Apr drg for vaginal delivery
RY2021 MassHealth Acute P4P Technical Session
Patient experience Meet APR-DRG medical, surgical, vaginal & cesarean population codes Age ≥ 18 and 65 years Slide 19 – 7.6 RFA2021 Quality Reporting Requirements and Timelines Table for Slide 19 – 7.6 RFA2021 Quality Reporting Requirements and Timelines
[DOC File]XEROX 99D-Appendix1
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Q4G Vaginal7 Vaginal Antifungals-Antibact VAGINAL7. Q4H Vaginal10 Vaginal/Cervical Care&Treat Ag VAGINAL10. Q4K Vaginal4 Vaginal Estrogen Preparatioans VAGINAL4. Q4L Vanginal8 Vaginal Lubricants Preparation VAGINAL8. Q4R Vaginal2 Vaginal Antiparasiticts VAGINAL2. Q4S Vaginal6 Vaginal Sulfonamides VAGINAL6. Q4W Vaginal Vaginal Antibiotics VAGINAL
[DOCX File]California Hospital Association
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Impact depends on how the hospital’s billing system is configured. APR-DRG = three-bytes for the base DRG and 1 byte for level of severity (format 123-4).
[DOC File]Risk Adjustment and Hierarchical Modeling
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Cesarean section delivery (IQI 21) Primary Cesarean delivery (IQI 33) Vaginal Birth After Cesarean (VBAC), Uncomplicated (IQI 22) ... (APR-DRG). The APR-DRG classification methodology was developed by 3M, and provides a basis to adjust the QIs for the severity of illness or risk of mortality, and is explained elsewhere. ...
[DOC File]Division of Health Care Finance and Policy
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The base APR-DRG (e.g., APR-DRG 194 – Heart Failure or APR-DRG 440 – Kidney Transplant) The severity of illness subclass. ... Vaginal Delivery w/o Complicating Dx 68 76 -18 371 – C-Section w/o CC 21 23 -2 372 – Vag. Delivery w/ Complicating Dx 21 14 +7 167 – Appendectomy w/o complicated Dx w/o CC 13 12 +1 243 – Medical Back Problems ...
[DOCX File]Overview - Home | Australian Commission on Safety and ...
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APR-DRG. All Patient Refined Diagnosis Related Group (3M) ... (CCL) of each diagnosis was assessed (based on Australian Refined Diagnosis Related Groups (AR-DRGs) version 6.0x, the version in which the data have been costed through the NHCDC). ... In terms of episode numbers, the vaginal delivery AR-DRGs account for the largest shifts between ...
Introduction
The MassHealth DRG Weight is the MassHealth relative weight determined by EOHHS for each unique combination of All Patient Refined-Diagnostic Related Group and severity of illness (APR-DRG or DRG).The APR-DRG is assigned based on information on a properly submitted inpatient hospital claim by the 3M APR-DRG grouper.
[DOC File]New Jersey MEDICAID STATE PLAN - Government of New Jersey
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“Diagnosis Related Groups (DRGs)” means a patient classification system in which cases are grouped by shared characteristics of principal diagnosis, secondary diagnosis, procedures, age, sex and discharge status. ... Section W CC 0.9584 371 Cesarean Section W/O CC 0.8416 372 Vaginal Delivery W Complicating Diagnoses 0.6571 373 Vaginal ...
[DOC File]DEPARTMENT OF HUMAN SERVICES - New Jersey
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Delivery: 6 Quakerbridge Plaza. Mercerville, NJ 08619. ... Diagnosis Related Groups (DRGs), contains an explanation of the DRGs, calculation of the payment rates and a list of DRGs. ... IND Code MOD Procedure Description Allowance ... G0123 Screening cytopathology, cervical 23.50 or vaginal, thin prep, auto ... J0886 Injection, Epoetin Alpha ...
[DOCX File]Notes for Analysts and Programmers
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An APR-DRG Grouper is built in to the software if your data lack APR-DRG values. Use of this grouper is optional. You may use your institution’s APR-DRG values if they are available and you choose to do so. ... Vaginal Delivery WO Instrument00-0.02254185. PSI5PSI #5 Retained Surgical Item/Unretrieved Device Fragment Count0---PSI16PSI #16 ...
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