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Medicare DRG to MS-DRG crosswalk - Governor of Illinois

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Medicare DRG to MS-DRG crosswalk - Governor of Illinois

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 Column A.

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

Date added: September 10, 2011 - Views: 215

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

Ownership_List Prov Ident Nbr with Suffi Provider City Name Provider Combined Name Provider Street Address 1 regions SDA_RATES_FOR_MAILOUT_II SDA2004 selection_adj ... Texas MS-DRG v29 eff 10-1-2011 'Texas MS-DRG v29 eff 10-1-2011'!Print_Titles ...

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

Date added: November 25, 2011 - Views: 185

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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 28, 2011 - Views: 197

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… Doc Viewer - KMAP Home

CMS-DRG to MS-DRG Xwalk ... Addition of infections to PDX list and criteria of spinal fusion with non-or procedure 8164 will assign to MS-DRGs 456-458 457 ... Added procedure codes 0083 and 0084 to MS-DRGs 485-489 502 486 Knee procedures w pdx of infection w CC 487

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

Date added: September 3, 2011 - Views: 53

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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 State DRGs 7 = Other – Approved Exceptions Request only

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

Date added: November 6, 2011 - Views: 13

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Download - Arizona Health Care Cost Containment System (AHCCCS)

Discussed that the DRG grouper has edits which validate diagnosis and procedure codes. Navigant to send a list of the required fields to calculate DRG payments DRG grouper returns about 12 edits ... Navigant provided a list of the required fields to calculate DRG payments.

http://www.azahcccs.gov/commercial/Downloads/EDIChanges/1_28mtg/9d%20-%20Copy%20of%20AZ%20APR-DRG%20Issues%20Matrix%20-%20(01%2023%202014).xlsx

Date added: February 26, 2014 - Views: 3

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www.scdhhs.gov

This pricing calculator spreadsheet includes the list of APR-DRG and associated payment rates. ... 3M does make available to SC hospitals at no charge a website that a hospital can use to input diagnosis and procedure codes for a claim and receive an APR-DRG assignment.

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

Date added: November 12, 2011 - Views: 36

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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: to enable explicit compliance with the DRG standard

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

Date added: September 15, 2012 - Views: 32

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DRG Calculation Worksheet (xls) - State of Illinois

of valid DRG codes can be found on Tab labeled "Valid DRG's". Illinois Department of Public Aid Medical Assistance Program ... Enter the DRG code which corresponds to the claim, a list Enter the category of service which corresponds to the claim.

http://www2.illinois.gov/hfs/SiteCollectionDocuments/HosptialDRGCalculationWorksheet.xls

Date added: November 12, 2012 - Views: 48

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Group Health Claims Action Codes - Provider site login page

Title: Group Health Claims Action Codes Subject: List of claims action codes used by Group Health Author: tsubdm1 Last modified by: Becker, Erin Created Date

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

Date added: September 13, 2011 - Views: 147

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www.doh.wa.gov

ShortList DescriptionTables DRG-Version Revenue Procedures ECodes Diagnosis Clinical(Pub) ECODE1 POAE1 See International Organization of Standards (ISO) 3166-1 code list

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

Date added: September 2, 2013 - Views: 4

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www.tricare.mil

Although DRG Codes and MS-DRG Codes have the same format (nnn), the descriptions, weights, and other attributes for the two code sets are very different. For example, DRG 001 = Craniotomy Age > 17; while MS-DRG 001 = Heart Transplant.

http://www.tricare.mil/ocfo/_docs/M2%20Alert%20Message%20Log%20(Dec%2009).xls

Date added: September 4, 2011 - Views: 28

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… Retrieve Doc

Serious Mental Illness list Severity Hierarchy Legend Population Summary File Provider Summary File Recipient Summary File CHAR(9) RecipientKeyID INTEGER

http://www2.illinois.gov/hfs/PublicInvolvement/cc/Documents/cc_datadictionary.xls

Date added: May 30, 2012 - Views: 57

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www.eohima.org

DRG LIST V25 all Deleted CCs CC_Table FR Tables Sheet1 CC_Table CC_Table TABLE 3A.—FY 2008 AND 3-YEAR* AVERAGE HOURLY WAGE FOR URBAN AREAS BY CBSA

http://www.eohima.org/education/MSDRGsforEOHIMA092207.xls

Date added: August 28, 2011 - Views: 59

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M2 Data Dictionary - NCC Pediatrics Residency at Walter Reed ...

Diagnosis Related Groups Commands APG Grouper Codes AHFS Therapeutic Class Ref Table Information Population Summary File Network Providers Market Area Table ICD9 Procedure Codes ICD9 Diagnosis Codes DRG Codes DMIS Table CPT-HCPCS Codes APG Codes Data Status Survey Information CSS - Responses CSS ...

