The CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. 06 Discharged/Transferred to Home Under Care of Organized Home Health Service Organization in Anticipation of Covered Skilled Care. For hospitals with an approved swing bed arrangement, providers should use Code 61- Swing Bed. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. Contradictory documentation, use latest. End Users do not act for or on behalf of the CMS. Value Set Name. A few code lists that FHIR defines are hierarchical - each code is assigned a level. The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. xbbbf`b```%F8w4F|Qb4Ga ! Nor transfers to a CAH swing bed should still be coded with Patient discharge status Code 61. If any source states the patient left against medical advice, select value 7, regardless of whether the AMA documentation was written last. It can be used for both inpatient or outpatient claims. Patient Discharge Status Codes and Their Appropriate Use. These patient discharge status codes are reserved for national assignment. 3 0 obj lock If there is documentation that further clarifies the level of care that documentation should be used to determine the correct value to abstract. 30 Still Patient or Expected to Return for Outpatient Services CPT only copyright 2019 American Medical Association. Inclusion Criteria: Includes only relevant concepts associated with codes for a patient who had died in the hospital. Definition: A code indicating the disposition or discharge status of the patient at the end service for the period covered on the Value Set Description. These patient discharge status codes are reserved for national assignment. X 5764.4 Medicare systems shall NOT include patient The ICD-10 MCE Version 37.0, which is also developed by 3M-HIS, uses edits for the ICD-10 codes reported to validate correct coding on claims for discharges on or after October 1, 2019. Veterans Administration hospitals; or 5. 66 Discharged/Transferred to a CAH If an entity wishes to utilize any AHA materials, please contact the AHA at 312-893-6816. When determining whether to select value 7 (Left Against Medical Advice/AMA): Explicit left against medical advice documentation is not required. The annual Excel pivot tables display summaries of the inpatients treated in each hospital. This page provides the message formats and technical specifications necessary to electronically transmit data to CBP's automated systems. %%EOF Any These files have been created by the National Center for Health Statistics (NCHS), under authorization by the World Health Organization. CPT is provided as is without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. Designed by Elegant Themes | Powered by WordPress. CPT 91311, 0111A, 0112A Covid Vaccine for children. United HealthCare Community Plan requires Patient Discharge Status codes for: ** Hospital Inpatient Claims (TOBs 11X and 12X); Determining when gain is realized. E.g., Patient is refusing to stay for continued care - Select value 7. California Inpatient Data Reporting Manual, 8th Edition (Rev. `U~F+$4h ** The third digit classifies the type of care being billed. An official website of the United States government This warning banner provides privacy and security notices consistent with applicable federal laws, directives, and other federal guidance for accessing this Government system, which includes all devices/storage media attached to this system. _gaq.push(['_trackPageview']); death, transfer to home/hospice/snf/AMA) uses standard claims-based codes. CRN2%L3'(. A lock ( Applying the correct code will help assure that the providers receive prompt and correct payment. blood - see Otorrhagia. 0000001731 00000 n The AMA does not directly or indirectly practice medicine or dispense medical services. !function(a,b,c){function d(a){var c=b.createElement("canvas"),d=c.getContext&&c.getContext("2d");return d&&d.fillText? " /> discharge records that comprise the reference . The CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. Y} Constrained to codes in the Discharge Disposition: Other Health Care Facility value set (2.16.840.1.113762.1.4.1029.67) Discharge / transfer to a designated disaster alternative care site. This patient discharge status code is reserved for national assignment. Therefore, you have no reasonable expectation of privacy. The patient has elected the hospice benefit and will be receiving hospice care under arrangement with a hospice organization; the patient is receiving residential care only; Hospice (values 2 and 3) includes discharges with hospice referrals and evaluations. This code is used only when the patient dies. This value set defines a set of codes that can be used to where the patient left the hospital. The disposition of the patient at time of discharge (i.e., discharged to home, expired, etc.). Discharge disposition: Status: Draft as of 2020-11-07T09:27:49+11:00 (Standards Status: Draft) Definition: This value set defines a set of codes that can be used to where the patient left the hospital. Staff reviewed the EO13891-OT-458. endstream endobj 2734 0 obj <>stream 5764.1 Medicare systems shall accept patient discharge status code 70. nipple N64.52. 