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*  HCUP Methods Series Overview of Key Readmission Measures and Methods
... see clinical scope). Index admissions are identified by major diagnostic category (MDC), diagnosis-related group (DRG), and ... AHRQ Clinical Classification Software (CCS) for principal diagnoses and all-listed procedures. Transfers identified by one ... For rates by principal diagnosis grouped by CCS, readmissions are considered for the same principal diagnosis CCS, for the same ... UnitedHealth Group All-Cause Readmissions Limited to Readmission at the Same Hospital? Clinical Scope (HCUP 12/20/2012) No None ...
  http://spotidoc.com/doc/9692/hcup-methods-series-overview-of-key-readmission-measures-..
*  Scholarly Articles | King Research Institute
Recent studies continue to raise questions about the accuracy of diagnostic coding.The National Diagnosis Related Group (DRG) ... The Affordable Care Act and the future of clinical medicine: The opportunities and challenges The Affordable Care Act is a once ... was highly accurate but that diagnoses and procedures were less reliably coded. ... In this age group, too, diabetes was not an important cause of death. Diabetes is clearly not to be classed among the diseases ...
  https://monroecollege.edu/Degrees/King-Research-Institute/Scholarly-Articles/
*  Patente US7676379 - System and method for automated extraction and display of past health care ... - Google Patentes
... time-series data to facilitate the health assessment of a member's total clinical conditions and aid in predicting his or her ... multiple entries in each HMCC-time cell are accumulated with the temporal resolution determined as a function of group size and ... A system and method that converts raw medical and pharmacy claims data into Hierarchical Major Clinical Condition (HMCC) and ... and diagnosis-related groups (DRG) only included hospital based treatment, we embarked on developing the MCCs, which classified ...
  http://www.google.es/patents/US7676379?dq=flatulence
*  NIPD | definition of NIPD by Medical dictionary
Kinds of diagnoses are clinical diagnosis, differential diagnosis, laboratory diagnosis, nursing diagnosis, and physical ... diagnosis-Related Groups (DRG) a system of classification or grouping of patients according to medical diagnosis for purposes ... diagnosis, meridian,. n a whole-body diagnostic method used by shiatsu practitioners to determine the location of energetic ... See Computer-assisted diagnosis, Differential diagnosis, Deferred diagnosis, Definitive diagnosis, Direct diagnosis, ...
  https://medical-dictionary.thefreedictionary.com/NIPD
*  What Factors are Associated With 90-day Episode-of-care Payments for Younger Patients With Total Joint Arthroplasty? |...
1). We only included patients with diagnosis-related group (DRG) codes for major joint replacement or reattachment of lower ... All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are ... We used patient diagnoses codes over the 6-month preindex admission period for a TJA (knee or hip) to calculate patient- ... diagnostic certainty, and type of etiology) and thus represents a patient's resource-use burden. The "index" hospital stay for ...
  https://link.springer.com/article/10.1007%2Fs11999-017-5444-0
*  Potential loss of revenue due to errors in clinical coding during the implementation of the Malaysia diagnosis related group ...
Australia Refined Diagnostic Group; AR-DRG), and Malaysia (Malaysia Diagnostic Related Group; MY-DRG ®) [6-8]. DRG codes are ... Measuring diagnoses: ICD code accuracy. Health Serv Res. 2005;40:1620-39.View ArticlePubMedPubMed CentralGoogle Scholar. ... The accuracy of clinical coding is crucial in the assignment of Diagnosis Related Groups (DRGs) codes, especially if the ... Potential loss of revenue due to errors in clinical coding during the implementation of the Malaysia diagnosis related group ( ...
