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hcup-us.ahrq.gov/db/nation/nis/APS-DRGs%20V22%20Definitions%20Manual.pdf
April 01, 2006 - THIS APPENDIX INCLUDES:
• Organization Change of Information Form
• Product Manual Feedback Form
rsion … 22 APS-DRGs® Definitions Manual 45
Appendix B: HSS Forms Organization Change of Information Form … Product Manual Feedback Form
Ve
PRODUCT MANUAL FEEDBACK FORM
Use the feedback form below to provide … Product Manual Feedback Form
Ve
After completing the form, mail or fax this to HSS, Inc. at:
Mailing … Organization Change of Information Form
Product Manual Feedback Form
Contact Information
Manual
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn18.pdf
June 21, 2014 - identifier^give code text^coding system|
give amount minimum|give amount maximum|give units|give dosage form
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/nm6.pdf
June 16, 2014 - Did somebody ask you your race/ethnicity and/or tribal affiliation or did you write it
on a form? … 1 Verbally Asked
2 Paper/Written Form
3 Other ______________
7 Don’t Know/Not Sure
9 Refused
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hcup-us.ahrq.gov/reports/statbriefs/sb57.pdf
July 09, 2008 - others, such as young children or college
students living in dorms, particularly susceptible.4 Other forms … the longest hospital stays occurred among patients with a diagnosis of
candidal meningitis (a fungal form … , 36.8 days), gram negative meningitis (a bacterial form, 28.3 days),
and staphylococcal meningitis … (a bacterial form, 25.8 days). … Because this form of meningitis more commonly occurs in persons with immune deficiencies, the variation
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca15.jsp
October 01, 2014 - RACE: Five racial categories are available on the form. … provided a list of Frequently Asked Questions to help answer any questions that you may have about this form
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hcup-us.ahrq.gov/db/state/sedddist/sedd_multi.jsp
September 01, 2019 - Check the corresponding boxes and then click
View File Composition (Top of Form)
Arizona … Wisconsin
Check the corresponding boxes and then click
View File Composition (Bottom of Form
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca13.pdf
January 01, 2009 - Should questions on patient race, ethnicity, and language be asked verbally or
with the help of a form … Response: Questions can be asked either verbally or through a paper form, as
hospitals vary in how and
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn11.jsp
August 01, 2014 - Hospital or System Name:________________________________________
Sign and return the Commitment Form
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hcup-us.ahrq.gov/db/vars/hosp_control/nassnote.jsp
August 01, 2019 - stratification of public versus private was used, with the voluntary and proprietary hospitals combined to form
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hcup-us.ahrq.gov/reports/statbriefs/sb57.jsp
July 01, 2008 - others, such as young children or college students living in dorms, particularly susceptible. 4 Other forms … the longest hospital stays occurred among patients with a diagnosis of candidal meningitis (a fungal form … , 36.8 days), gram negative meningitis (a bacterial form, 28.3 days), and staphylococcal meningitis ( … a bacterial form, 25.8 days). … Because this form of meningitis more commonly occurs in persons with immune deficiencies, the variation
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/nm6.jsp
July 01, 2014 - Did somebody ask you your race/ethnicity and/or tribal affiliation or did you write it on a form? … Paper/Written Form
3. Other _________________
7. Don't Know / Not Sure
9.
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/about_grants_cd.jsp
July 01, 2016 - and Commitment Letter ( PDF file, 58 KB; HTML )
Cover letter introducing the Hospital Commitment Form … Hospital Commitment Form ( PDF file, 47 KB; HTML )
Mechanism for interested hospitals to sign up … Planning
Contact Information for Submission of Clinical Laboratory Data ( PDF file, 276 KB; HTML )
Form
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hcup-us.ahrq.gov/db/vars/pointoforigin_x/nisnote.jsp
September 01, 2008 - the hospital setting and uses the same coding as the point of origin data element on the UB-04 claim form
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hcup-us.ahrq.gov/db/vars/pointoforigin_x/kidnote.jsp
September 01, 2008 - the hospital setting and uses the same coding as the point of origin data element on the UB-04 claim form
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hcup-us.ahrq.gov/db/vars/hosp_control/nedsnote.jsp
May 01, 2015 - stratification of public versus private was used, with the voluntary and proprietary hospitals combined to form
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hcup-us.ahrq.gov/db/vars/asource_x/nisnote.jsp
September 01, 2008 - source of admission and uses the same coding as the source of admission data element on the UB-92 claim form
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hcup-us.ahrq.gov/db/vars/asource_x/kidnote.jsp
September 01, 2008 - source of admission and uses the same coding as the source of admission data element on the UB-92 claim form
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hcup-us.ahrq.gov/db/state/siddist/siddist_filecompky.jsp
August 01, 2006 - These DSHOSPID's take the form of DPRnnn, where nnn represents 3-digit numbers.
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/hi31.pdf
March 23, 2010 - Patient disposition
Admission source & type
Admission month
Charges
UB-92 (UB-04) Billing Form
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca13.jsp
July 01, 2016 - Should questions on patient race, ethnicity, and language be asked verbally or with the help of a form … Response: Questions can be asked either verbally or through a paper form, as hospitals vary in how and