0000014725 00000 n The scope of this license is determined by the ADA, the copyright holder. Reimbursement Guidelines from UHC insurance. It is used for inpatient claims when billing for leave of absence days or interim billing (i.e., the length of stay is longer than 60 days). Correction to Patient Discharge Status Codes in Medicaid Providers Manual Information posted February 1, 2013. Discharge (from) abnormal finding in - see Abnormal, specimen. In this case, see Patient discharge status Code 43. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. The discharge disposition has not otherwise defined. This document is being posted to this portal to provide stakeholders with useful information. How to TRANSITIONING/TRANSFERRING OF ENROLLEES to MCO, What is Patient driven Grouping model how its working, Workers Compensation Medicare Set-Aside Arrangement (WCMSA) Full coverage, Understanding Medicare cost Reports and usage. The AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. Routine or Continuous Home Care Patient discharge status code 50: Hospice home should be used if the patient went to his/her own home or an alternative setting that is the patients home, such as a nursing facility, and will receive in-home hospice services; General Inpatient Care Patient discharge status code 51: Hospice medical facility should be used if the patient went to an inpatient facility that is qualified and the patient is to receive the general inpatient hospice level of care; and. height: 1em !important; Snake Riddle Poisonous, Long term care hospitals - Patient Discharge Status Code 63 (or 91 when an Acute Care Hospital Inpatient Readmission is planned ), Psychiatric hospitals and units - Patient Discharge Status Code 65 (or 93 when Disposition Codes track why candidates didn't work out, primarily for OFCCP (Office of Federal Contractor Compliance Program) purposes. Secure .gov websites use HTTPSA Please reach out and we would do the investigation and remove the article. Building Code 2018 of Illinois > 10 Means of Egress > 1023 Interior Exit Stairways and Ramps > 1023.8 Discharge Identification. The responsibility for the content of this file/product is with Noridian Healthcare Solutions or the CMS and no endorsement by the AMA is intended or implied. excessive urine R35.89. %PDF-1.5 Specifications Manual for Joint Commission National Quality Measures (v2021A1). Format: Allowable Values: The patient is then admitted to another hospital after seeing the doctor. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. 40 42 Hospice Patient discharge status Codes Hospice Claims Only (TOBs: 81X & 82X) Discharge disposition. This product includes CPT which is commercial technical data, which was developed exclusively at private expense by the American Medical Association, 330 North Wabash Avenue, Chicago, Illinois 60611. As stated in the FY 2016 IPPS/LTCH PPS final rule (80 FR 49388), the GEMs have been updated on an annual basis as part of the ICD-10 Coordination and Maintenance Committee meetings process and will continue to be updated for approximately 3 years after ICD-10 is implemented. Code 03 should not be used if the patient is admitted to a non-Medicare certified area. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. endstream endobj 835 0 obj <>/Size 812/Type/XRef>>stream This code indicates the disposition or discharge status of the beneficiary on the submitted claim. For U.S. Government and other information systems, information accessed through the computer system is confidential and for authorized users only. Patient discharge status Code 66 is used to identify a transfer to a critical access hospital (CAH) for inpatient care. H|TM0WJ*a8viUi%]n)X*VLb;273~y[Lu. There are two types of disposition codes in JobScore: 1. Discharged / Since 01-06-2020 was the calendar day after the patient arrived at your ED/hospital (01-05-2020), then "13" should be reported for the Highest GCS Total data element, because that was the highest GCS total on 01-06-2020. Secure .gov websites use HTTPS window._wpemojiSettings = {"baseUrl":"http:\/\/s.w.org\/images\/core\/emoji\/72x72\/","ext":".png","source":{"concatemoji":"http:\/\/www.crosslanegroup.com\/wp-includes\/js\/wp-emoji-release.min.js?ver=4.3.1"}}; Discharge Disposition Collected For: ACHF, ASR-IP-3, CCCIP, CSTK-02, CSTK-10, HBIPS-5, IMM-2, PAL-05, PC-05, PC-06, STK-10, STK-2, STK-3, STK-6, STK-8, SUB-3, THKR-IP-2, THKR-IP-3, TOB-3 Definition: The final place or setting to which the patient was discharged on the day of discharge. Before you can enter the Noridian Medicare site, please read and accept an agreement to abide by the copyright rules regarding the information you find within this site. endstream endobj 813 0 obj <>/Outlines 24 0 R/Metadata 308 0 R/PieceInfo<>>>/Pages 307 0 R/PageLayout/OneColumn/OCProperties<>/OCGs[814 0 R]>>/StructTreeRoot 310 0 R/Type/Catalog/LastModified(D:20090710093708)/PageLabels 305 0 R>> endobj 814 0 obj <. Discharges or transfers to long-term care hospitals (LTCHs) should be coded with Patient discharge status Code 63. ** Outpatient Hospital Claims (TOBs 13X, 14X, 71X, 73X, 74X, 75X, 76X and 85X); and CMS Quarterly Q&As January 2020 Page 5 of 9 Code 1, Patient remained in the community (without formal assistive services), if, after discharge from your agency the patient remained in a non-inpatient setting, either with no assistive services, or with any assistive services EXCEPT: 1. s.parentNode.insertBefore(ga, s); AMA Disclaimer of Warranties and Liabilities The Centers for Medicare & Medicaid Services (CMS) requires