Description and Usage

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Description and Usage

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This report is commonly used for E&M, Press Ganey, and other site specific reporting needs. Below is an explanation of each section that displays on the report.

 

 

Coding with Item Detail - Demographics

 

coding detail demo info

 

 

Listed below is an explanation of each column.

 

•Patient Account: Pulls from the Registration and ADT screen

 

•Patient Name: Pulls from Patient tab on the Registration and ADT screen

 

•Admit Date/Time/Code: Pulls from Stay tab on the Registration and ADT screen

 

•Discharge Date/Time/Code: Pulls from Stay tab on the Registration and ADT screen

 

•ST (Stay Type): Pulls from Patient tab on the Registration and ADT screen

 

•Subtype: Pulls from Patient tab on the Registration and ADT screen

 

•Service (Service Code): Pulls from Patient tab on the Registration and ADT screen

 

•ER Arrival: Pulls from ER Log on the Registration and ADT screen

 

•DRG: Pulls from the Grouper

 

•APR: The severity/mortality indicator only populates when the 3M APR DRG® Software is utilized within the medical records encoder functionality. Valid indicators are 1, 2, 3 and 4.

 

•Ins (Insurance): Pulls from the Guarantor/Ins tab on the Registration and ADT screen

 

•Contr Cd (Contract Code): Pulls from the Guarantor/Ins tab on the Registration and ADT screen

 

 

Coding with Item Detail - Patient

 

coding detail pt insurance

 

 

Listed below is an explanation of each column.

 

•DOB (Date of Birth): Pulls from Patient tab on the Registration and ADT screen.

 

•Age: Pulls from Patient tab on the Registration and ADT screen

 

•Sex: Pulls from Patient tab on the Registration and ADT screen

 

•SSN (Social Security Number): Pulls from Patient tab on the Registration and ADT screen

 

•Home Phone: Pulls from Patient tab on the Registration and ADT screen

 

•Cell Phone: Pulls from Patient tab on the Registration and ADT screen

 

•Marital Status: Pulls from Patient tab on the Registration and ADT screen

 

•Patient Address/City/State/County/Zip: Pulls from Patient tab on the Registration and ADT screen

 

 

Coding with Item Detail - Guarantor

 

coding detail guarantor info

 

 

Listed below is an explanation of each column.

 

•Name: Pulls from Guarantor/Ins tab on the Registration and ADT screen

 

•Sex: Pulls from Guarantor/Ins tab on the Registration and ADT screen

 

•DOB (Date of Birth): Pulls from Guarantor/Ins tab on the Registration and ADT screen

 

•SSN (Social Security Number): Pulls from Guarantor/Ins tab on the Registration and ADT screen

 

•Home Phone: Pulls from Guarantor/Ins tab on the Registration and ADT screen

 

•Cell Phone: Pulls from Guarantor/Ins tab on the Registration and ADT screen

 

•Employer: Pulls from Guarantor/Ins tab on the Registration and ADT screen

 

•Occupation: Pulls from Guarantor/Ins tab on the Registration and ADT screen

 

•Address/City/State/Zip: Pulls from Guarantor/Ins tab on the Registration and ADT screen

 

 

Coding with Item Detail - Diagnosis

 

coding detail dx code

 

 

Listed below is an explanation of each column.

 

•Diagnosis Type: Pulls from the Diagnosis and Chief Complaint screens on the Grouper

 

•Code: Pulls from the Diagnosis and Chief Complaint screens on the Grouper

 

•POA (Present on Admission): Pulls from the Diagnosis screen on the Grouper

 

•Description: Pulls from the Diagnosis and Chief Complaint screens on the Grouper

 

 

Coding with Item Detail - Procedure

 

coding detail procedure

 

 

Listed below is an explanation of each column.

 

•Code: Pulls from the Procedures screen on the Grouper

 

•HCPCS: Pulls from the Procedures screen on the Grouper

 

•Description: Pulls from the Procedures screen on the Grouper

 

•Modifiers: Pulls from the Procedures screen on the Grouper

 

•Surgeon: Pulls from the Procedures screen on the Grouper

 

•2nd Surg (Second Surgeon): Pulls from the Procedures screen on the Grouper

 

•Proc Date (Procedure Date): Pulls from the Procedures screen on the Grouper

 

 

Coding with Item Detail - Physicians

 

coding detail phys info

 

 

Listed below is an explanation of each column.

 

•Physician Name: Pulls from the Patient's Physician list on the Procedures screen in the Grouper

 

•Physician Number: Pulls from the Patient's Physician list on the Procedures screen in the Grouper

 

•Role/Type: Pulls from the Patient's Physician list on the Procedures screen in the Grouper

 

 

Coding with Item Detail - Insurance

 

coding detail ins info

 

 

Listed below is an explanation of each column.

 

•Code: Pulls from the Policy Information screen

 

•Description: Pulls from the Policy Information screen

 

•Primary: Pulls from the Policy Information screen

 

•DOB (Date of Birth): The subscriber's Date of Birth from the Policy information screen

 

•Contract#: Pulls from the Policy Information screen

 

•Group Info (Group Information): Pulls from the Policy Information screen

 

•Expected Pay: Pulls the calculated Expected Pay for the financial class

 

•Reimbursement: Pulls the reimbursement amount entered during insurance receipting

 

•Contractual: Pulls the contractual amount entered during insurance receipting

 

 

Coding with Item Detail - Item Information

 

coding detail item info

 

 

Listed below is an explanation of each column.

 

•Item: Displays the item charged from the patient's Account Detail.

 

•Description: Pulls the description of the item from Page 1 of the Item Master.

 

•Quantity: Pulls from the patient's Account Detail.

 

•SC (Summary Code): Displays the Summary Code attached to the charge. Summary Codes are loaded per item on Page 1 of the Item Master.

 

•Rev Cd (Revenue Code): Displays the Revenue Code attached to the Summary Code. Revenue Codes are loaded on Page 1 of the Charge Summary Code table.

 

•AR Date (Accounts Receivable Date): Pulls from the patient's Account Detail.

 

•Service Dt (Service Date): Pulls from the patient's Account Detail.

 

•CPT Code: Displays the CPT Code attached to the charge. CPT Codes are loaded on Page 1 of the Item Master.

 

•Modifiers: Displays any modifiers that were entered on the CPT Charge screen within the Grouper screen.

 

•Type: Pulls the transaction type from the patient's Account Detail.

 

•Amount: Displays the current price for the item charged. The Current Price is loaded in the Item Pricing table within the Item Master.

 

•Cost: The cost is calculated by multiplying the item price listed in the Item Master by the Ratio of Costs to Charges listed in the Charge Summary Code table.