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Medicare DRG to MS- DRG crosswalk - IWCC home page

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Medicare DRG to MS- DRG crosswalk - IWCC home page

Codes are listed in MS-DRG order. If you receive a bill with a MS-DRG code, find the MS-DRG code number in Column D, and note the corresponding DRG code number in ...

http://www.iwcc.il.gov/crosswalk.xls

Date added: September 10, 2011 - Views: 263

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2012 MS- DRG Updates Effective October 1, 2011 -...

Texas MS-DRG v29 eff 10-1-2011 adj_fact Aggregate_Cap_BR_Only combined_cap COUNTY imppuf_091001 ... Ownership_List Prov Ident Nbr with Suffi Provider City Name

http://www.tmhp.com/News_Items/2011/09-Sep/2012%20MS-DRG%20Updates%20Effective%20October%201,%202011.xls

Date added: November 25, 2011 - Views: 222

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Table 5: List of FY14 MS - DRGs , Relative Weights

fy 2014 fr special pay drg table 5.—list of medicare severity diagnosis-related groups (ms-drgs), relative weighting factors, and geometric and arithmetic mean ...

http://www.iic.idaho.gov/medical/FY_2014_FR_Table_5.xlsx

Date added: November 30, 2013 - Views: 10

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www.health.ny.gov

See Applicable FFS Rate Publication for Psych ALC Rate Codes 2962 & 2963 ... The SIW APR-DRG Table and other Payment Tables are available on the DOH public website ...

http://www.health.ny.gov/facilities/hospital/reimbursement/apr-drg/rates/ffs/2010/docs/doh_ffs-mmc_psych_pymt_wks_oct_20_2010.xls

Date added: December 27, 2012 - Views: 8

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www.kmap-state-ks.us

CMS-DRG to MS-DRG Xwalk Other injury ... Addition of infections to PDX list and criteria of spinal fusion with non-or procedure 8164 ... Added procedure codes 0083 ...

https://www.kmap-state-ks.us/Documents/Content/Provider/MS-DRG%20Crosswalk.xls

Date added: September 3, 2011 - Views: 69

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www.azahcccs.gov

Navigant to send a list of the required fields to calculate DRG payments DRG grouper returns about 12 edits (non-zero return codes). A list of those edits is ...

http://www.azahcccs.gov/commercial/Downloads/EDIChanges/1_28mtg/9d%20-%20Copy%20of%20AZ%20APR-DRG%20Issues%20Matrix%20-%20(01%2023%202014).xlsx

Date added: February 26, 2014 - Views: 10

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www.shafafiya.org

Alternative/additional proposal: introduce a list of base DRG codes (5-digit codes) to be used in PriorRequest/Authorisation transactions Rationale: ...

http://www.shafafiya.org/dictionary/guidance/DataStandardsPanel.xls

Date added: September 15, 2012 - Views: 58

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www2.illinois.gov

of valid DRG codes can be found on Tab labeled "Valid DRG's". Illinois Department of Public Aid Medical Assistance Program Diagnoisis Related Groups (DRG) ...

http://www2.illinois.gov/hfs/SiteCollectionDocuments/HosptialDRGCalculationWorksheet.xls

Date added: November 12, 2012 - Views: 67

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MS- DRG 2011 Updates Effective October 1, 2010 -...

Author: donna.shaver Last modified by: TMHP Created Date: 9/25/2007 6:31:36 PM Title: MS-DRG 2011 Updates Effective October 1, 2010 - October 31, 2010

http://www.tmhp.com/News_Items/2010/09-24-10%20MS-DRG_2010_Updates_Effective_October_1,_2010.xls

Date added: September 3, 2011 - Views: 57

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ICD-9 Codes for Family Medicine 2011-2012: The FPM...

ICD-9 Codes for Family Medicine 2011-2012: The FPM Short List Author: gnafzing Keywords: icd9, icd-9, coding, codes, family practice management, short list

http://www.aafp.org/fpm/icd9/icd9-short.xls

Date added: August 28, 2011 - Views: 284

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www.oshpd.ca.gov

Version 30.0 MS-DRG Grouper. Title: Appendix G: Major Diagnostic Categories (MDCs) (names and codes) Subject: 2010-2012 Major Diagnostic Categories (MDCs) Author:

http://www.oshpd.ca.gov/HID/Data_Request_Center/documents/puf/G_Major-Diagnostic-Categories-names-codes.xlsx

Date added: December 7, 2013 - Views: 24

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Florida Medicaid DRG Pricing Calculator - Agency...

