Uniform Hospital Discharge Data Set Questions With Answers Graded A+ Assured Success

•Principal procedure: - This type of procedure is performed for definitive treatment rather than for diagnostic or exploratory purposes, or when it is necessary to take care of a complication. If two procedures appear to be principal, the one most related to the principal diagnosis should be selected as the principal procedure. •Physician identification: - The unique number assigned to each physician within the hospital (the attending physician and the operating physician [if applicable] are both to be identified) •Admission and discharge dates - •Comorbidity: - This is defined as a pre-existing condition that, because of its presence with a specific principal diagnosis, will likely cause an increase in the patient's length of stay in the hospital. •Complication: - This is defined as an additional diagnosis that describes a condition arising after the beginning of hospital observation and treatment and then modifying the course of the patient's illness or the medical care required. •Date of birth - •Diagnoses: - All diagnoses affecting the current hospital stay must be reported as part of the UHDDS. •Disposition of patient: - The destination of the patient upon leaving the hospital—discharged to home, left against medical advice, discharged to another short-term hospital, discharged to a long-term care institution, died, or other •Ethnicity (Hispanic-Non-Hispanic) - •Expected payer: - The single major source expected by the patient to pay for this bill (for example, Blue Cross/Blue Shield, Medicare, Medicaid, workers' compensation)•Hospital identification: - The unique number assigned to each institution •Other diagnoses: - These are designated and defined as all conditions that coexist at the time of admission, that develop subsequently, or that affect the treatment received or the length of stay (LOS). •Personal identification: - The unique number assigned to each patient that distinguishes the patient and his or her health record from all others •Principal diagnosis: - The principal diagnosis is designated and defined as the condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care. •Procedures and dates: - All significant procedures are to be reported. For significant procedures, both the identity (by unique number within the hospital) of the person performing the procedure and the date of the procedure must be reported. •Race - •Residence: - The zip code or code for foreign residence •Sex - . Part of the current UHDDS includes the following specific items pertaining to patients and their episodes of care: - Present on admission (POA) - The purpose of the POA indicator is to differentiate between conditions present at admission and conditions that develop during an inpatient admission. The Uniform Hospital Discharge Data Set (UHDDS) - Was promulgated by the US Department of Health, Education, and Welfare in 1974 as a minimum, common core of data on individual acute care short-term hospital discharges in Medicare and Medicaid programs. It sought to improve the uniformityand comparability of hospital discharge data. The application of the UHDDS definitions has been expanded to include all nonoutpatient settings (acute care, short-term care, long-term care, and psychiatric hospitals; home health agencies; rehabilitation facilities; nursing homes; and so forth). •Significant procedure - A procedure is identified as significant when it 1. surgical in nature 2. Carries a procedural risk 3. Carries an anesthetic risk 4. Requires specialized training. Deciding whether a procedure performed is a significant procedure is often the determinant if the coder assigns a procedure code to identify the procedure. Nonsignificant procedures are usually not coded