patient discharge status codes for: Hospital Inpatient Claims (type of bills (TOBs) 11X and 12X); Skilled Nursing Claims (TOBs 18X, 21X, 22X and 23X); Outpatient Hospital Services (TOBs 13X, 14X, 71X, 73X, 74X, 75X, 76X and 85X); and Oclc Connexion Bad Character 2, <> else{document.getElementById("usprov").href="/web/"+"jeb"+"/help/us-government-rights";}, Advance Beneficiary Notice of Noncoverage (ABN), Cardiac and Pulmonary Rehabilitation Programs, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS), Acute Inpatient Prospective Payment System (IPPS) Hospital, Comprehensive Outpatient Rehabilitation Facility (CORF), Fee-for-Time Compensation Arrangements and Reciprocal Billing, Outpatient Prospective Payment System (OPPS), Provider Appeal Requests - PRRB or Contractor Hearings, Provider Statistical and Reimbursement (PS&R) System, Documentation Requests: How, Who and When to Send, Medical Documentation Signature Requirements, Supplemental Medical Review Contractor (SMRC), Unified Program Integrity Contractor (UPIC), Provider Outreach and Education Advisory Group (POE AG), PECOS and the Identity and Access Management System, Provider Enrollment Reconsiderations, CAPs, and Rebuttals, click here to see all U.S. Government Rights Provisions, American Hospital Association Online Store, Discharged to home or self-care (routine discharge), Discharged/transferred to a short-term general hospital for inpatient care, Discharged/transferred to skilled nursing facility (SNF) with Medicare certification, Discharged/transferred to a facility that provides custodial or supportive care, Discharged/transferred to a designated cancer center or children's hospital, Discharged/transferred to home under care of organized home health service organization in anticipation of covered skilled care, Left against medical advice or discontinued care, Admitted as an inpatient to this hospital, Discharged/transferred to court/law enforcement, Expired in a medical facility (e.g., hospital, SNF, ICF, or free-standing hospice), Discharged/transferred to a federal health care facility, Hospice - medical facility (certified) providing hospice level of care, Discharged/transferred to a hospital-based Medicare approved swing bed, Discharged/transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital, Discharged/transferred to a Medicare certified long term care hospital (LTCH), Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare, Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital, Discharged/transferred to a critical access hospital (CAH), Discharged/transferred to a designated disaster alternate care site (effective 10/1/13), Discharged/transferred to another type of health care institution not defined elsewhere in this code list, Discharged to home or self-care with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a short-term general hospital for inpatient care with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a skilled nursing facility (SNF) with Medicare certification with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a facility that provides custodial or supportive care with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a designated cancer center or children's hospital with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to home under care of organized home health service organization in anticipation of covered skilled care with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to court/law enforcement with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a federal health care facility with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a hospital-based Medicare approved swing bed with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a Medicare certified long term care hospital (LTCH) with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a critical access hospital (CAH) with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to another type of health care institution not defined elsewhere in this code list with a planned acute care hospital inpatient readmission (effective 10/1/13). 2.16.840.1.114222.4.11.915. By continuing beyond this notice, users consent to being monitored, recorded, and audited by company personnel. This is the current published version in it's permanent home (it will always be available at this URL). This page provides the message formats and technical specifications necessary to electronically transmit data to CBP's automated systems. CPT is a trademark of the AMA. In cases in which two or more Patient Discharge Status codes apply, providers should code the highest level of care known. 0000003437 00000 n End users do not act for or on behalf of the CMS. Q: Can Patient Discharge Status Code 30, Still a Patient, be used on both inpatient and outpatient claims? All Hospice and Home Health Claims (TOBs 32X, 33X, 34X, 81X and 82X). Patient discharge status Code 51 should be used when a patient is: var s = document.getElementsByTagName('script')[0]; 0000007325 00000 n 0 This code should be used when transferring a patient to a LTCH. The AMA does not directly or indirectly practice medicine or dispense medical services. o 21 Discharged/transferred to court/law enforcement LockA locked padlock var ga = document.createElement('script'); o 71 Discharge to another institution of outpatient services Glamping Abruzzo Italy Kerry, To license the electronic data file of UB-04 Data Specifications, contact AHA at (312) 893-6816. All Rights Reserved. Share sensitive information only on official, secure websites. var _gaq = _gaq || []; 0000003940 00000 n Upon discharge, the patient is transferred as a new nursing home placement to a designated hospice unit/bed. These patient discharge status codes are reserved for national assignment. Apr 8, 2020. 