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....

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....

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....

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....

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....

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....

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....

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....

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....

Author: Fontaine, P

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Introduction

Governments and patients evaluate a hospital's quality of care by looking at performance data. In many countries, the data used to compare and evaluate outcomes is frequently based on Diagnosis Related Groups (DRGs). Since 1994, the government of Belgium has been using AP-DR....