  http://bmchealthservres.biomedcentral.com.preview-live.oscarjournals.springer.com/articles/10.1186/s12913-018-2843-1
*  Comorbidity - Wikipedia
Recognizing this, the diagnosis-related group (DRG) manually splits certain DRGs based on the presence of secondary diagnoses ... who had greatly influenced the methods of clinical diagnosis and particularly methods used in the field of clinical ... First, Michael B. (2005). "Mutually Exclusive versus Co-Occurring Diagnostic Categories: The Challenge of Diagnostic ... and complications and comorbidities in medical non-complications and comorbidity-stratified diagnosis-related groups". The ...
  https://en.wikipedia.org/wiki/Comorbidity
*  Statin Use and Post-Operative Atrial Fibrillation after Major Non-Cardiac Surgery
Averill R. All Patient Refined Diagnosis Related Groups v 20.0. 2003. 15. Stukenborg GJ, Wagner DP, Harrell FE, Jr, et al. ... These codes represent a date stamp in administrative data for secondary diagnoses; they help determine which diagnoses are ... 19 which was constructed from general clinical knowledge and data from prior studies. Confounders from this second group were ... diagnostic, and therapeutic services. ... length of stay for patients in the diagnosis related groups was ...
  http://pubmedcentralcanada.ca/pmcc/articles/PMC3439804/?lang=en-ca
*  unm | Advanced Hospital Coding and CCS Prep | Career Training
Evaluate the effect of code selection on Diagnosis Related Group (DRG) assignment, and verify DRG assignment based on ... Apply your knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural ... Understand which diagnoses, conditions, and procedures to exclude from coding. *Apply your knowledge of ICD-10-CM instructional ... Use current approved coding guidelines to assign and sequence the correct diagnosis and procedure codes for hospital inpatient ...
  https://careertraining.ed2go.com/unm/training-programs/advanced-hospital-coding-prerequisites
*  Health Analytics
... and diagnosis-related groups (DRGs) for hospital inpatients.. Medical Graph. Elsevier Health Analytics has mined this ... New technologies such as biomarker testing and whole genome sequencing are rapidly expanding diagnostic and therapeutic options ... 6 years of longitudinal data are linked and include demographics and periods of treatment, physician specialization, diagnoses ... The data set includes detailed clinical information such as biomarker tests, tumor status, and tumor progression. ...
  https://www.elsevier.com/clinical-solutions/health-analytics
*  Diagnosis code - Wikipedia
Systematized Nomenclature of Medicine Diagnosis-related group Medical classification Major Diagnostic Category MedDRA American ... Accuracy is a major component in diagnoses codes. The accurate assignment of diagnoses codes in clinical coding is essential in ... Hospitals that are based on Activity Based Funding and Diagnoses-Related Group Classification systems are often subjected to ... In 2005, for example, DSM changed the diagnostic codes for circadian rhythm sleep disorders from the 307-group to the 327-group ...
  https://en.wikipedia.org/wiki/Diagnosis_code
*  Serial analysis of gene expression in the frontal cortex of patients with bipolar disorder | The British Journal of Psychiatry
... directly related to the underlying clinical diagnosis cannot be completely excluded. Despite these limitations, we were able to ... The resulting ratios of the diagnostic groups were compared using analysis of variance and t-test statistics performed by the ... Comparison of levels of NF-κB2 RNA in the frontal cortex regions of individuals with different clinical diagnoses. Each dot in ... In addition, diagnosis-related differences were not found in the levels of RNA transcripts homologous to the following sequence ...
  http://bjp.rcpsych.org/content/178/41/s137
*  Outcomes of patients hospitalized for acute decompensated heart failure: does nesiritide make a difference? | BMC...
... and readmission to an AHS hospital within 31 days for a Diagnosis Related Group (DRG) in Major Diagnostic Category 5, diseases ... Discharge diagnoses were coded using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9 ... 3M Health Information Systems: All patient refined diagnosis related groups (APR-DRGs) - methodology overview. 2003, Document ... All Patient Refined-Diagnosis Related Group (APR-DRG) severity of illness score, and the APR-DRG risk of mortality score [16]. ...
  https://bmccardiovascdisord.biomedcentral.com/articles/10.1186/1471-2261-7-37
*  IT adoption of clinical information systems in Austrian and German hospitals: results of a comparative survey with a focus on...