2. LICENSE FOR USE OF "PHYSICIANS' CURRENT PROCEDURAL TERMINOLOGY", (CPT) Unauthorized or illegal use of the computer system is prohibited and subject to criminal and civil penalties. Patient discharge status codes are part of the Official UB-04 Data Specifications Manual and are used nationwide by institutional, private, and public providers, and payers of health care claims. You acknowledge that the AMA holds all copyright, trademark, and other rights in CPT. Disposition Codes Code Name Description 01 Port of discharge changed Generated when a rail carrier changes the port of discharge in the consist record - LOINC Code 78023-9 Hospital discharge disposition [NHCS] 78023-9 Hospital discharge disposition [NHCS] Active Term Description. 43 Discharged/Transferred to a Federal Hospital An interior exit stairway and ramp shall not continue below its level of exit discharge unless an approved barrier is provided at the level of exit . Discharge order from day of discharge states Discharge home. %PDF-1.4 % Choosing the patient discharge status code correctly avoids claim errors and helps you receive payment for your claim sooner. E.g., AMA form signed and discharge instruction sheet states Discharged home with belongings - Select 7. CMS Disclaimer 0000001920 00000 n Patient Discharge Status Codes and Their Appropriate Use ; Discharged/transferred to a foster care facility with home care; and Coos County Nh Indictments, If you are a cash basis taxpayer, you realize gain when you receive payments that are more than your basis in the property. endstream endobj 2731 0 obj <>/Metadata 86 0 R/Outlines 119 0 R/PageLabels 2722 0 R/PageLayout/OneColumn/Pages 2724 0 R/PieceInfo<>>>/StructTreeRoot 133 0 R/Type/Catalog>> endobj 2732 0 obj <>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Type/Page>> endobj 2733 0 obj <>stream The data elements and codes are developed and maintained by the National Uniform Billing Committee (NUBC). stream Home IV provider for home IV services. Share sensitive information only on official, secure websites. BY CLICKING ABOVE ON THE LINK LABELED "I Accept", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THESE AGREEMENTS. 7/2020)# This manual was developed by OSHPD, Information Services Division, Patient Data Section, to provide discussion of the reporting requirements and data elements addressed in the California Code of Regulations, Title 22, Division 7, Chapter 10 Health Facility Data, Article 8 Patient Data Reporting Requirements. Does the clinician need to correct the M2420 code to response 1 - Patient You may also contact AHA at [email protected]. A discharge occurs when a Medicare beneficiary leaves an acute care hospital after receiving acute care treatment; or dies in the hospital. Whether the bed is Medicare certified or not. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. NUBC clarified the following Hospice Levels of Care: These two patient discharge status codes are used to identify when a patient is discharged or transferred to hospice care. Physician order on discharge states Discharge to ALF. Patient Discharge Status Code - Definition A patient discharge status code is a two-digit code that identifies where the patient is at the conclusion of a health care facility encounter (this could be a visit or an actual inpatient stay) or at the time end of a billing cycle (the through' date of a claim). Therefore, it is recommended that if a patient is going home or to an institutional setting with a hospice referral only (without having already been accepted for hospice care by a hospice organization), the patient discharge status code should simply reflect the site to which the patient was discharged; not hospice (i.e., 01: home or self care, or 04: an intermediate care nursing facility, assuming it is not a Medicare SNF admission). You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT. 63 Discharged/Transferred to Long Term Care Hospitals (LTCHs) If documentation is contradictory, use the latest documentation. This code is used when the patient is still within the same facility and is typically used when billing for leave of absence days or interim bills. 1 0 obj 0000001396 00000 n Discharge Disposition (HL7) Value Set OID. Q: If a patient leaves before triage, or is triaged and leaves without being seen by the physician, what Appendix D - Disposition Codes. Transferred to a hospital that would ordinarily be paid under prospective payment, but is Most files are provided in compressed zip format for ease in downloading. Patient has WC and Medicare insurance? This code should be reported when a patient is: Download the Guidance Document Final Issued by: Centers for Medicare & Medicaid Services (CMS) _gaq.push(['_setAccount', 'UA-24035529-4']); Unauthorized or improper use of this system is prohibited and may result in disciplinary action and/or civil and criminal penalties. The medical record must be abstracted as documented (taken at face value). The revenue codes and UB-04 codes