-
hcup-us.ahrq.gov/db/quality.pdf
January 31, 2025 - ELOS02
DISCHARGE DATE (FOR INPATIENT
DATA) OR END OF SERVICE DATE
(FOR OUTPATIENT DATA) IS MISSING … ELOS03
ADMISSION DATE (FOR INPATIENT
DATA) OR START OF SERVICE DATE
(FOR OUTPATIENT DATA) IS AFTER … ELOS03
ADMISSION DATE (FOR INPATIENT
DATA) OR END OF SERVICE DATE
(FOR OUTPATIENT DATA) IS AFTER … https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Downloads/FY2019-CMS- … 1694-FR-Code-Edits.zip
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS
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hcup-us.ahrq.gov/db/state/2016HCUPStateDatabases09182019.pdf
September 18, 2019 - ://www.hcup-us.ahrq.gov/tools_software.jsp
https://www.hcup-us.ahrq.gov/tech_assist/tutorials.jsp
service … information can include charges, revenue codes,
units, rate, CPT procedure codes and modifiers, and service … procedure n Core 2016
I10_PRMCCS1a Multi-level CCS: Procedure 1 DX_PR_GRPS 2016
I10_ SERVICELINEd Service
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hcup-us.ahrq.gov/reports/statbriefs/sb265-System-Affiliation-and-Inpatient-Stays-2016.pdf
January 01, 2016 - Introduction
A shift from traditional fee-for-service-based to value-based
payments has incentivized … hospital care and patient outcomes.3 However,
integration also may result in eliminating unprofitable service … Further technical documentation from this data source is available elsewhere.c,d
Service line
Service … and managed care Medicare
• Medicaid: includes fee-for-service and managed care Medicaid
• Private … Introduction
Definitions
Service line
Unit of analysis
Costs and charges
Expected payer
Admission
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hcup-us.ahrq.gov/db/state/sedddist/sedddist_filecompnc.jsp
August 01, 2012 - distinguish between patients treated in an ED and patients with an ambulatory surgery or other outpatient service … records from the source supplied ED data file with Bill Type values of 111 and 117, indicating inpatient service
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or32.jsp
October 08, 2012 - surveillance systems
Our Northwest Tribal Registry (NTR) consists largely of the Portland Area Indian Health Service … From a service standpoint, baby with AI/AN mother or father who uses IHS/tribal clinical services is … Consider using dads' race data for service-based analyses
Slide 20
Limitations
Our selection
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hcup-us.ahrq.gov/db/state/sedddist/sedddist_filecompia.jsp
June 01, 2007 - The types of outpatient records are designated by the IHA as service markers. … Multiple types of service markers may exist on the same record. … records identified by the IHA as ED are included in the SEDD (HCUP data element STATE_ED=1 based on the service
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hcup-us.ahrq.gov/news/newsletters/newsltrQ2_2017.html
January 01, 2017 - ICD-9-CM codes, Clinical Classifications Software (CCS), DRG, major-diagnostic category (MDC), and service … one interest group poster:
Medicare Advantage Penetration and Hospital Costs
Medicare Fee-For-Service … Young Adults, Health Insurance Expansions, and Hospital Services Utilization
Changes in Hospital Service … Young Adults, Health Insurance Expansions, and Hospital Services Utilization
Changes in Hospital Service … and Nonsafety-Net Hospitals
Medicare Advantage Penetration and Hospital Costs
Medicare Fee-for-Service
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hcup-us.ahrq.gov/news/newsletters/newsltrQ2_2016.html
January 01, 2016 - recruiting an experienced Social Science Analyst or Health Services Researcher to serve as a Staff Service … The Staff Service Fellow will assist in managing tasks for creation of databases and tools for research … The position is a two-year renewable Staff Service Fellow appointment, at the civil service equivalent … Do Service Lines Matter?
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hcup-us.ahrq.gov/db/state/sasddist/sasddist_filecomphi.jsp
May 01, 2020 - Starting in data year 2011, observation service encounters are included with the ambulatory surgery data … The designation as hospital-owned means that HCUP can identify that the hospital is billing for this service
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hcup-us.ahrq.gov/db/vars/pay2_n/nisnote.jsp
September 02, 2008 - Beginning in the 4th quarter of 1997, the source code "Point of Service" was included in the HCUP uniform … separate categories for
Medicare HMO/PPO (PAY2_N = 1),
Medicaid HMO/PPO (PAY2_N = 2), and
HMO/PPO service … The source category "Health Care Service Contractors" includes a mix of Blue Cross, County Medical Bureaus … , Washington Physicians Service, and other commercial payers.