The LKF system consists of "performance based groups" as well as of "diagnosis related groups" and is referred to as the " ... This influence was statistically significant and could be measured for various diagnostic groups [21]. In Germany a comparable ... In contrast to Germany, the term "nursing diagnoses" is, however, explicitly used in the Austrian law only. This seems to have ... case-based method started years later in 2004 when the German Diagnosis-Related-Group system (G-DRG system) was made compulsory ...
  https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/1472-6947-10-8
*  2009 Procedural Reimbursement Guide
Please feel free to MS-DRG (Diagnosis-Related Group) is a Medicare started a 4-year transition of a system of classifying ... CPT codes clinical characteristics who require similar resources (services, supplies, devices, are published by the American ... diagnostic, with or without collection of cholangio- or pancreas with Major 43260 specimen(s) by brushing or washing (separate ... diagnoses without CC/MCC $4,047 31631 Bronchoscopy; with tracheal dilation and placement of tracheal stent NA* $225 $1,662 $725 ...
  https://www.slideshare.net/patrick89/2009-procedural-reimbursement-guide
*  Relationship between efficiency and clinical effectiveness indicators in an adjusted model of resource consumption: a cross...
... diagnoses), and total direct costs of PHC care and co-morbidity as measured by ACG® indicators: Efficiency indices for costs, ... The purpose of the study was to measure the relationship between efficiency assessed by ACG® and a clinical effectiveness ... Adjusted clinical groups (ACG®) have been widely used to adjust resource distribution; however, the relationship with ... Fetter RB, Shin Y, Freeman JL, Averill RF, Thompson JD: Case mix definition by diagnosis-related groups. Med Care. 1980, 18 (2 ...
  https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-13-421
*  Failure to diagnose is a continuing challenge | Rheumatology News
... and patient-related behavior issues were the primary contributing factors that affected the diagnosis-related claims. Pitfalls ... were frequently missed diagnoses.2 They identified 190 diagnostic errors over a 12-month period in 2006-2007, and they ... The Sullivan Group,which comprises a team of professionals dedicated to perfecting a system solution that reduces medical error ... MDedge: Your Source for Clinical Advantage. Copyright © 2018 Frontline Medical Communications Inc., Parsippany, NJ, USA. All ...
  https://www.mdedge.com/rheumatologynews/article/151118/business-medicine/failure-diagnose-continuing-challenge
*  OPS-301 - Wikipedia
Diagnosis Related Groups) in 2004. With version OPS 2005 it accounted for the previously popular suffix "-301", since the ... diagnostic endoscopy 1-70...1-79: function tests 1-84...1-85: exploratory diagnostic measures 1-90...1-99: Other diagnostic ... and diagnoses German search for OPS therapy and ICD diagnoses Powerful search engine for ICD-10 and OPS codes / keys and their ... This problem is now often by specially trained clinical coders perceived. Basis for the OPS, the Dutch ICPM-DE, resulting in ...
  https://en.wikipedia.org/wiki/OPS-301
*  Medicare Hospital Prospective Payment System How DRG Rates Are Calculated and Updated - PDF
16 Diagnosis Related Groups patient classification system. This system differs from the current DRG system in how information ... 22 The classification also accounts for up to eight diagnoses in addition to the primary diagnosis, and up to six procedures ... Population Introduction The goal of diagnosis related groupers is to define patients into categories based on similar clinical ... groups all discharge cases into one of 25 Major Diagnostic Categories (MDCs) before assigning it to 1 of the 499 DRGs. 26 Most ...
