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Terms in this set (108)
The abstracting of this Discharge disposition
data element has an
impact on the DRG
reimbursement
According to Medicare Be completed for each patient no more than 30 days
requirements, a history before or 24 hours after admission or registration, but
and physical must: prior to surgery
According to the UHDDS, Coexist at the time of admission, that develop
section 3, the definition of subsequently, or that affect the treatment received or
other diagnoses is all the length of stay
conditions that:
According to the UHDDS, Receives clinical evaluation, therapeutic treatment,
the definition of a further evaluation, extends the length of stay,
secondary diagnosis is a increases nursing monitoring and care
condition that:
Bronchiolitis is a common lung infection in young
children and infants. It causes inflammation and
Acute Bronchiolitis
congestion in the small airways (bronchioles) of the
lung. Bronchiolitis is almost always caused by a virus.
Admission source code Non-Healthcare Facility
used to identify a patient
admitted to the facility
from home:
, Admission source code Transfer from hospice
used to identify a patient
admitted to the facility
from hospice care:
an expansion of the basic DRGs to be more
representative of Non-Medicare populations such as
All Patient DRGs (AP-
pediatric patients. The All Patient Refined DRGs (APR-
DRGs)
DRG) incorporate severity of illness subclasses into
the AP-DRGs.
a classification system that classifies patients
All Patients Refined
according to their reason of admission, severity of
Diagnosis Related Groups
illness and risk of mortality.
(APR DRG)
All APR DRGs have 4 severity levels.
APCs or Ambulatory Payment Classifications are the
United States government's method of paying for
APC Codes (Ambulatory
facility outpatient services for the Medicare (United
Payment Classifications)
States) program. APCs are an outpatient prospective
payment system applicable only to hospitals.
APC Status Indicator - C Inpatient Procedures, not paid under OPPS
APC Status Indicator - N Items and Services Packaged into APC Rates
APC Status Indicator - S Significant Procedure, Not Discounted When Multiple
APC Status Indicator - T Significant Procedure, Multiple Reduction Applies
APC Status Indicator - V Clinic or Emergency Department Visit
APC Status Indicator - X Ancillary Services
APC Status Indicator - Y Non-Implantable Durable Medical Equipment
An acute asthmatic attack in which the degree of
Asthma with status
bronchial obstruction is not relieved by the usual
asthmaticus
treatment, such as epinephrine and aminophylline
Authentication of health Prove authorship of documents
record entries