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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: 273

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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: 229

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

ms-drg mdc type ms-drg title weights geometric mean los ... 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: 12

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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: 70

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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: 60

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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: 71

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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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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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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: 291

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www.scdhhs.gov

This pricing calculator spreadsheet includes the list of APR-DRG and ... 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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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.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: 20

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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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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: 97

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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.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: 2

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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: 521

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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: 93

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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

... 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: 59

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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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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: 131

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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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MPARK Data Dictionary - Governor of Illinois

Patient status codes Serious Mental Illness list Severity Hierarchy Legend Emergency Room Detail Table Drug Detail Table Hospital Detail Table Recipient Provider ...

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

Date added: October 4, 2013 - Views: 89

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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: 37

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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: 30

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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: 69

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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: 95

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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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Claims Action Codes | Group Health

multiple codes for the same service 329 code g0378 & g0379 are allowed with bill type 13x ... non specific operating room procedure-return code from drg grouper 371 986

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

Date added: September 13, 2011 - Views: 193

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www.oregon.gov

Per the relative DRG weights of normal delivery and a delivery with sterilization, ... /** New DRG Codes after Oct 1, 2007 **/ ELSE If (DRGCode IN ('765', ...

http://www.oregon.gov/oha/analytics/Documents/TemplateCrossWalkCOS_201504.xlsx

Date added: April 11, 2015 - 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: 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: 52

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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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www.tricare.mil

5.a) Percentage of inpatient records whose assigned DRG codes were correct? ... Run weekly potential duplicate patient list and correcting as necessary 11 27 14

https://www.tricare.mil/ocfo/_docs/DQMCPMetric1109-MTF_TMA_with_KNOX_update.xls

Date added: August 24, 2014 - Views: 2

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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: 57

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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

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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: 33

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www.medicarefind.com

Anesthesia CPT codes 00100 to 01999 include Evaluation ... DRG Validation requires that diagnostic and procedural information and the discharge status of ...

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

Date added: June 6, 2014 - 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: 48

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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: 59

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epsi-support.eclipsys.com

Corrected an error that resulted when running reports using an external list of activity codes. ... click function" to the assignment of Payor Plan Codes to DRG tables.

http://epsi-support.eclipsys.com/Portals/0/Release%20Notes/v7.2ReleaseNotes10282010.xls

Date added: May 2, 2013 - Views: 12

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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.forwardhealth.wi.gov

claim paid under drg reimbursement, ... a claimcannot contain only not otherwise specified (nos) surgical procedure codes. a covered drg cannot be assigned to the claim.

https://www.forwardhealth.wi.gov/WIPortal/Tab/42/icscontent/Provider/EOBs/eob_xwalk040613.xlsx.spage

Date added: May 2, 2013 - Views: 16

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www.shafafiya.org

ICD9CM Dental Codes (2008) Dental Diagnosis codes Clinical Coding Steering Committee ... 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: 50

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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: 32

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Proposals to Redesign NYS Medicaid

... codes for the physician’s ... reviews of medically managed withdrawal cases based on DRG rates and ambulatory ... Evaluate current document requirements to ...

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

Date added: August 14, 2011 - Views: 278

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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: 7