give some examples of specific items pertaining to patients and their episodes of care found in the UHDDS. | show 🗑
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| show | Comorbidity
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| show | Uniform Hospital Discharge Data Set (UHDDS)
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| show | Uniform Bill-04
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| The UB-04 data elements also include this indicator. Its purpose is to differentiate between conditions present on admissions and conditions that develop during an inpatient admission. | show 🗑
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| show | Principal diagnosis
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| show | 996-999
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| show | history codes (V10-V19)
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| show | Abnormal findings.
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| This is a method of payment undertaken by CMS to control the cost of inpatient acute care hospital service to Medicare recipients. | show 🗑
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| This title was established by PPS to provide payment to hospitals for each Medicare case at a set reimbursement rate, rather than on a fee-for-service or per-day basis. | show 🗑
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| With the PPS the Medicare payment rates to hospitals are established before services are rendered and are based on what? | show 🗑
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| show | Medicare-Severity DRG's
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| show | DRG relative weight X Hospital Base rate= hospital payment
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| show | Disproportionate share hospital (DSH)- for low income pts hospitals; approved teaching hospitals; and new technologies
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| This organizations is the basis for Medicare's quality improvement efforts such as conducting case reviews, educate and respond to beneficiaries and assist Dr.s offices in the adoption of electronic health record technology. | show 🗑
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| Congress directed the department of HHS to implement this to detect and correct improper payments in the Medicare traditional fee-for-service program. | show 🗑
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| show | Local coverage decisions (LCDs)
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| ICD-10-CM includes chapter-specific guidelines for external-cause coding known as this. In ICD-9 they are are known as V codes and are used for factors influencing health status and contact with health services. | show 🗑
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