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

More documents

Recommendations

Info

CHGn Description UB-92 Revenue Codes ClusterCHG20 Recovery Room 71x ORCHG21 Labor/Delivery Room 72x NURCHG22 Other All Others ANCCHG23 Professional component charges (Valid through 2002) Not applicable IgnoreCHG23 Ambulance Charges (Valid beginning 2007) 054x CLIN20
Appendix B: Cost Adjustment Factors for MS-DRGsDRGDischargesRelativeCostBased onCostCenterCCRRelativeCostBased onHospitalCCRCostAdjustmentFactor1 2012 19.1339 20.1959 0.947422 1094796 1.6514 1.7114 0.964913 33274 12.9761 13.5079 0.960634 29297 8.1549 8.3445 0.977285 2716 10.8234 12.2128 0.8862321DRG LabelHEART TRANSPLANT OR IMPLANT OF HEART ASSISTSYSTEM W MCCHEART TRANSPLANT OR IMPLANT OF HEART ASSISTSYSTEM W/O MCCECMO OR TRACH W MV 96+ HRS OR PDX EXC FACE,MOUTH & NECK W MAJ O.R.TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH &NECK W/O MAJ O.R.LIVER TRANSPLANT W MCC OR INTESTINALTRANSPLANT6 1180 6.5856 7.6134 0.86501 LIVER TRANSPLANT W/O MCC7 1094796 1.6514 1.7114 0.96491 LUNG TRANSPLANT8 1094796 1.6514 1.7114 0.96491 SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT9 9590 8.0326 8.4411 0.95161 BONE MARROW TRANSPLANT10 1094796 1.6514 1.7114 0.96491 PANCREAS TRANSPLANT11 1094796 1.6514 1.7114 0.96491TRACHEOSTOMY FOR FACE,MOUTH & NECKDIAGNOSES W MCC12 3884 2.9279 2.9452 0.99414TRACHEOSTOMY FOR FACE,MOUTH & NECKDIAGNOSES W CC13 2338 1.9714 1.9603 1.00563TRACHEOSTOMY FOR FACE,MOUTH & NECKDIAGNOSES W/O CC/MCC20 3297 7.6849 8.1721 0.94039INTRACRANIAL VASCULAR PROCEDURES W PDXHEMORRHAGE W MCC21 1094796 1.6514 1.7114 0.96491INTRACRANIAL VASCULAR PROCEDURES W PDXHEMORRHAGE W CC22 1094796 1.6514 1.7114 0.96491INTRACRANIAL VASCULAR PROCEDURES W PDXHEMORRHAGE W/O CC/MCC23 8514 4.3208 4.6492 0.92936CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNSPDX W MCC OR CHEMO IMPLANT24 3531 2.9454 3.114 0.94584CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNSPDX W/O MCC25 22475 3.8034 3.9841 0.95464CRANIOTOMY & ENDOVASCULAR INTRACRANIALPROCEDURES W MCC26 23333 2.4941 2.6068 0.95677CRANIOTOMY & ENDOVASCULAR INTRACRANIALPROCEDURES W CC27 34897 1.873 1.9863 0.94298CRANIOTOMY & ENDOVASCULAR INTRACRANIALPROCEDURES W/O CC/MCC28 3840 4.1498 4.2774 0.97015 SPINAL PROCEDURES W MCCSPINAL PROCEDURES W CC OR SPINAL29 8746 2.3439 2.4013 0.97606 NEUROSTIMULATORS30 11168 1.4408 1.4556 0.98982 SPINAL PROCEDURES W/O CC/MCC31 3067 3.5106 3.5737 0.98235 VENTRICULAR SHUNT PROCEDURES W MCC32 7671 1.5163 1.5542 0.97561 VENTRICULAR SHUNT PROCEDURES W CC33 6098 1.1362 1.1684 0.97244 VENTRICULAR SHUNT PROCEDURES W/O CC/MCC34 1094796 1.6514 1.7114 0.96491 CAROTID ARTERY STENT PROCEDURE W MCC
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 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 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 ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?