Florida Medicaid DRG Pricing Calculator Submitted charges Used for transfer pricing and covered days adjustments Hospital average per discharge automatic IGT add on pymt

http://ahca.myflorida.com/medicaid/cost_reim/xls/Florida_DRG_Calculator.xlsx

Date added: December 29, 2013 - Views: 14

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www.scdhhs.gov

SC Medicaid Table of APR-DRGs and Relative ... a website that a hospital can use to input diagnosis and procedure codes for a claim and receive an APR-DRG ...

http://www.scdhhs.gov/internet/pdf/SC%20DRG%20calculator.xls

Date added: November 12, 2011 - Views: 48

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www.doh.wa.gov

ShortList DescriptionTables DRG-Version Revenue Procedures ECodes Diagnosis Clinical(Pub) ECODE1 POAE1 See International Organization of Standards (ISO) 3166-1 code list

http://www.doh.wa.gov/Portals/1/Documents/5300/DictionaryCHARSLimited.xls

Date added: September 2, 2013 - Views: 19

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www.azahcccs.gov

The "DRG Table" worksheet contains a list of the APR-DRG codes and parameters used in pricing individual hospital inpatient stays.

http://www.azahcccs.gov/commercial/Downloads/EDIchanges/DRG_Workgroup3/AzDrgCalculatorDraft_8_7_14.xlsx

Date added: August 24, 2014 - Views: 2

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theincidentaleconomist.com

OK to Share DRG Codes HCPCS (CPT) Codes Procedure Codes Diagnosis Codes Columns to Search Summary of Methodology Table DGNS PRCDR HCPCS DRG HHA Hospice Inpatient

http://theincidentaleconomist.com/wordpress/wp-content/uploads/2014/12/SAMHSACodesV3-04302014.xls

Date added: December 18, 2014 - Views: 1

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www.dhs.ri.gov

Under DRG payment, the Medicaid claims processing system assigns each complete inpatient stay to an All Patient Refined Diagnosis Related Group (APR-DRG) ...

http://www.dhs.ri.gov/Portals/0/Uploads/Documents/Public/MA%20Reference%20Guides/Hospital/DRG_calculator.xls

Date added: September 28, 2011 - Views: 94

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www.oregon.gov

DRG Code Recap List of DRG codes with largest paid claims volume, by subgroup within each plan Service Code Recap List of service codes with largest paid claims ...

http://www.oregon.gov/DAS/PEBB/docs/boardattachments/Ops090908/Opsattach3aSamaritanWorkPlan.xls

Date added: January 8, 2015 - Views: 1

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www.eohima.org

Table 5.--List of Medicare Severity-Diagnosis Related Groups (MS-DRGs), Table 6A.--New Diagnosis Codes Table 6B.--New Procedure Codes

http://www.eohima.org/education/MSDRGsforEOHIMA092207.xls

Date added: August 28, 2011 - Views: 91

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M2 Data Dictionary - NCC Pediatrics Residency at...

Diagnosis Related Groups Commands APG Grouper Codes AHFS Therapeutic Class ... DRG Codes DMIS Table CPT-HCPCS Codes APG Codes Data Status Survey Information CSS ...

http://www.nccpeds.com/research/M2DataDictionary.xls

Date added: June 10, 2012 - Views: 508

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www.ctdssmap.com

The "DRG Table CT" worksheet contains a list of the APR DRG codes and parameters used in pricing individual hospital inpatient stays.

https://www.ctdssmap.com/CTPortal/portals/0/StaticContent/Publications/CT_DRG_Calculator.xlsx

Date added: February 15, 2015 - Views: 3

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www.tricare.mil

Although DRG Codes and MS-DRG Codes have the same format (nnn), the descriptions, weights, and other attributes for the two code sets are very different.

http://www.tricare.mil/ocfo/_docs/M2%20Alert%20Message%20Log%20(Dec%2009).xls

Date added: September 4, 2011 - Views: 55

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Claims Adjustment Reason Codes and Remittance...

360-DRG is NOT in the selected DRG Group B15 ... Diagnosis pointer required on service line for Diagnosis Codes Procedure Code not found or invalid for Date of Service

https://mainecare.maine.gov/Billing%20Instructions/Supplemental%20Billing%20Info/Adj_Reasons_and_RA_Remark_Codes_v2.0_%2020121023.xls

Date added: December 18, 2012 - Views: 83

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Exception Codes and Descriptions - Mississippi...

medicaid covered days less than or equal to interim claim ... procedure codes 92507 & 92508 billed by provider type of t02 where the bene ... drg record not on file

https://msmedicaid.acs-inc.com/msenvision/xls/editcodes.xls

Date added: September 5, 2011 - Views: 64

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Analysis of Part A CERT Data for Jurisdiction 12...