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hcup-us.ahrq.gov/db/nation/kid/KID_2003_CORE_Volume2_M-Z.pdf
January 01, 2003 - For example,
• Medicare includes both fee-for-service and managed care Medicare patients. … • Medicaid includes both fee-for-service and managed care Medicaid patients. … , HMO, point of
service, etc.); and the fourth digit specifies the HMO plan. … - Fee for service 3
Private
Insurance
WPS02
Wisconsin Physicians Service -
Alternative health … • Medicaid includes both fee-for-service and managed care Medicaid patients.
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hcup-us.ahrq.gov/reports/methods/2012_04.pdf
January 01, 2012 - Rehospitalizations among patients in the Medicare fee-for-
service program. … The CMS measures focus on Medicare fee-for-service (FFS)
beneficiaries aged 65 years and older. … For CMS reporting, patients are excluded if they are not enrolled in fee-
for-service Medicare for at … Target Population Medicare fee-for-service patients who died from cancer
Data Source
Administrative … Rehospitalizations among
patients in the Medicare fee-for-service program.
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hcup-us.ahrq.gov/reports/statbriefs/sb185-Hospital-Intensive-Care-Units-2011.pdf
January 01, 2011 - using the HCUP cost-to-
charge ratios,3 these hospital-wide ratios do not account for variations among service … surgical ICU beds
• Cardiac ICU beds
• Burn ICU beds
• Other special care beds
• Other ICU beds
• Service … for medical/surgical ICU
• Service for cardiac ICU
• Service for burn ICU
• Service for other special … unit
• Service for other ICU
• Full-time employees (FTEs) for cardiac intensivists (intensive care … definitions of micropolitan and rural areas, can be found on the Web
site of the Economic Research Service
-
hcup-us.ahrq.gov/db/vars/pay1_n/nisnote.jsp
September 01, 2008 - categories for HMO/PPO (PAY1_N = 5), Medicare HMO (PAY1_N = 1), Medicaid HMO (PAY1_N = 2), and HMO/PPO service … Beginning in 1997, the source code "Point of Service" was included in the HCUP uniform category "Alternative … categories for
Medicare HMO/PPO (PAY1_N = 1),
Medicaid HMO/PPO (PAY1_N = 2), and
HMO/PPO service … The source category "Health Care Service Contractors" includes a mix of Blue Cross, County Medical Bureaus … , Washington Physicians Service, and other commercial payers.
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hcup-us.ahrq.gov/db/nation/nrd/stats/FileSpecifications_NRD_2015_Core.TXT
January 01, 2015 - 2015 NRD_2015_Core 10 HCUP_ED 2 Num HCUP Emergency Department service
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hcup-us.ahrq.gov/db/state/sasddist/sasddist_filecompsd.jsp
June 01, 2024 - therapy, 0650-0659 for hospice services, 0660-0669 for respite care, 0770-0771 for preventive care service … The designation as hospital-owned means that HCUP can identify that the hospital is billing for this service
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hcup-us.ahrq.gov/reports/statbriefs/sb185-Hospital-Intensive-Care-Units-2011.jsp
December 01, 2014 - the HCUP cost-to-charge ratios, 3 these hospital-wide ratios do not account for variations among service … Medical/surgical ICU beds
Cardiac ICU beds
Burn ICU beds
Other special care beds
Other ICU beds
Service … for medical/surgical ICU
Service for cardiac ICU
Service for burn ICU
Service for other special … unit
Service for other ICU
Full-time employees (FTEs) for cardiac intensivists (intensive care specialists … complex definitions of micropolitan and rural areas, can be found on the website of the Economic Research Service
-
hcup-us.ahrq.gov/db/state/sasddist/sasddist_filecompga.jsp
December 01, 2016 - SASD with evidence of other types of outpatient service, such as other outpatient services, can be identified … The designation as hospital-owned means that HCUP can identify that the hospital is billing for this service
-
hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or28.pdf
November 15, 2011 - Tribes
• Outpatient ambulatory
care provided by IHS,
tribal, and urban clinics
No Indian Health Service
-
hcup-us.ahrq.gov/Web1Spring2021HCUPOverview042021_posted.pdf
March 10, 2021 - Psychiatric Hospitals
Other Hospitals LTC
Abbreviations: DoD, Department of Defense; IHS, Indian Health Service … Academic medical centers Prison hospitals
Abbreviations: DoD, Department of Defense; IHS, Indian Health Service … Medicare
1 Medicare
011 Medicare (HMO)
012 Medicare (Managed care - Other)
013 Medicare (fee for service … Medi-Cal
2 Medicaid
021 Medi-Cal (HMO)
022 Medi-Cal (Managed care - Other)
023 Medi-Cal (fee for service … Private Coverage (HMO)
032
Private Coverage (Managed care -
Other)
033 Private Coverage (fee for service