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

Date added: June 10, 2012 - Views: 306

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Analysis of Part A CERT Data for Jurisdiction 12 (October ...

Revise DRG to 674 with diagnosis codes 276.1, (Hyponatremia), and 584.9, (Acute kidney failure) added to the coding sequence. Per ICD-9-CM Guidelines for Hospitals, and available medical record documentation, codes 276.1, (hyponatremia) ...

http://www.novitas-solutions.com/webcenter/content/conn/UCM_Repository/uuid/dDocName:00003540

Date added: December 3, 2013 - Views: 76

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omop.fnih.org

Diagnosis-related groups (DRG) codes First author and senior author are physician, 2 more physicians on the authors list. First author and senior author are physicians; 6 more physicians on the author list. Senior author is a physician (Google).

http://omop.fnih.org/sites/default/files/UBC-OMOP%20Evidence%20Table%20Hospitalization%20Final%209-23-2009.xls

Date added: December 3, 2011 - Views: 87

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healthsciences.utah.edu

List the 5 digit CPT, ICD-9, or DRG codes. If there is not a code for the service or procedure, please list NA (not applicable). List the visits in column C based on the protocol. See next excel tab for a blank copy of the PBG Billable Protocol Procedures

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

Date added: August 18, 2013 - Views: 2

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www.medicarefind.com

Mutually Exclusive Lower Limb Prosthetic Codes DRG Validation requires that diagnostic and procedural information and the discharge status of the beneficiary, as coded and reported by the hospital on its claim, ...

http://www.medicarefind.com/searchdetails/ManualData/Attachments/HDIissues04282011.xls

Date added: June 6, 2014 - Views: 4

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Download It - Mississippi Envision

procedure codes 92507 & 92508 billed by provider type of t02 where ... drg record not on file 0583 drg invalid principal dx 0584 no ... a surgery procedure code can only be billed once per date of service unless identified on system list 4003 1005 cannot bill the same bi-lateral procedure ...

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

Date added: September 5, 2011 - Views: 29

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Part A CERT Errors - January through March 20120

Revise DRG to 310 with procedure codes 37.83, (Initial insertion dual chamber device) and 37.72, (Initial insertion lead atrium and ventricle) removed from the coding sequence. Per CERT Medical Director dual chamber pacemaker was not reasonable and necessary.

http://www.novitas-solutions.com/webcenter/content/conn/UCM_Repository/uuid/dDocName:00003537

Date added: December 3, 2013 - Views: 4

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Claims Adjustment Reason Codes and Remittance Advice Remark Codes

360-DRG is NOT in the selected DRG Group B15 339-APC claim has lines ... These reports include the HIPAA reason codes and their translation to MIHMS' more detailed internal processing codes. ... A complete list of the HIPAA compliant CARCs are available at:

https://mainecare.maine.gov/Billing%20Instructions/Supplemental%20Billing%20Info/Adj_Reasons_and_RA_Remark_Codes_v2.0_%2020121023.xls

Date added: December 18, 2012 - Views: 51

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www.qualityforum.org

The target population includes patients discharged with an ICD-9-CM Principal or Other Diagnosis Codes for VTE as defined in Table 7.03 or Table 7 ... A detailed list of the changes to the measure specifications is provided in the document titled “2012 Updates to the THA-TKA readmission ...

http://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=74401

Date added: January 17, 2014 - Views: 13

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Download

Although DRG Codes and MS-DRG Codes have the same format (nnn), the descriptions, weights, and other attributes for the two code sets are very different. For example, DRG 001 = Craniotomy Age > 17; while MS-DRG 001 = Heart Transplant.

https://www.tricare.mil/tma/dhcape/data/downloads/M2%20Alert%20Message%20Log%20December%202013.xlsx

Date added: April 13, 2014 - Views: 12

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medicarefind.com

DRG Validation-Postoperative or Post-traumatic Infection DRG Validation requires that diagnostic and procedural information and the discharge status of the beneficiary, ... Newborn Pediatric CPT Codes Billed for Pts Exceeding Age Limit

http://medicarefind.com/searchdetails/ManualData/Attachments/HDI03252010.xls

Date added: January 24, 2014 - Views: 3

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omop.fnih.org

DRG codes 121, 122, or 123 410.xx AMI 410, 427.24, 427.27, 427.91, and 427.97 Nonfatal cases ... All Patient Refined-Diagnosis Related Groups OSHPD Office of Statewide Health Planning and Development First author is a physician ROM Risk of Mortality

http://omop.fnih.org/sites/default/files/UBC%20-%20OMOP%20Final%20Evidence%20Table%20Myocardial%20Infarction%209-11-2009.xls

Date added: April 26, 2012 - Views: 91

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www.sandhillscenter.org

DRG code(s). Other procedure code for service(s) rendered. ... (Use Group Codes PR or CO depending upon liability). M139 Denied services exceed the coverage limit for the demonstration.

