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  1. 2015-05 Public (pdf file)

    hcup-us.ahrq.gov/reports/methods/2015-05_public.pdf
    January 01, 2015 - Medicare Claims Processing Manual (Pub 100-4), Chapter 4, Section 290.2.2 (p. 215). http://www.cms.gov … medically reasonable and necessary care, (2) help ensure that OS are reported on correctly coded hospital claims … Medicare claims were being submitted with multiple days of observation room charges for a single … determination of payment for observation services from the hospital billing department to the OPPS claims … CMS Manual System, Pub. 100-04 Medicare Claims Processing. Transmittal 1760, Change Request 6492.
  2. hcup-us.ahrq.gov/toolssoftware/revisit/UserGuide-SuppRevisitFilesCD.pdf
    October 01, 2024 - mellitus with complications; %let cleanPeriod = 6; ** number of months for "clean" period with no condX claims
  3. hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/Com-ICD10CM-User-Guide-v2021-1.pdf
    October 01, 2020 - Per the ICD-10-CM Coding Guidelines, the reporting of POA information is required for “all claims involving … Validation of the multivariable In-hospital Mortality for Pulmonary embolism using Claims data (IMPACT … ) prediction rule within an all-payer inpatient administrative claims database. … Per the ICD-10-CM Coding Guidelines, the reporting of POA information is now required for “all claims … information.”13 The importance of POA has prompted integration into software algorithms for hospital claims
  4. hcup-us.ahrq.gov/datainnovations/clinicaldata/Attachment2Survey_25FEB2008_Draft.pdf
    July 21, 2009 - Provide the laboratory results data using a standard format as is likely to be named in the HIPPA claims
  5. hcup-us.ahrq.gov/datainnovations/clinicaldata/FL8hospitaldatasharingagrmt081108.jsp
    October 08, 2010 - The Hospital agrees to indemnify, defend, and hold harmless the Agency from any or all claims and losses
  6. hcup-us.ahrq.gov/datainnovations/clinicaldata/WAFinalReport042309.jsp
    July 01, 2016 - feasibility of adding or linking hospital clinical information to administrative (discharge abstract or claims … obtaining a limited set of clinical data that would be combined with existing hospital administrative (claims … The newly proposed HIPAA standard transactions, Version 5010, include a new standard transaction for claims … the literature review (with the abstract of and link to the Michael Pine JAMA article Enhancement of claims … These costs are not recognized or reimbursed either through claims payments or via any other funding
  7. Wafinalreport042309 (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicaldata/WAFinalReport042309.pdf
    April 23, 2009 - feasibility of adding or linking hospital clinical information to administrative (discharge abstract or claims … obtaining a limited set of clinical data that would be combined with existing hospital administrative (claims … The newly proposed HIPAA standard transactions, Version 5010, include a new standard transaction for claims … literature review (with the abstract of and link to the Michael Pine JAMA article Enhancement of claims … These costs are not recognized or reimbursed either through claims payments or via any other funding
  8. hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/hi31.jsp
    September 01, 2014 - Technology lowers cost Technology increases feasibility of linking clinical with administrative claims
  9. hcup-us.ahrq.gov/db/nation/nis/APS-DRGsWeightsV25Public.pdf
    June 01, 2009 - 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. … Services department that provides expert guidance on coding and reimbursement issues affecting health claims
  10. hcup-us.ahrq.gov/datainnovations/clinicaldata/AdvisoryCouncilmeeting12032009_rev.jsp
    April 01, 2011 - Data collected from hospitals in the AHRQ project included: 188,555 inpatient administrative claims
  11. hcup-us.ahrq.gov/reports/methods/2005_02.pdf
    January 01, 2005 - claims. … It is unclear at this time whether hospital outpatient claims that include procedures in these fields … , effective October 2003, the procedure fields for ICD-9-CM codes are used for inpatient claims, but … not hospital outpatient claims. … It is unclear at this time whether hospital outpatient claims that classify procedures using the ICD
  12. hcup-us.ahrq.gov/team/StateDUA.pdf
    September 13, 2023 - and hold harmless AHRQ and the data organizations that provide data to AHRQ for HCUP from any or all claims
  13. hcup-us.ahrq.gov/team/NationwideDUA.pdf
    September 13, 2023 - and hold harmless AHRQ and the data organizations that provide data to AHRQ for HCUP from any or all claims
  14. hcup-us.ahrq.gov/datainnovations/clinicaldata/Attachment2Survey_25FEB2008_Draft.jsp
    October 01, 2010 - Provide the laboratory results data using a standard format as is likely to be named in the HIPPA claims
  15. hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/CMR-User-Guide-v2024-1.pdf
    December 01, 2023 - Per the ICD-10-CM Coding Guidelines, the reporting of POA information is required for “all claims involving … Validation of the multivariable In-hospital Mortality for Pulmonary embolism using Claims data (IMPACT … ) prediction rule within an all-payer inpatient administrative claims database. … Per the ICD-10-CM Coding Guidelines, the reporting of POA information is now required for “all claims … information.”20 The importance of POA has prompted integration into software algorithms for hospital claims
  16. hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/CMR-User-Guide-v2025-1.pdf
    November 01, 2024 - Per the ICD-10-CM Coding Guidelines, the reporting of POA information is required for “all claims involving … Validation of the multivariable In-hospital Mortality for Pulmonary embolism using Claims data (IMPACT … ) prediction rule within an all-payer inpatient administrative claims database. … Per the ICD-10-CM Coding Guidelines, the reporting of POA information is now required for “all claims … information.”20 The importance of POA has prompted integration into software algorithms for hospital claims
  17. hcup-us.ahrq.gov/reports/methods/2014-03.pdf
    January 01, 2014 - health data reporting only when required by state or Federal law or regulations” (but is not allowed on claims … humanservi ces/cicrf/home/index.html Accessed on July 24, 2013 From the HCUP Partner: DOH Program and claims
  18. hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/CMR-User-Guide-v2023-1.pdf
    December 01, 2022 - Per the ICD-10-CM Coding Guidelines, the reporting of POA information is required for “all claims involving … Validation of the multivariable In-hospital Mortality for Pulmonary embolism using Claims data (IMPACT … ) prediction rule within an all-payer inpatient administrative claims database. … Per the ICD-10-CM Coding Guidelines, the reporting of POA information is now required for “all claims … information.”20 The importance of POA has prompted integration into software algorithms for hospital claims
  19. (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicaldata/3MSummaryResultsReportFinal.pdf
    January 01, 2009 - diagnosis that specifics whether the diagnosis was present at the time of admission on all Medicare claims … Enhancement of Claims Data to Improve Risk Adjustment of Hospital Mortality. … a means for collecting additional patient characteristics in a way that does not require existing claims … forms or claims processing systems to be modified.
  20. hcup-us.ahrq.gov/datainnovations/clinicaldata/3MSummaryResultsReportFinal.jsp
    October 03, 2010 - diagnosis that specifics whether the diagnosis was present at the time of admission on all Medicare claims … Enhancement of Claims Data to Improve Risk Adjustment of Hospital Mortality. … provide a means for collecting additional patient characteristics in a way that does not require existing claims … forms or claims processing systems to be modified.

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