are the IP of the American Hospital Association. Note: This code should not be used when a patient is transferred to an inpatient psychiatric unit of a federal hospital (e.g., Veterans Administration Hospitals). Do not consider AMA documentation and other disposition documentation as contradictory. Value Set Name. 02 Discharged/Transferred to a Short Term General Hospital for Inpatient Care startxref For a full list of available versions, see the Directory of published versions. A patient discharge status code is a two-digit code that identifies where the patient is at the conclusion of a health care facility encounter (this could be a visit or an actual inpatient stay) or at the time end of a billing cycle (the through date of a claim). See Inclusion lists for examples. The AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. Document Posting Date: February 5, 2016. 837i or 837 r . You, your employees and agents are authorized to use CPT only as contained in The Joint Commission performance measures solely for your own personal use in directly participating in healthcare programs administered by The Joint Commission. Uses User-defined Table 0112 - Discharge Disposition; this field is used on UB92 FL22. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare and Medicaid Services (CMS). Discharged/transferred to a designated cancer center or children's hospital. As promised, the HSCRC convened a workgroup to review the source of admission and discharge disposition codes and how they should map to provider types. If providers are not sure whether a facility is a LTCH or a short-term care hospital, they should contact the facility to verify their facility type before assigning a patient discharge status code. CMS DISCLAIMER. A few code lists that FHIR defines are hierarchical - each code is assigned a level. CPT codes, descriptions and other data only are copyright 2002-2020 American Medical Association (AMA). Some of the Provider information contained on the Noridian Medicare web site is copyrighted by the American Medical Association, the American Dental Association, and/or the American Hospital Association. Discharge planner note from day before discharge states XYZ Nursing Home. %PDF-1.4 % Based on national guidelines for completing and submitting a UB-04 (or the electronic comparative) a provider must assign a Patient Discharge Status code which aligns with the type of bill (TOB) submitted. 01- Discharge to Home or Self Care (Routine Discharge) This code includes discharge to home; jail or law enforcement; home on oxygen if durable medical equipment (DME) only; any other DME only; group home, foster care, and other residential care As of 2015, the list of MS-DRGs impacted by the discharge status code has grown to 273. Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Nursing facilities may elect to certify only a portion of their beds under Medicare, and some nursing facilities choose to certify all of their beds under Medicare. This code includes discharge to home; jail or law enforcement; home on oxygen if durable medical equipment (DME) only; any other DME only; group home, foster care, and other residential care arrangements; outpatient programs, such as partial hospitalization or outpatient chemical dependency programs; assisted living facilities that are not state-designated. penile R36.9. Information on obtaining a manual is Q: A patient is discharged from our facility (disposition code 01) and is to go to a doctor's appointment the same day. An official website of the U.S. Department of Homeland Security. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. These patient discharge status codes are reserved for national assignment. 0000001199 00000 n Contradictory documentation, use latest. IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THESE AGREEMENTS CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. This code indicates that the patient is discharged/transferred to a Medicare-certified nursing facility in anticipation of skilled care. The fourth digit is indicative of the submission frequency, and should align with the Patient Discharge Status reported on the claim. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. U.S. Government Rights 0000002266 00000 n No portion of the AHA copyrighted materials contained within this publication may be copied without the express written consent of the AHA. The same processes should be applied for patient discharge status codes as with any other coding. ** The fourth digit indicates the sequence of the bill for a specific episode of care. xVo6^@}T The American Medical Association reserves all rights to approve any license with any Federal agency. 2orVJZ":)d2O:]:f2JEa#vU6M6IUYy0y?OY3iv9V=-eKO?J:9+J#m endstream endobj startxref This manual was developed by HCAI, Information Services Division, Patient Data Section, to provide discussion of the reporting requirements and data elements addressed in the California Code of Regulations, Title 22, Division 7, Chapter 10 Health Facility Data, Article 8 Patient Data Reporting Requirements. If any beds at the facility are Medicare certified, then the provider should use either patient discharge status code 03 or 04, depending on: Note: There is no FY 2021 GEMs file. img.wp-smiley, ) or https:// means youve safely connected to the .gov website.

Poshmark Listings Not Showing Up, Articles L