13.07.2015 Views

(MS-DRG) Software - National Technical Information Service

(MS-DRG) Software - National Technical Information Service

(MS-DRG) Software - National Technical Information Service

SHOW MORE
SHOW LESS
  • No tags were found...

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

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

Table 1–1. Required data formatsNameDischargeStatus2 01-Home, Self-Care02-Short Term Hosp03-SNF04-Custodial/supportive care (effective 10/1/2009)05-Canc/Child hosp06-Home Health <strong>Service</strong>07-Against Medical Advice20-Died21-Court/law enfrc30-Still A Patient43-FedHospital50-Hospice-Home51-Hospice-Medical Facility61-Swing Bed62-Rehab facility/rehab unit63-Long term care hospital64-Nursing facility - Medicaid certified65-Psych hosp/unit66-Critical Access Hospital70-Oth institutionPOA logic 1 Present On Admission (POA) logic indicator.X - Exempt from POA reportingZ - Requires POA reportingAdmit Date 8 Format = YYYYMMDD(for use with future POA logic)DischargeDateProcedureDatesLengthin bytesDescription8 Format = YYYYMMDD(for use with future POA logic)200 Date of each procedure codeFormat = YYYYMMDD(for use with future POA logic)<strong>Information</strong> returned by thegrouperThe information returned by the grouper is shown in tables 1–2through 1–7.The field <strong>DRG</strong> listed below represents the 3-digit <strong>MS</strong>-<strong>DRG</strong> numberused by the Centers for Medicare and Medicaid <strong>Service</strong>s (C<strong>MS</strong>) for<strong>DRG</strong> payment purposes. The 3-byte “initial <strong>DRG</strong>” field in the ancillarybuffer represents the <strong>DRG</strong> prior to the application of the HAClogic. The ancillary buffer also contains 4-byte initial and final <strong>DRG</strong>numbers. These 4-byte <strong>DRG</strong> numbers are for statistical purposesonly. Each 3-digit <strong>DRG</strong> concept is split on MCC, CC, and non-CC tocreate the 4-digit <strong>DRG</strong>.10/10Introduction 1.5

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!