Part 1
I need help with this assignment CDI Assignment
Clinical documentation integrity (CDI) is a key component of the revenue cycle. To provide direction for a CDI program's development and growth, management should regularly evaluate its performance. In this assignment, you will evaluate the performance of the inpatient cardiovascular department (MDC 5).
Instructions:
1. Review the facility data for the cardiovascular department in the file AB202019_Ch12_CDI Performance Assessment Data File.xlsx. In this spreadsheet, data are provided for the following metrics:
a. Review rate
b. Query rate
c. Physician response rate
d. Physician impact on MS-DRG rate
e. CDI intervention denial rate
f. Case-mix index
2. If you have questions about any of the rates included in the data file, reference the AHIMA Clinical Documentation Improvement Toolkit (2016), available in the AHIMA HIM Body of Knowledge (http://bok.ahima.org/ Links to an external site.). Access to this document requires AHIMA membership. If you are not a member of AHIMA, contact your instructor for assistance.
3. Analyze the data. Develop insights.
4. Prepare an annual report for the revenue cycle committee. Your report should include a summary of the CDI performance for the past year. Tables and graphs should be included when warranted. Include the insights your team has developed throughout the report. For example, do not simply report that the CMI is 2.1349. Your report should include a discussion of aspects of CDI performance that have impacted the CMI. Your report should include a section that discusses possible actions designed to improve CDI performance during the upcoming year.
referense:
Cardiovascular Department - CDI Performance Metrics Review Rate All 1st QTR 2nd QTR 3rd QTR 4th QTR Total # records reviewed by CDI 575 599 597 616 2387 # discharges available for revew 765 761 764 769 3059 KPI = 80% review rate 75.16% 78.71% 78.14% 80.10% 78.03% Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total # records reviewed by CDI 175 180 190 193 738 # discharges available for revew 285 274 293 287 1139 KPI = 75% review rate 61.40% 65.69% 64.85% 67.25% 64.79% Medical 1st QTR 2nd QTR 3rd QTR 4th QTR Total # records reviewed by CDI 400 419 407 423 1649 # discharges available for revew 480 487 471 482 1920 KPI = 85% review rate 83.33% 86.04% 86.41% 87.76% 85.89% Query Rate All 1st QTR 2nd QTR 3rd QTR 4th QTR Total # records with CDI query/request 290 310 310 314 1224 # records reviewed by CDI 575 599 597 616 2387 No KPI query rate 50.43% 51.75% 51.93% 50.97% 51.28% Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total # records with CDI query/request 50 52 46 57 205 # records reviewed by CDI 175 180 190 193 738 No KPI query rate 28.57% 28.89% 24.21% 29.53% 27.78% Medical 1st QTR 2nd QTR 3rd QTR 4th QTR Total # records with CDI query/request 240 258 264 257 1019 # records reviewed by CDI 400 419 407 423 1649 No KPI query rate 60.00% 61.58% 64.86% 60.76% 61.80% Physician Response Rate All 1st QTR 2nd QTR 3rd QTR 4th QTR Total # physician responses to query/request 248 262 272 279 1061 # query/request 302 329 335 357 1323 KPI = 85% physician response rate 82.12% 79.64% 81.19% 78.15% 80.20% Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total # physician responses to query/request 33 35 31 36 135 # query/request 51 54 49 64 218 KPI = 85% physician response rate 64.71% 64.81% 63.27% 56.25% 61.93% Medical 1st QTR 2nd QTR 3rd QTR 4th QTR Total # physician responses to query/request 215 227 241 243 926 # query/request 251 275 286 293 1105 KPI = 85% physician response rate 85.66% 82.55% 84.27% 82.94% 83.80% Physician Impact on MS-DRG Rate All 1st QTR 2nd QTR 3rd QTR 4th QTR Total # responses that impact MS-DRG 110 134 