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

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Contact Information:Healthcare Cost and Utilization Project (HCUP)Agency for Healthcare Research and Quality540 Gaither RoadRockville, MD 20850http://www.hcup-us.ahrq.govFor Technical Assistance with HCUP Products:Email: hcup@ahrq.govorPhone: 1-866-290-HCUPRecommended Citation: Sun Y, Friedman B. Tools for More Accurate Inpatient CostEstimates with HCUP Databases, 2009. Errata added October 25, 2012. 2012. HCUPMethods Series Report # 2011-04. ONLINE October 29, 2012. U.S. Agency for HealthcareResearch and Quality. Available: http://www.hcup-us.ahrq.gov/reports/methods/methods.jsp.
TABLE OF CONTENTSEXECUTIVE SUMMARY .................................................................................................................1DATA SOURCE ...............................................................................................................................4COST-CENTER CLUSTERS ..........................................................................................................4MAPS OF SID DETAIL CHARGES TO COST-CENTER CLUSTERS ..........................................6HOSPITAL AND DISCHARGES SELECTION ...............................................................................6DEVELOPMENT OF ADJUSTMENT FACTOR BY MS-DRG .......................................................7DEVELOPMENT OF THE ADJUSTMENT FACTOR BY DXCCS1 ...............................................7FINDINGS ........................................................................................................................................7CONCLUSIONS ..............................................................................................................................9APPENDIX A: MAP UB04 AND CHARGE BUCKETS TO COST-CENTER CLUSTERS ......... 10APPENDIX B: COST ADJUSTMENT FACTORS FOR MS-DRGS ............................................. 21APPENDIX C: COST ADJUSTMENT FACTORS FOR PRINCIPAL CCS CATEGORIES ........ 46APPENDIX D: ERRATA ................................................................................................................ 54
Page 1: HCUP Methods Series
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 and 14: • Appendicitis and other appendic
Page 15 and 16: UB-04 Revenue CodeCluster041x: Resp
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 54 and 55:
Page 56 and 57:
Page 58:
Appendix D: ErrataThis report, The
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