Revise DRG to 310 with procedure codes 37.72, ... (procedure codes 37.83 and 37.72) per SSA 1862(a)(1)(A), PUB 100-3, Ch 1 §20.8(Cardiac Pacemakers) ...

http://www.novitas-solutions.com/webcenter/content/conn/UCM_Repository/uuid/dDocName:00003540

Date added: December 3, 2013 - Views: 130

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healthsciences.utah.edu

List the services and procedures required by the protocol. Also list device or supply items provided by the study. List the 5 digit CPT, ICD-9, or DRG codes.

http://healthsciences.utah.edu/crce/forms/paper%20pbg%20example.xls

Date added: August 18, 2013 - Views: 9

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www.doh.wa.gov

See International Organization of Standards (ISO) 3166-1 code list http://www.iso.org/iso/country_codes ... DRG calculated excluding HAC diagnosis codes

http://www.doh.wa.gov/Portals/1/Documents/5300/DictionaryCHARSLimited.xlsx

Date added: August 3, 2014 - Views: 2

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www.sandhillscenter.org

DRG code(s). Other procedure code for service(s) ... (Use Group Codes PR or CO depending upon liability). Processed according to contract-plan provisions. M80

http://www.sandhillscenter.org/Finance_files/EOBcrosswalk7-27-10.xls

Date added: March 31, 2013 - Views: 35

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healthsciences.utah.edu

Optional- please list the 5 digit CPT, ICD-9, or DRG codes if known. If there is not a code for the service or procedure, please list NA (not applicable).

http://healthsciences.utah.edu/crce/documents/uofuandPCMCBillingGridWorkbook18Nov08.xls

Date added: December 14, 2013 - Views: 1

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www.research.buffalo.edu

Optional- please list the 5 digit CPT, ICD-9, or DRG codes if known. If there is not a code for the service or procedure, please list NA (not applicable).

http://www.research.buffalo.edu/cro/files/CoverageAnalysisProtocolBillingTemplate.xls

Date added: February 28, 2015 - Views: 1

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Explanaton of Benefits Code Crosswalk

The approved level of care does not match the procedure code ... (Use Group Codes PR ... ungroupable DRG. This change to be effective 4/1/2008: Ungroupable DRG. 0811

https://www.forwardhealth.wi.gov/WIPortal/Tab/42/icscontent/Provider/EOBs/eob_xwalk.xls.spage

Date added: March 27, 2012 - Views: 90

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www2.illinois.gov

Serious Mental Illness list Severity Hierarchy Legend Population Summary File Provider Summary File Recipient Summary File CHAR(9) RecipientKeyID INTEGER

http://www2.illinois.gov/hfs/SiteCollectionDocuments/cc_datadictionary.xls

Date added: March 18, 2013 - Views: 8

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www.medicarefind.com

Mutually Exclusive Lower Limb Prosthetic Codes DRG Validation requires that ... Section 280.1 Noridian LCD L11488 Nebulizers LCD Policy Article A24942 ...

http://www.medicarefind.com/searchdetails/ManualData/Attachments/HDIissues04282011.xls

Date added: June 6, 2014 - Views: 25

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Part A CERT Errors - January through March 20120

DRG wrong diagnosis code DRG wrong procedure code Wrong discharge status code ... Inpatient Only List. Missing the Physician's Inpatient Admission Order, H&P, ...

http://www.novitas-solutions.com/webcenter/content/conn/UCM_Repository/uuid/dDocName:00003537

Date added: December 3, 2013 - Views: 28

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medicaid.ohio.gov

drg 892 - diag codes 7650 or 769 not on claim drg 895-898 - incorrect level of nursery drg 895, 896, 897 or 898 - missing birth weight current ...

http://medicaid.ohio.gov/Portals/0/Providers/Billing/TradingPartners/Features/EOB-ErrorCode.xls

Date added: September 21, 2014 - Views: 7

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Action Codes - Group Health Cooperative

NON SPECIFIC OPERATING ROOM PROCEDURE-RETURN CODE FROM DRG GROUPER 371 986 ... Active Processor Applied Codes Group Health Action Code 4-6-2015

https://provider.ghc.org/open/billingAndClaims/codesAndStandards/GroupHealth-ClaimsActionCodes.xls