http://www.sandhillscenter.org/Finance_files/EOBcrosswalk7-27-10.xls

Date added: March 31, 2013 - Views: 20

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ddcache2.net

Codes within these ranges on the CC/MCC list: Fracture 800-829 Dislocation 830-839 Intracranial Injury 850 - 854 ... Number of Cesarean deliveries, identified by DRG, MS-DRG, or by ICD-9-CM procedure codes if they are reported without a hysterectomy procedure

http://ddcache2.net/calhospital.s1017.SU/sites/main/files/file-attachments/cha__hret_hen_encyclopedia_of_measures_updated_072312.xls

Date added: September 11, 2012 - Views: 37

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www.health.state.mn.us

Enter the two digit codes for report type, method sent and attachment ID code" AC" followed by unique identification number of the attachment (s) related to this specific bill. Example Attachment Control Number : ... Diagnostic Related Group Code

http://www.health.state.mn.us/asa/claimreview.xls

Date added: August 27, 2011 - Views: 43

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www.ncdhhs.gov

DRG- Other diagnosis code 5 invalid for recipient age. ... Codes Y2141 and Y2151 not payable for health departments for services on or after 7-1-93. ... list each DOS on a separate line. Correct and resubmit. Diagnosis or service invalid for recipient age. Verify MID, ...

http://www.ncdhhs.gov/dma/hipaa/EOBCrosswalk1207.xls

Date added: September 27, 2011 - Views: 43

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OSHPD Data Set Grid / Variable List - California

Baby's MS-DRG Grouper Mom's MS-DRG Grouper hearing Hearing screening ... (2006 codes) obsgest pls_id pls_txt sev_codeI sev_codeM Baby's MS-DRG Severity Code ... OSHPD Data Set Grid / Variable List Subject: List of variables in OSHPD's patient-level data sets, by year.

http://www.oshpd.ca.gov/HID/Data_Request_Center/documents/OSHP-Data-Grids.xls

Date added: February 9, 2014 - Views: 7

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ncvhs.hhs.gov

Payers commonly reimburse on a DRG or per diem basis. Removal of all National Drug Code qualifiers from the SV2 segment of the institutional health care claim implementation guide. ... For each occurrence of this element, add NU for NUBC codes as a Code List Qualifier Code.

http://ncvhs.hhs.gov/010531p.xls

Date added: November 3, 2011 - Views: 98

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www.fha.org

Codes within these ranges on the CC/MCC list: Fracture 800-829 Dislocation 830-839 Intracranial Injury 850 - 854 ... Number of Cesarean deliveries, 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: September 7, 2013 - Views: 7

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www.snm.org

Below is a list of the 2005 HCPCS codes and descriptions, as well as two reference carriers and their published web site allowables as examples. ... NM PR&Drg rates Sheet2 Sheet3 ...

http://www.snm.org/docs/pfs_drugsandradiopharms.xls

Date added: September 27, 2011 - Views: 6

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www.discover-re.com

DRG - Diagnostic Related Group Revenue Codes State Specific Codes varied The Carrier Code assigned to the carrier by NCCI. A code that identifies the type of transaction being submitted. A code that identifies the claimant's gender. Record Type 010 A

http://www.discover-re.com/claims/docs/Medical%20Data%20Call%20record%20layout.xls

Date added: August 14, 2011 - Views: 12

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www.infonetrix.com

Excel adds a blank grid for the new pivot table and displays a PivotTable Field List task pane on the right side of the worksheet area. ... ISO/RTO codes in the database are typically for transmission-level SCADA/EMS ... DTE/DRG,SELF They did a pole inventory and GPS on their system earlier ...

http://www.infonetrix.com/home/VISTA-DRG/DRG-DB.xls

Date added: September 6, 2012 - Views: 30

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Download - Kansas Health Information Management Association - -

DRG Grouper Systems Electronic Processing ... As you review changes to the system, utilize this list to determine what type of changes need to be made. WHO generates ... Are there system interfaces that use ICD-9 codes? (Y/N) (list on next column) Does it utilize ICD-9 codes currently (Y/N) or ...

