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hcup-us.ahrq.gov/db/state/sasddist/sasddist_filecompmn.jsp
November 01, 2016 - SASD File Composition - Minnesota
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn16.jsp
August 01, 2014 - DATA QUERY TOOLS
Phase 1 Pharmacy Data Collection
'Using Clinical Enhanced Claims … admission = day 0)
Discharge Day
All ICD-9 Diagnoses Codes (principal and secondary) from associated claims … data
All ICD-9 Procedure codes and day from associated claims
Patient age should be flagged according
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn23.pdf
March 04, 2011 - add laboratory data and pharmacy data
from hospitals’ electronic data repositories to our hospital claims … transmit electronic lab and
pharmacy data to meet meaningful use requirements
• Assistance in enhancing claims
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hcup-us.ahrq.gov/datainnovations/mn.jsp
October 01, 2010 - Effectiveness Impact - Minnesota
State: Minnesota
Title: Using Clinically Enhanced Claims … Minnesota's administrative claims database already is enhanced by present-on-admission coding and the
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hcup-us.ahrq.gov/datainnovations/clinicaldata/AppendixG9_SurveyResultsCapabilities.pdf
September 22, 2010 - OB, rehab, etc)
1 hospital system (4 hospitals) indicated none of their claims were being coded
for … In subsequent questions, it was
determined that all could match lab accounts to claims using medical
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hcup-us.ahrq.gov/db/nation/nis/APS_DRGsWeightsV26Public.pdf
April 01, 2010 - Providers use Ingenix’s
products for appropriate coding and preparation of claims, while payers and … self-
insured/self-administered employers use our products in the claims review process. … imputed using the average of the
weights of the mortality weights APS-DRGs® for the corresponding claims … assuming
the claims were for patients that had a discharge status of “01.” … There were 56,759
claims involving 12 APS-DRGs® weights imputed for mortality.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/MNPOAvideotranscript.pdf
September 24, 2010 - In general, ICD‐9‐CM coding of hospital claims is a complex process that is
best left to coding professionals … On the other hand, because diagnostic codes
on hospital claims are being used more and more to assess … Next slide on screen: Physicians’ Stake in Accurate POA Coding
Michael speaking:
Because claims … findings in medical records can improve the accuracy of
diagnostic coding substantially and can make claims … If you do this, analyses of clinical performance based on
claims data will be clear and accurate and
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hcup-us.ahrq.gov/reports/natstats/his95.htm
January 01, 1999 - in all institutionally based records (e.g., hospitals, outpatient
surgery centers) and in insurance claims … CCHPR users include insurers and managed care organizations that want to
examine claims experience in
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hcup-us.ahrq.gov/reports/methods/2011_03.pdf
January 01, 2011 - Medicare Claims Processing Manual, Chapter 26 – Completing and
Processing Form CMS-1500 Data Set. … guidelines
• CMS-1500 claims guidelines
The UB-04 (CMS1450) institutional claim is used to bill … HCUP (09/26/2011) 4 First-Listed Diagnosis Report
UB-04 (CMS 1450) Claims Guidelines
The … CMS-1500 Guidelines
The Form CMS-1500 is the prescribed form for claims prepared and submitted by … Pub 100-04 Medicare Claims Processing.
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hcup-us.ahrq.gov/db/nation/nis/APS-DRGsWeightsV27Public.pdf
April 01, 2010 - centers and
multi-specialty clinics use Ingenix products for appropriate coding and preparation of
claims … , while payers and self-insured/self-administered employers use our products in
the claims review process … lists the 9 APS-DRGs® with fewer than 25 weighted cases
based upon their observed frequency in the claims … assuming
the claims were for patients that had a discharge status of “01.” … There were 91,562
claims involving 12 APS-DRGs® weights imputed for mortality.
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hcup-us.ahrq.gov/reports/methods/2006_1.pdf
January 01, 2006 - CMS is currently soliciting public input on the addition of POA-type information on Medicare claims … • Health plans that receive POA information on the claim should not reject the claim if their
claims … Using Medicare claims data to assess provider
quality for CABG surgery: does it work well enough? … Identification of in-
hospital complications from claims data. Is it valid? … ]
• The POA Indicator applies to the diagnosis codes for claims involving inpatient
admissions
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn5.jsp
September 01, 2014 - Data Acquisition & Transmission - Pharmacy Data
Slide 1
"Using Clinically-Enhanced Claims … heart failure discharged during a one year period
provide identifiers required to link drug orders to claims
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn23.jsp
July 01, 2016 - add laboratory data and pharmacy data from hospitals' electronic data repositories to our hospital claims … transmit electronic lab and pharmacy data to meet meaningful use requirements
Assistance in enhancing claims
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hcup-us.ahrq.gov/datainnovations/NYAbstractFinal.pdf
September 29, 2013 - Title:
State: New York
Title: Using Clinically-Enhanced Claims Data to Guide Selection of
Coronary
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn22.pdf
November 20, 2012 - approach:
Decision Support Database (DSD-billing)
within Mayo Clinic Rochester (MCR)
Hospital claims … slide-23
Center for the SCIENCE of HEALTH CARE DELIVERY
Results: 30-Day Readmissions for MCR:
Claims … MFMER | slide-26
Center for the SCIENCE of HEALTH CARE DELIVERY
Results: 30-Day Deaths for MCR Claims
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn22.jsp
September 01, 2014 - approach:
Decision Support Database (DSD-billing) within Mayo Clinic Rochester (MCR)
Hospital claims … Center for the SCIENCE of HEALTH CARE DELIVERY logo
Slide 23
Results: 30-Day Readmissions for MCR: Claims … Center for the SCIENCE of HEALTH CARE DELIVERY logo
Slide 26
Results: 30-Day Deaths for MCR Claims
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hcup-us.ahrq.gov/datainnovations/clinicaldata/POAAddonfile042208AHRQMod.pdf
September 23, 2010 - code of a blank on the UB-04, however, it
was determined that blanks were undesirable on Medicare claims … code of a blank on the UB04, however, it was
determined that blanks were undesirable on Medicare claims
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hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp
March 01, 2017 - Using claims data to examine mortality trends following hospitalization for heart attack in Medicare. … Underreporting of computed tomography and magnetic resonance imaging procedures in inpatient claims data … Using claims data to examine patients using practice-based Internet communication: Is there a clinical … Casemix adjustment of managed care claims data using the clinical classifications for health policy research
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hcup-us.ahrq.gov/db/state/sasddist/sasddist_filecompne.jsp
August 01, 2006 - Although it is voluntary, hospital-owned facilities report all claims data regardless of payer for ambulatory
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hcup-us.ahrq.gov/datainnovations/clinicaldata/poaback.jsp
July 01, 2016 - Enhancing the Clinical Content of Administrative Data - Present on Admission (POA) Background
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