67 results.
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Using MedPAR Data as a Measure of Urinary Tract Infection Rates: Implications for the Medicare Inpatient DRG Payment System
Author: Stringham, Jerry; Young, Nancy
Source: Perspectives in Health Information Management
Publication Date: December 2005
Abstract
A valuable metric of hospital performance is the rate of nosocomial infections, particularly urinary tract infections (UTIs). Current measurement techniques are expensive to administer and are not widely available. Determining a measurement index of nosocomial UTI incide....
DRG Changes for FY 2006
Author: Leary, Renee; D'Amato, Cheryl
Source: Journal of AHIMA - Coding Notes
Publication Date: November 2005
The final Medicare DRG changes for fiscal year (FY) 2006, which were published in the August 12, 2005, Federal Register, include 16 new DRGs, the deletion of 10 existing DRGs, and numerous changes to DRG assignments of current diagnosis and procedure codes. These DRG changes, along with other....
Collaborating for Compliance: CMS' Hospital Payment Monitoring Program and Pepper Reports
Author: Orenstein, Anita; Newton, Kathy
Source: AHIMA Convention
Publication Date: October 21, 2005
Introduction
Hospitals throughout the country are being provided with the Program for Evaluating Payment Patterns Electronic Reports (PEPPER) to review and take appropriate action. These reports are being sent to hospitals to assist them with identifying possible areas where improvements might....
How Does Your Coding Measure Up?: Analyzing Performance Data Gives HIM a Boost in Managing Revenue
Author: Price, Kurt; Farley, Dean
Source: Journal of AHIMA
Publication Date: July 2005
As they take on greater responsibility helping manage their facilities’ revenue cycles, HIM professionals benefit from incorporating coding, compliance, and reimbursement performance data into their improvement efforts.
Accurate and complete coding ensures that a hospital receives....
Trouble with DRGs: Part 2
Author: Mahoney, Robert J.
Source: Journal of AHIMA - Coding Notes
Publication Date: March 2005
Last issue’s article presented some ways that DRG criteria redefine well-established clinical entities such as respiratory failure and sepsis. This article will discuss two other incompatibilities between DRG criteria and clinical practice: the clinical distinctions required by the DRG s....
Trouble with DRGs
Author: Mahoney, Robert J.
Source: Journal of AHIMA - Coding Notes
Publication Date: February 2005
A major frustration among coding professionals, particularly in the inpatient setting, is the difficulty in translating physician documentation into diagnostic related group (DRG) data. Some hospitals have attempted to improve their coding effectiveness by establishing time-consuming physician....
2005 ICD-9-CM Codes and DRG Changes
Author: Willard, Dianne; Worthington, Debbie; Ashley, Patti
Source: Journal of AHIMA - Coding Notes
Publication Date: November 2004
ICD-9-CM coding and DRG changes for fiscal year 2005 include 150 new diagnosis codes, 21 new V codes, 54 new procedure codes, 25 invalid diagnosis codes, and 3 new DRGs. The changes were released in the August 11 Federal Register and went into effect October 1, 2004, for discharges occurring o....
Recognizing the ICD-10-GM, German Coding Guidelines, and German Coders
Author: Weber, Regina G.
Source: IFHRO Congress | AHIMA Convention
Publication Date: October 15, 2004
Note: The following abstract is prepared solely for the use of reporting and informing the general public and healthcare field of ICD-10-GM and German coding guidelines. This abstract does not contain a formal position on production, subject, or issue from any institution or organizatio....
Comparison of the Prospective Payment System Methodologies in the United States
Author: Cade, Toni
Source: AHIMA Convention
Publication Date: October 15, 2004
Overview
Currently, there are many different prospective payment systems in the US for reimbursement of healthcare services. Each of these systems is unique and complex, and the various healthcare providers are challenged to understand their application. Reimbursement is based up....
Importance of Coding in Hospital Benchmarking and Performance Evaluation
Author: Dismuke, Clara
Source: IFHRO Congress | AHIMA Convention
Publication Date: October 15, 2004
Introduction
The Diagnosis Related Group (DRG) system was created in the US and has spread widely around the world. Currently, approximately 36 countries use some version of the system for either information collection, financing, or reimbursement for inpatient care.1 This widespread ad....
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