Tools for More Accurate Inpatient Cost Estimates with HCUP ...

More documents

Recommendations

Info

Appendix A: Map UB04 and Charge Buckets to Cost-Center ClustersTable A1: Map of UB-04 Revenue Code to Cost-Center ClustersUB-04 Revenue CodeCluster0001: Total Charge Ignore002x: Health Insurance-Prospective Payment System (HIPPS) RateCodeignore00xx: Not definedHW010x: All Inclusive Rate HW011x: Room & Board -Private RBU012x: Room & Board -Semi-Private 2 bed RBU013x: Room & Board -Semi-Private 3-4 bed RBU014x: Room & Board -Private Deluxe RBU015x: Room & Board -Ward RBU016x: Room & Board -Other RBU017x: Nursery NUR018x: Leave of Absence RBU019x: Subacute Care LTC020x: Intensive Care SCU021x: Coronary Care SCU022x: Special Charges SCU023x: Incremental Nursing Charge Rate SCU024x: All inclusive Ancillary ANC025x: Pharmacy DRUG026x: IV Therapy THER027x: Med/Surg Supplies and Devices OR028x: Oncology OANC029x: Durable medical equipment CLIN030x: Laboratory LAB031x: Laboratory pathology LAB032x: Radiology -Diagnostic RAD033x: Radiology -Therapeutic RAD034x: Nuclear Medicine RAD035x: CT scan RAD036x: Operating Room OR037x: Anesthesia OR038x: Blood OANC039x: Blood administration & storage OANC040x: Other Imaging Services RAD10
UB-04 Revenue CodeCluster041x: Respiratory Services THER042x: Physical Therapy THER043x: Occupational Therapy THER044x: Speech Pathology THER045x: Emergency Room OR046x: Pulmonary Function THER047x: Audiology OANC048x: Cardiology OANC049x: Ambulatory Surgical Care OR050x: Outpatient Services CLIN051x: Clinic CLIN052x: Free-standing clinic CLIN053x: Osteopathic services OANC054x: Ambulance CLIN055x: Skilled Nursing LTC056x: Medical Social Services OANC057x: Home Health Aide OANC058x: Home Health Other Visit OANC060x: Home Health Oxygen CLIN061x: Magnetic Resonance Technology RAD062x: Med/Surg Supplies and Devices OR063x: Pharmacy DRUG064x: Home IV Therapy Services OANC065x: Hospice OANC066x: Respite Care OANC067x: Outpatient Special Residence OANC068x: Trauma Response OANC069x: Not Assigned HW070x: Cast Room OANC071x: Recovery Room OR072x: Labor Room/Delivery NUR073x: Electrocardiogram RAD074x: Electroencephalogram RAD075x: Gastro-intestinal services OANC076x: Treatment/Observation Room CLIN077x: Preventive Care Services CLIN078x: Telemedicine OANC079x: Extra-Corporeal Shock Wave Therapy OR080x: Renal Dialysis -Inpatient THER081x: Organ Acquisition OANC082x: Hemodialysis -OP or home OANC11
Page 1 and 2: HCUP Methods Series
Page 3 and 4: TABLE OF CONTENTSEXECUTIVE SUMMARY
Page 5 and 6: EXECUTIVE SUMMARYBackgroundThe Agen
Page 7 and 8: possible to form a more accurate es
Page 9 and 10: Cluster #ClusterAbbreviationCMSCost
Page 11 and 12: • A case was considered invalid i
Page 13: • Appendicitis and other appendic
Page 17 and 18: CHGnDescription13UB-04RevenueCodesC
Page 20 and 21: CHGn Revenue Codes DescriptionClust
Page 22 and 23: CHGn Description UB-92 Revenue Code
Page 24 and 25: CHGn Description UB-92 Revenue Code
Page 26 and 27: DRGDischargesRelativeCostBased onCo
Page 50 and 51: Appendix C: Cost Adjustment Factors
Page 52 and 53: DXCCS1DischargesRelative CostBased
Page 58: Appendix D: ErrataThis report, The

Tools for More Accurate Inpatient Cost Estimates with HCUP ...

Create successful ePaper yourself

Delete template?

Save as template?