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Author: Publisher: ISBN: Category : Languages : en Pages : 33
Book Description
The objectives of the audit were to determine whether the cost for inpatient care at military treatment facilities could be reduced by implementing diagnosis-related group length of stay standards used by civilian hospitals as the criteria for controlling or limiting inpatient admissions. The audit was also performed to determine whether medical data were processed promptly and accurately into the Retrospective Case Mix Analysis System (RCMAS). Other objectives were to assess the collection and adequacy of cost data associated with inpatient stays in military treatment facilities and to evaluate internal controls pertaining to inpatient lengths of stay in military treatment facilities and accounting for hospital costs.
Author: Publisher: ISBN: Category : Languages : en Pages : 33
Book Description
The objectives of the audit were to determine whether the cost for inpatient care at military treatment facilities could be reduced by implementing diagnosis-related group length of stay standards used by civilian hospitals as the criteria for controlling or limiting inpatient admissions. The audit was also performed to determine whether medical data were processed promptly and accurately into the Retrospective Case Mix Analysis System (RCMAS). Other objectives were to assess the collection and adequacy of cost data associated with inpatient stays in military treatment facilities and to evaluate internal controls pertaining to inpatient lengths of stay in military treatment facilities and accounting for hospital costs.
Author: Mary Ann Morreale Publisher: ISBN: Category : Hospital utilization Languages : en Pages : 70
Book Description
This thesis is an administrative, exploratory study of Diagnosis Related Groups (DRGs) and their potential use in the military medical service. As such it explores the development and uses of DRGs and examines the results of an analysis of length of stay by DRGs. Data was obtained from a USAF tertiary care facility. Data from existing sources was used but in an uncustomary comparison (for the armed services) utilizing DRGs and the National Hospital Discharge Survey data for comparisons of mean length of stays. The typical patient in the military sample is a military beneficiary. Only approximately one third of the patients sampled are on active duty status, the mean age of the sample is 36.98 years and half the patients are female. Patients were selected from 16 services and encompassed 254 DRG categories. Of these DRGs, there were ten DRGs with 20 or more observations which were considered a large enough sample for analysis in this study. A comparison of means, AUTOGRP and SAS ANOVAs were the analytic tools used to explore the data base. Significant results in the comparison were discovered through both AUTOGRP and SAS ANOVAs. Keywords: hospitalization; Air Force medical treatment facilities; USAF Hospital System; AUTOGRP computer program; Analysis of variance; SAS(Statistical Analysis System); Financial analysis; Computer printouts. (Author).
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309083435 Category : Medical Languages : en Pages : 213
Book Description
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Author: T. L. Kay Publisher: ISBN: Category : Languages : en Pages : 87
Book Description
This report presents the results of a study to determine if differences in length of stay (LOS) within DRGs could be explained by additional variables on the Navy Inpatient Data System and by a measure of disease severity. Using the same methodology as the Yale researchers, findings indicate that the additional inpatient variables (patient related, hospital characteristics, and military related) increased the explained variance in LOS from 25 to 30 percent and created 345 subgroups. Two-thirds of these subgroups were accounted for by five factors: number of diagnoses, number of procedures, admitted by transfer, active duty enlisted status, and large teaching hospital. Appendix B details the average length of stay, standard deviation, and number of cases by DRG subgroups. Severity of illness within seven DRGs was measured by a valid and reliable nursing acuity tool. Findings indicated that maximum patient classification category and points were positively correlated with LOS and explained significantly more variance than accounted for by the additional inpatient variables for most study DRGs. The report concludes with specific recommendations for monitoring and comparing hospital performance using these findings.
Author: Publisher: ISBN: 9781683086857 Category : Languages : en Pages : 546
Book Description
In addition to reprinting the PDF of the CMS CoPs and Interpretive Guidelines, we include key Survey and Certification memos that CMS has issued to announced changes to the emergency preparedness final rule, fire and smoke door annual testing requirements, survey team composition and investigation of complaints, infection control screenings, and legionella risk reduction.
Author: Department Of Health And Human Services Publisher: Lulu.com ISBN: 9781716599989 Category : Medical Languages : en Pages : 128
Book Description
These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.
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Author: Mary Ann Morreale
Author: Institute of Medicine
Author: T. L. Kay
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Author: United States. Prospective Payment Assessment Commission
Author: Department Of Health And Human Services
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