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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: 258

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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: 219

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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: 278

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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: 14

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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: 67

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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: 8

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Grouper 28, Effective 11/1/2010 - Welcome to TMHP

Ownership_List Prov Ident Nbr with Suffi Provider City Name Provider Combined Name Provider Street Address 1 regions ... DRG_Code MS-DRG Title RelativeWeights Mean LOS*

http://www.tmhp.com/Hospital_Reimbursement/Grouper%2028,%20Effective%2011_1_2010.xls

Date added: June 12, 2012 - Views: 12

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RI DRG calculator 2010-06-14.xls - Executive Office of Health ...

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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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 Medical Assistance Program

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

Date added: November 12, 2012 - Views: 62

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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: 56

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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: 15

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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: 9

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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: 14

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

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: 61

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ahca.myflorida.com

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.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: 82

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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/FFSrates/APRDRG/AzDrgCalculator.xlsx

Date added: November 22, 2014 - Views: 3

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M2 Data Dictionary - NCC Pediatrics Residency at Walter Reed ...

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: 490

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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: 70

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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: 1

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Common Types data definition - Financial Services Authority

List must be either "true ... JPY", "SEK" or "USD", representing the ISO currency codes for the 7 major currencies Canadian Dollars, Swiss Francs, Euros, Pounds ...

http://www.fsa.gov.uk/mer/drg/commontypes/v8/commontypes-data-definition.xls

Date added: January 26, 2015 - Views: 1

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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: 49

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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: 75

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Exception Codes and Descriptions - Mississippi Envision

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: 59

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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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provider.ghc.org

apc contains mutually exclusive codes 298 code is a component of another code present 299 ... return remit with corrected drg 406 paid at cms rehab pricing 408

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

Date added: September 13, 2011 - Views: 182

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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: 29

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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: 22

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

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: 128

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Explanaton of Benefits Code Crosswalk - ForwardHealth Portal

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: 84

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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.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: 16

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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.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: 46

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www.tricare.mil

See HCDP Codes for list of values and meanings. e.g., 108 ... Assigned during MDR processing using the 3M TRICARE DRG Grouper. Diagnosis Related Group DMISSEX

http://www.tricare.mil/tma/privacy/downloads/MDR%20DRT.XLSM

Date added: May 25, 2013 - Views: 77

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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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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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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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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.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: 1

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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: 51

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medicarefind.com

DRG Validation requires that diagnostic and procedural information and the discharge status of the ... Newborn Pediatric CPT Codes Billed for Pts Exceeding Age ...

http://medicarefind.com/searchdetails/ManualData/Attachments/HDI03252010.xls

Date added: January 24, 2014 - Views: 27

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www.scdhhs.gov

www.scdhhs.gov

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.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: 40

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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.health.mil

Recent updates to the MDR and M2 data dictionaries inadvertently placed the MS-DRG coding list in the FY09 section of ... procedure codes were submitted to the DRG ...

http://www.health.mil/Reference-Center/Technical-Documents/2015/03/01/M2-Alerts

Date added: February 26, 2015 - Views: 1

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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: 53

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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: 46