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Medicare DRG to MS-DRG crosswalk - Illinois

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Medicare DRG to MS-DRG crosswalk - Illinois

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: 246

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2012 MS-DRG Updates Effective October 1, 2011 - Welcome to TMHP

Ownership_List Prov Ident Nbr with Suffi Provider City Name Provider Combined Name ... Texas MS-DRG v29 eff 10-1-2011 'Texas MS-DRG v29 eff 10-1-2011'!Print_Titles ...

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

Date added: November 25, 2011 - Views: 207

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

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

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

Date added: November 30, 2013 - Views: 5

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www.fieldsresearch.com

70 = Discharge/transfer to health care institution not defined elsewhere in the code list DOS 2 = CMS V.24 DRG codes 4 = ICD-9 codes 5 = Hospital unit 6 = New York ...

https://www.fieldsresearch.com/HOSPITAL-SAMPLE-STRUCTURE.xls

Date added: November 6, 2011 - Views: 13

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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: 66

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RI DRG calculator 2010-06-14.xls - Rhode Island

This pricing calculator spreadsheet includes the list of APR-DRG and associated payment rates. ... RI DRG calculator 2010-06-14.xls Author: 11001561 Last modified by:

http://www.eohhs.ri.gov/Portals/0/Uploads/Documents/MA%20Providers/MA%20Reference%20Guides/Hospitals/DRG_calculator_2012.xls

Date added: December 24, 2013 - Views: 12

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2008 Proposed Medicare CC and MCC List - EOHIMA

DRG LIST V25 all Deleted CCs CC_Table FR Tables Sheet1 CC_Table CC_Table TABLE 3A.—FY 2008 AND 3-YEAR* AVERAGE HOURLY WAGE FOR URBAN AREAS BY CBSA

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

Date added: August 28, 2011 - Views: 71

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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: 47

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www.azahcccs.gov

Discussed this would impact the outlier calculation but not the DRG logic. AHCCCS will do a ... and procedure codes. Navigant to send a list of the required ...

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: 6

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

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: 261

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DRG Calculation Worksheet (xls) - State of Illinois

of valid DRG codes can be found on Tab labeled "Valid DRG's". Illinois Department of Public Aid ... Enter the DRG code which corresponds to the claim, a list

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

Date added: November 12, 2012 - Views: 57

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www.oshpd.ca.gov

MYELOPROLIFERATIVE DISEASES & POORLY DIFFERENTIATED ... Version 27.0 MS-DRG Grouper ... Appendix G: Major Diagnostic Categories (MDCs) (names and codes) Subject:

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

Date added: December 7, 2013 - Views: 12

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Group Health Claims Action Codes. - Provider site login page

NON SPECIFIC OPERATING ROOM PROCEDURE-RETURN CODE FROM DRG GROUPER 371 986 ... List of action codes used by Group Health. Author: tsubdm1 Last modified by:

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

Date added: September 13, 2011 - Views: 169

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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: 1

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RI DRG calculator 2010-06-14.xls

Weights & Thresholds v28 Hospital Info Calculator Cover age_adj cost_thresh day_pay day_thresh DRG_base MC pol_adj 720-3 720-4 721-1 POST-OPERATIVE, POST-TRAUMATIC ...

http://www.dhs.ri.gov/Portals/0/Uploads/Documents/Public/MA%20Reference%20Guides/Hospital/DRG_calculator_2011.xls

Date added: June 30, 2012 - Views: 54

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M2 Data Dictionary

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: 419

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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: 12

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ahca.myflorida.com

Used to adjust DRG relative weights should a need arise, else leave set to 1.00. F E13 E12 G Age adjustor Service Adjustor Florida Medicaid DRG Pricing Calculator

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

Date added: December 29, 2013 - Views: 13

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www.phima.org

DRG Table New Diagnoses Codes October 2006 of Innovative Health Solutions ... Special pay DRG MDC TYPE DRG title Weights GMLOS AMLOS 1.00 Yes No 01 SURG CRANIOTOMY ...

http://www.phima.org/webinfo/Code%20Changes(1).xls

Date added: August 28, 2011 - Views: 22

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Claims Adjustment Reason Codes and Remittance Advice Remark Codes

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: 69

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www.tricare.mil

... M2 and BOXI will be unavailable from 8:00 A.M. ET Saturday, ... Although DRG Codes and MS-DRG Codes have the same format (nnn), the descriptions, ...

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

Date added: September 4, 2011 - Views: 38

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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/PublicInvolvement/cc/Documents/cc_datadictionary.xls

Date added: May 30, 2012 - Views: 69

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

Disagree with facility coded DRG 675. Revise DRG to 674 with diagnosis codes 276.1, (Hyponatremia), and 584.9, (Acute kidney failure) added to the coding sequence.