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

Date added: March 12, 2013 - Views: 18

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HAAD E-claim Validation Rules Summary - shafafiya

must be valid (list of LOINC codes with their allowed value types is published on Data Dictionary web site) must be Principal, ... must be a valid DRG Code must be greater than zero must have a value if Activity.Net <> Activity.PaymentAmount

http://www.shafafiya.org/Dictionary/Validationrules/validationrules.xls

Date added: May 30, 2012 - Views: 36

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(download) - Welcome to Arkansas Medicaid

277 claim status codes master range_a1_c480 ... durable medical supplies - itemized list required 186 participant not eligible for billed services under arkids first-b program ...

https://www.medicaid.state.ar.us/Download/provider/codes/eob.xls

Date added: October 27, 2011 - Views: 124

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www.germantown-tn.gov

One day IP stays for surgical cases as defined by final MS-DRG (see attached MS-DRG list) with revenue codes 110-219. (Includes Room and Board) One day IP Surgery will be paid at a percentage of charges. This will exclude any per diem or MS-DRG payment methodology.

http://www.germantown-tn.gov/Modules/ShowDocument.aspx?documentid=10899

Date added: March 11, 2014 - Views: 2

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www.phima.org

DRG Table New Diagnoses Codes October 2006 of Innovative Health Solutions Codes Description CC MDC DRG Footnote 052.2 Postvaricella myelitis Y 1.00 20, 543 053.14 Herpes zoster myelitis Y 1.00 20, 543 054.74 Herpes simplex myelitis Y 1.00 20, 543 238.71 Essential thrombocythemia N

http://www.phima.org/webinfo/Code%20Changes(1).xls

Date added: August 28, 2011 - Views: 15

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www.khima.com

How is the system currently using ICD-9-CM codes? List all steps that this facility must perform to implement the ICD-10-CM and ICD-10-PCS code sets in this application. ... Do you plan to use the CMS DRG Mapping Files in your upgrade?

http://www.khima.com/downloads/ICD10/CopyofKHIMAVendorQuestionnaireforICD10CMICD10PCS011812.xls

Date added: May 10, 2013 - Views: 6

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N.c. Dma: May 2002 Medicaid Bulletin - Nc Dhhs

Resubmit w/appropriate 5 digit diagnosis code from the 635-635.9 range of codes & federal abortion statement. ... DRG-Principal or other procedure code invalid for recipient sex. ... If dates are not consecutive list each date of service on a separate line.

http://www.ncdhhs.gov/dma/hipaa/eobcrosswalk.xls

Date added: September 3, 2011 - Views: 105

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www.healthdesign.com.au

Diagnosis Related Group Codes : Are numbered using a six digit number, the first two digits represents the MDC,the third digit is the DRG type, ... 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: June 22, 2013 - Views: 4

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www.eohima.org

DRG Detail Urinary stones w esw ... Added procedure 0062 to MS-DRG 023-027 Added procedure codes 0083 and 0084 to MS-DRGs 485-489 ... Addition of infections to PDX list and criteria of spinal fusion with non-or procedure 8164 will assign to MS-DRGs 456-458

http://www.eohima.org/education/CrosswalkfromCMSDRGstoMSDRGs.xls

Date added: August 23, 2011 - Views: 21

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medicaid.ohio.gov

no drg found. 256 drg 892 - diag codes 7650 or 769 not on claim drg 895-898 - incorrect level of nursery drg 895, 896, 897 or 898 - missing birth weight cc incidental (current to current) 0843 current procedure was found incidental to another current procedure.

http://medicaid.ohio.gov/Portals/0/Providers/Billing/TradingPartners/Features/EOB-ESC-HCS20120608.xlsx

Date added: January 6, 2014 - Views: 3

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wiki.siframework.org

G-DRG German DRG Codes v2007 G-DRG German DRG Codes v2008 German Major v2006 Diagnostic Codes German Major Diagnostic Codes v2007 German Major Diagnostic Codes v2008 CMS (formerly HCFA) Common Procedure Coding System Healthcare Service Location ICD 10 Germany 2006

http://wiki.siframework.org/file/view/LRI+Vocab+HL7+Table+Analysis+-+Final+-+20120124.xlsx

Date added: May 10, 2012 - Views: 63

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www.dmas.virginia.gov

invalid twentyfirst diagnosis or excluded from drg 0235 invalid twentysecond diagnosis or excluded from dr. ... two nursery revenue codes on same invoice 0452 overlapping program eligibilities n36 ... substitute generic or see pdl list aj 1499 pdl age restriction 800-932-6648 60

http://www.dmas.virginia.gov/Content_atchs/cb/cb3.xlsx

Date added: September 12, 2012 - Views: 36

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library.ahima.org

ICD10Data.com takes the ICD-10 coding book and adds over 4.2 million cross references between codes to make finding what you need faster and easier than ever before. ... "ICD-10 MS-DRG Conversion Project" section of CMS's Web site provides information on the project for using the General ...

http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_050415.xlsx

Date added: October 17, 2013 - Views: 22

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www.qualityforum.org

The target population includes patients discharged with an ICD-9-CM Principal or Other Diagnosis Codes for VTE as defined in ... term control medication as documented in current medication list. ... claim/encounter with a principal diagnosis or DRG for mental health or substance abuse ...

http://www.qualityforum.org/Setting_Priorities/Partnership/2014_Recommendations_Summary.aspx

Date added: April 9, 2014 - Views: 15