Coding uncertain diagnosis for inpatients

    • [DOC File]S P A R C S - Input Data Dictionary

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      A qualifier for each diagnosis coded under Other Diagnoses to indicate whether the onset of the diagnosis preceded or followed admission to the hospital. Codes and Values: 1. "1" = Onset Prior to Admission (X12 Code = Y) "2" = Onset Not Prior to Admission (X12 Code = N) "9" = Onset Uncertain (X12 Code = U) 2.

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    • [DOCX File]Protocol - SUNY Downstate Medical Center

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      PI Status (for coding, see #s above) Contact Information. ... such as medical treatment or diagnosis. Note: As permitted by OHRP, this category includes research involving materials that were previously collected for either non-research or research purposes, provided that any materials collected for research were not collected for the currently ...

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    • [DOC File]Professional Services Coding Guidelines

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      6.4.3. Diagnosis Coding . The first listed diagnosis, when the patient is only being seen for ongoing dialysis treatment, is in the V56 category. A secondary diagnosis will be used to explain why the dialysis is necessary, such as chronic kidney disease. 6.5. End Stage Renal Disease Services (ESRD) (90918–90925, G0308, G0327) 6.5.1. Included ...

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    • [DOC File]DEPARTMENT OF HEALTH AND HUMAN SERVICES

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      DEPARTMENT OF HEALTH AND HUMAN SERVICES. Centers for Medicare & Medicaid Services. 42 CFR Parts 412, 413, and 495 [CMS-0044-P] RIN 0938-AQ84. Medicare and Medicaid Programs; Electronic Health Record Incentive Program--Stage 2

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    • [DOCX File]Appendix S1: OPCRIT+ output for hypothetical case

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      The primary diagnosis was required to be a specific code or “no psychiatric disorder”, and could not be left blank or vague. If the assessor felt there was real ambiguity, the assigned diagnosis could be flagged as uncertain. Assessor KD’s formulations are used as the ‘gold standard’ research diagnoses presented in the results section.

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    • [DOCX File]CATEGORY I – INFRASTRUCTURE

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      This coding arrangement will allow identification of sub-functions for internal use and still aggregate the manpower data without compromising the DoD coding structure when reporting to the OSD. Requests to change or add codes, titles, or definitions or revise the taxonomy (i.e., functional categories, groups, or functions) shall be submitted ...

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    • ADT Category Codes List

      Coding ManualV7. For Hospitals and Other Healthcare Institutions. 1st June, 2012. 2011 Code Sets. Table of Contents. Page Number 1. Coding Guidelines 1.1 Statement of Coding Ethics 6 1.2 Coding Terms Definitions 8 1.3 Health data Elements for Standardization 13 1.4 Coding Conventions 14 1.4.1. General 14 1.4.2. Admitting Diagnosis 17 1.4.3.

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    • Environment of Care

      Principal Diagnosis: That condition established after study to have caused the patient’s admission to the hospital (Uniform Hospital Discharge Data Set) “Probable” or “Possible” conditions. Coding guidelines state that when a physician documents a condition as probable, possible, rule out, etc.

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