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

Date added: December 3, 2013 - Views: 124

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835 EOB Crosswalk - TMHP

this is a recoupment of individual procedure codes that were ... appeals for changing drg/diagnoses/procedure codes for your hospital can only be accomplished ...

http://www.tmhp.com/HIPAA_Reference/835%20EOB%20Crosswalk.xls

Date added: September 15, 2011 - Views: 94

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Part A CERT Errors - January through March 20120

Revise DRG to 309 with removal of procedure codes 37.72, (Initial Insertion Of Transvenous Leads [Electrodes] Into Atrium And Ventricle) and 37.83, ...

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

Date added: December 3, 2013 - Views: 14

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healthsciences.utah.edu

This document should guide preparation of the Research Budget and patient Informed Consent Form. ... 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: 8

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Download It - Mississippi Envision

ungroupable drg code 0385 void failed ... procedure codes 92507 & 92508 billed by provider type of ... crossover claim medicaid provider number not found on ...

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

Date added: September 5, 2011 - Views: 49

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www.medicarefind.com

Mutually Exclusive Lower Limb Prosthetic Codes DRG Validation requires that diagnostic and procedural ... (DRG 099) Medicare pays for inpatient hospital services that ...

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

Date added: June 6, 2014 - Views: 13

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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: 76

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hsro.med.miami.edu

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 N/A (not applicable). 2.

http://hsro.med.miami.edu/documents/JHS_StudyCalendarwithrevisedlegend10-1-09.xls

Date added: August 24, 2014 - Views: 1

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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: 26

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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-2-Application-Tables.xlsx

Date added: August 5, 2013 - Views: 1

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www.oregon.gov

Missing DRG Ther Abort-Op Hosp Steril-Op ... Any inpatient claim with at least 1 diagnosis code in the following list: ... /** New DRG Codes after Oct 1, 2007 ...

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

Date added: November 22, 2014 - Views: 1

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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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[XLS] Proposals to Redesign NYS Medicaid - New York State ...

... Preliminary Proposal List and ... codes for the physician ... reviews of medically managed withdrawal cases based on DRG rates and ambulatory visits ...

http://www.health.ny.gov/health_care/medicaid/redesign/docs/2011-02-09_meeting_handout_-_redesign_proposals.xls

Date added: August 14, 2011 - Views: 241

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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: 26

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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: 35

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hometownhealth.wikispaces.com

Untimed codes IV hydration therapy ... Injection, Pegfilgrastim, 6 mg Pediatric codes exceeding age parameters Medically Unlikely Edit List ... DRG validation ...

http://hometownhealth.wikispaces.com/file/view/Connolly%20Audit%20Issues%20SS%20Workbook.xls

Date added: January 30, 2012 - 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: 1

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www.ndhcri.org

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://www.ndhcri.org/Healthcare_Professionals/hospitalengagementnetwork/Tools/Encyclopedia_of_Measures_Update%20041312.xlsx

Date added: June 1, 2013 - Views: 15

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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: 50

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www.healthdesign.com.au

Diagnosis Related Group Codes : Are numbered using a six digit number, ... This is a list of Diagnosis Related Groups (DRG's).

http://www.healthdesign.com.au/haad.hfg/Full_Index/Appendix_15_-_Pro-forma_for_the_proposed_Service_Lines_and_DRG_s.xlsx

Date added: June 22, 2013 - Views: 6

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November DQ Summary - Tricare

TMA DQMC Service Summary TMA DQMC Summary b. SIDR/CHCS c ... (DRG codes) 6. Comparison of ... I am aware of data quality issues identified by the DQMC Review list and ...

http://www.tricare.mil/ocfo/_docs/TMASummaryFY2002.xls

Date added: May 3, 2013 - Views: 18

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innovation.cms.gov

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

http://innovation.cms.gov/Files/worksheets/Bundled-Payments-for-Care-Improvement-Model-4-Application-Tables.xlsx

Date added: July 11, 2013 - Views: 2

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c.ymcdn.com

Foam drg <=16 sq in w/border ... General note: If codes on the list are subject to rewording of their definitions that don't affect their status on the list, ...

http://c.ymcdn.com/sites/www.iahhc.org/resource/resmgr/imported/HHCB_db_1-1-2012.xls

Date added: November 23, 2014 - Views: 1

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

Date added: November 28, 2013 - Views: 1

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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: 41

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www.shafafiya.org

Retail and wholesale trade managers 1420 1431 ... ICD9CM Dental Codes (2008) ... Based on that Payer remits the claimwith the following DRG activity in the ...

http://www.shafafiya.org/dictionary/Codes/Codes.xls

Date added: September 9, 2012 - Views: 39

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www.eohima.org

DRG Detail Urinary ... Added procedure 0062 to MS-DRG 023-027 Added procedure codes 0083 and 0084 ... Addition of infections to PDX list and criteria of spinal fusion ...

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

Date added: August 23, 2011 - Views: 31