  http://docplayer.net/12714973-Medicare-hospital-prospective-payment-system-how-drg-rates-are-calculated-and-updated.html
*  Impact of Heart Failure on Patients Undergoing Major Noncardiac Surgery | Anesthesiology | ASA Publications
In a previous analysis of Medicare data, we used diagnosis related group codes to identify broad classes of procedures for ... For patients in the heart failure group, we lack details on the nature of the disease. We do not have clinical data such as ... comorbidities at the time of surgery was limited to diagnoses associated with claims. In general, ICD-9-CM diagnosis codes have ... previous diagnosis of heart failure and CAD in recent years due either to lower thresholds for imaging or to recent diagnostic ...
  http://anesthesiology.pubs.asahq.org/article.aspx?articleid=1932326
*  Surgeon-Level Variability in Outcomes, Cost, and Comorbidity Adjusted-Cost for Elective Lumbar Decompression and Fusion,...
... which collectively determined the diagnosis-related group (DRG). Surgeons' professional fees were derived based on CPT codes. ... or measurements of clinical outcome, 2 of the 7 surgeons incurred significantly higher costs. The subject relates to critical ... diagnoses (P , .0001), estimated blood loss (P , .0001), and length of hospital stay (P , .0001). The baseline ODI score ( ... Diagnostic Imaging Costs), and Readmission Costs Among the Participating Surgeons Mean (SD) 1 (n = 141) 2 (n = 167) 3 (n = 279 ...
  https://www.deepdyve.com/lp/ou_press/surgeon-level-variability-in-outcomes-cost-and-comorbidity-adjusted-eTpRgJJIIK
*  Influence of Obesity in Mortality in Hospitalized Adults with Type 2 Diabetes
Patients with a diagnosis of obesity were identified. The mortality and re-admittance indexes of obese patients were compared ... group 3: 200 to 500 beds; group 4: 500 to 1,000 beds; group 5: more than 1,000 beds). For every patient, a diagnosis-related ... primary and secondary diagnoses (according to the International Classification of Diseases, Ninth Revision, Clinical ... has been defined as a new hospitalization in the following month with the same Major Diagnostic Category in the main diagnosis ...
  https://clinmedjournals.org/articles/ijdcr/international-journal-of-diabetes-and-clinical-research-ijdcr-4-069.php?jid=ijdcr
*  A European inventory of common electronic health record data elements for clinical trial feasibility | Trials | Full Text
For example, procedures are used in Europe for Diagnosis Related Groups (DRG). Consequently, diagnostic and therapeutic ... That is also the reason why we used general data elements for diagnoses and procedures, because it is generally easier to ... Schreyögg J, Stargardt T, Tiemann O, Busse R: Methods to determine reimbursement rates for diagnosis related groups (DRG): a ... Data groups. The data groups define the context of the data elements. Data groups which a data element can belong to are:. ...
  https://0-trialsjournal-biomedcentral-com.brum.beds.ac.uk/articles/10.1186/1745-6215-15-18
*  Dual use of VA and non-VA hospitals by Veterans with multiple hospitalizations | BMC Health Services Research | Full Text
Among the data elements for each hospitalization were the principal diagnosis, secondary diagnoses, diagnosis-related group ( ... and diagnostic variables, with patients who used only VA hospitals as the reference group for dual users and non-VA only users ... Petersen LA, Byrne MM, Daw CN, Hasche J, Reis B, Pietz K. Relationship between clinical conditions and use of Veterans Affairs ... principal diagnosis was not clearly identified; if not, we assumed that the first listed diagnosis was the principal diagnosis ...
  https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-1069-8
*  Medical classification - Wikipedia
The assigned codes and other patient data are processed by grouper software to determine a diagnosis-related group (DRG) for ... the clinical descriptions and diagnostic guidelines, and the diagnostic criteria for research (also known as the "blue book" ... A clinical coder is responsible for abstracting relevant information from the medical record and deciding which diagnoses and ... to process claims in medical billing based on diagnosis-related groups) knowledge-based and decision support systems direct ...
  https://en.wikipedia.org/wiki/Medical_classification