Date added: September 13, 2011 - Views: 186

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www.khima.com

DRG Grouper GHI Annual Outpatient Code Editor POA Database In-house ... List Codes BD Identify Codes Infection control IC Infection Control Surg Surgery Codes HH Home ...

http://www.khima.com/downloads/ICD10/May2013/KHIMAICD10ImpactAssessmentTemplatesample042513.xls

Date added: May 22, 2013 - Views: 34

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Sheet1 - Department of Medical Assistance Services

Diagnosis Cannot Be Used as Principal diagnosis based on the DRG Group 0906 ... Coverage Limited to Medicaid ... SUBSTITUTE GENERIC OR SEE PDL LIST AJ 1499 PDL ...

http://www.dmas.virginia.gov/Content_atchs/cb/cb3.xlsx

Date added: September 12, 2012 - Views: 50

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www.tricare.mil

5.a) Percentage of inpatient medical records whose assigned DRG Codes were correct? 4 DRG changes;audit review with coders regarding encounters, ...

http://www.tricare.mil/ocfo/_docs/Monthly%20Report_TMA%20Version.xls

Date added: May 2, 2013 - Views: 16

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library.ahima.org

ICD10Data.com takes the ICD-10 coding book and adds over 4.2 million cross references between codes to ... A list of AHIMA ... "ICD-10 MS-DRG Conversion ...

http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_050415.xlsx

Date added: October 17, 2013 - Views: 67

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ddcache2.net

Codes within these ranges on the CC/MCC list: ... identified by DRG, MS-DRG, or by ICD-9-CM procedure codes if they are reported without a hysterectomy procedure

http://ddcache2.net/calhospital.s1017.SU/sites/main/files/file-attachments/cha__hret_hen_encyclopedia_of_measures_updated_072312.xls

Date added: September 11, 2012 - Views: 56

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www.khima.com

DRG Grouper Systems Electronic Processing systems EMR Sytems Encoding E-prescribing ... Are there system interfaces that use ICD-9 codes? (Y/N) (list on next column)

http://www.khima.com/downloads/ICD10/CopyofKHIMAImpactAssessmentTools02122012.xls

Date added: March 12, 2013 - Views: 48

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www.oregon.gov

A&B, DRG, or OTH IP EXCLUDE A&B, DRG, or OTH OP FFS/EXCLUDE Bucket Book Description ... Any inpatient claim with at least 1 diagnosis code in the following list:

http://www.oregon.gov/oha/healthplan/ContractorWorkgroupsMeetingMaterials/Final%20Template%20Definitions%20Crosswalk.xls

Date added: November 22, 2014 - Views: 3

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www.scdhhs.gov

From separate APR-DRG grouping software Look up Table of Weights and Thresholds APR-DRG APR-DRG Description Transfer payment adjustment Estimated cost of this case

http://www.scdhhs.gov/internet/pdf/SC%20DRG%20calculator%20%202011-12-19%20final%20(db).XLSX

Date added: May 3, 2013 - Views: 2

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www.ascp.org

CMS agrees with the recommendation to establish a crosswalk to a series of molecular diagnostic CPT codes.

http://www.ascp.org/PDF/Advocacy/CLFS-initial-determinations-revised-2010.aspx

Date added: October 6, 2011 - Views: 57

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www.qualityforum.org

The target population includes patients discharged with an ICD-9-CM Principal or Other Diagnosis Codes for VTE as ... A detailed list of the changes to the measure ...

http://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=74401

Date added: January 17, 2014 - Views: 31

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www.health.mil

Apr 30, 2015 · Users are reminded that only new and modified List of ... only the first 8 ICD-9 diagnosis and 8 ICD-9 procedure codes were submitted to the DRG grouping ...

http://www.health.mil/Reference-Center/Technical-Documents/2015/05/01/M2-Alerts

Date added: April 30, 2015 - Views: 1

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revcycle.med.umich.edu

... DRG codes of the specified DRG Type based on discharge or admit date will be used. Billing DRG Type settings can be specified at the Benefit Plan ...

http://revcycle.med.umich.edu/sites/default/files/Payor-Plan%20Item%20Usage_0.xlsx

Date added: January 8, 2015 - Views: 3

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innovation.cms.gov

Please list the principal diagnosis codes that you propose to use to identify ... Describe the volume of the listed MS-DRG for all Medicare beneficiaries where ...

http://innovation.cms.gov/Files/worksheets/Bundled-Payments-for-Care-Improvement-Model-3-Application-Tables.xlsx

Date added: May 9, 2013 - Views: 3