130 137 511 # physician responses to query/request 248 262 272 279 1061 No KPI physician impact on MS-DRG rate 44.35% 51.15% 47.79% 49.10% 48.16% Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total # responses that impact MS-DRG 5 7 6 7 25 # physician responses to query/request 33 35 31 36 135 No KPI physician impact on MS-DRG rate 15.15% 20.00% 19.35% 19.44% 18.52% Medical 1st QTR 2nd QTR 3rd QTR 4th QTR Total # responses that impact MS-DRG 105 127 124 130 486 # physician responses to query/request 215 227 241 243 926 No KPI physician impact on MS-DRG rate 48.84% 55.95% 51.45% 53.50% 52.48% CDI Intervention Denial Rate All 1st QTR 2nd QTR 3rd QTR 4th QTR Total # denials 30 33 45 54 162 # records reviewed by CDI 575 599 597 616 2387 KPI = 5% CDI intervention denial rate 5.22% 5.51% 7.54% 8.77% 6.79% Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total # denials 1 1 2 0 4 # records reviewed by CDI 175 180 190 193 738 KPI = 5% CDI intervention denial rate 0.57% 0.56% 1.05% 0.00% 0.54% Medical 1st QTR 2nd QTR 3rd QTR 4th QTR Total # denials 29 32 43 54 158 # records reviewed by CDI 400 419 407 423 1649 KPI = 5% CDI intervention denial rate 7.25% 7.64% 10.57% 12.77% 9.58% Case Mix Index Annual All 2.1349 Surgical 3.7527 Medical 1.1751
MS-DRG Med/Surg Status FY 2019 RW Volume Average Charge Average Pymt Average MCR Pymt CMI Calculation 216 - CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC Surgical 9.8209 15 339,185.20 80,949.00 74,534.40 147.3135 219 - CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC Surgical 7.6916 29 292,012.39 67,634.40 57,823.93 223.0564 220 - CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC Surgical 5.2053 72 194,142.97 40,490.48 34,839.38 374.7816 226 - CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC Surgical 6.8182 12 152,160.75 51,394.42 44,961.67 81.8184 227 - CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC Surgical 5.3167 30 114,026.83 43,041.77 36,153.07 159.501 228 - OTHER CARDIOTHORACIC PROCEDURES W MCC Surgical 6.5762 16 253,086.33 59,312.22 54,230.11 105.2192 229 - OTHER CARDIOTHORACIC PROCEDURES W/O MCC Surgical 4.6484 18 155,037.25 37,464.13 34,311.13 83.6712 233 - CORONARY BYPASS W CARDIAC CATH W MCC Surgical 7.6377 13 250,191.71 66,173.95 43,588.19 99.2901 234 - CORONARY BYPASS W CARDIAC CATH W/O MCC Surgical 5.1472 21 232,924.92 55,100.85 30,698.62 108.0912 235 - CORONARY BYPASS W/O CARDIAC CATH W MCC Surgical 5.8099 10 206,686.13 53,567.31 31,653.54 58.099 236 - CORONARY BYPASS W/O CARDIAC CATH W/O MCC Surgical 3.9263 39 171,672.80 33,705.05 25,313.10 153.1257 239 - AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC Surgical 4.7093 5 127,423.55 42,729.73 28,692.64 23.5465 240 - AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC Surgical 2.7449 6 69,636.00 18,530.33 16,012.27 16.4694 241 - AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC Surgical 1.5960 15 48,459.21 12,599.39 10,661.02 23.94 242 - PERMANENT CARDIAC PACEMAKER IMPLANT W MCC Surgical 3.7369 18 128,045.11 32,635.14 28,674.25 67.2642 243 - PERMANENT CARDIAC PACEMAKER IMPLANT W CC Surgical 2.5543 28 68,205.24 21,400.00 17,677.42 71.5204 244 - PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC Surgical 2.1108 38 73,045.72 17,343.33 15,335.11 80.2104 245 - AICD GENERATOR PROCEDURES Surgical 5.0121 19 136,137.21 40,400.37 30,490.53 95.2299 246 - PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS Surgical 3.2388 86 105,027.41 28,335.83 22,420.00 278.5368 247 - PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC Surgical 2.0771 108 68,780.68 17,740.28 14,627.08 224.3268 248 - PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W MCC OR 4+ VES/STENTS Surgical 3.1726 13 105,608.15 24,511.08 21,972.08 41.2438 251 - PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC Surgical 1.6778 17 67,538.12 14,861.47 11,438.35 28.5226 252 - OTHER VASCULAR PROCEDURES W MCC Surgical 3.2598 17 100,224.10 27,566.36 24,078.20 55.4166 253 - OTHER VASCULAR PROCEDURES W CC Surgical 2.5943 50 87,221.46 22,590.96 18,925.54 129.715 254 - OTHER VASCULAR PROCEDURES W/O CC/MCC Surgical 1.8100 54 57,414.71 15,334.18 11,385.18 97.74 260 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC Surgical 3.6195 10 105,186.50 30,807.17 22,882.83 36.195 261 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC Surgical 1.9918 12 56,973.36 16,545.57 14,109.07 23.9016 262 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC Surgical 1.6309 14 41,501.36 10,790.35 9,130.30 22.8326 264 - OTHER CIRCULATORY SYSTEM O.R. PROCEDURES Surgical 3.1586 22 161,415.55 34,334.14 25,550.23 69.4892 266 - ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC Surgical 7.1915 16 259,702.44 63,142.44 59,319.50 115.064 267 - ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC Surgical 5.8481 60 177,207.72 46,344.68 44,616.25 350.886 269 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC Surgical 4.1509 32 136,886.69 34,003.47 26,975.44 132.8288 270 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC Surgical 5.0617 2 189,229.53 42,572.69 31,953.25 10.1234 271 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC Surgical 3.4938 14 120,555.75 24,700.94 22,273.94 48.9132 272 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC Surgical 2.6181 37 73,215.46 19,036.02 16,107.40 96.8697 273 - PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC Surgical 3.6525 45 141,122.27 33,132.84 24,262.36 164.3625 274 - PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC Surgical 2.9783 126 101,992.83 21,244.69 16,595.81 375.2658 280 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC Medical 1.6571 61 75,889.74 16,571.93 12,437.39 101.0831 281 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC Medical 0.9796 31 41,225.06 9,671.87 6,849.45 30.3676 282 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC Medical 0.7490 15 31,520.59 7,249.74 5,043.29 11.235 283 - ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC Medical 1.8047 13 126,396.69 21,777.54 17,552.23 23.4611 286 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC Medical 2.1808 130 108,551.19 24,441.78 17,671.56 283.504 287 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC Medical 1.1389 141 52,745.23 11,328.47 8,321.54 160.5849 291 - HEART FAILURE & SHOCK W MCC Medical 1.3454 422 52,707.58 14,555.13 11,016.49 567.7588 292 - HEART FAILURE & SHOCK W CC Medical 0.9198 164 31,082.08 9,601.41 6,680.74 150.8472 293 - HEART FAILURE & SHOCK W/O CC/MCC Medical 0.6656 25 21,174.92 7,134.36 4,989.48 16.64 299 - PERIPHERAL VASCULAR DISORDERS W MCC Medical 1.4504 24 65,482.00 16,428.04 13,417.54 34.8096 300 - PERIPHERAL VASCULAR DISORDERS W CC Medical 1.0237 43 25,383.47 9,474.44 7,450.28 44.0191 301 - PERIPHERAL VASCULAR DISORDERS W/O CC/MCC Medical 0.7262 19 16,578.74 7,125.84 5,609.68 13.7978 302 - ATHEROSCLEROSIS W MCC Medical 1.0695 16 40,424.75 10,553.38 7,623.19 17.112 303 - ATHEROSCLEROSIS W/O MCC Medical 0.6655 24 18,835.54 6,470.92 5,032.13 15.972 304 - HYPERTENSION W MCC Medical 1.0811 55 35,897.44 9,873.40 7,659.84 59.4605 305 - HYPERTENSION W/O MCC Medical 0.7199 67 20,649.45 6,952.70 4,876.58 48.2333 308 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC Medical 1.2036 81 40,491.01 11,861.25 8,349.60 97.4916 309 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC Medical 0.7635 139 20,100.33 7,754.93 5,477.53 106.1265 310 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC Medical 0.5623 101 14,846.41 5,972.08 3,991.32 56.7923 311 - ANGINA PECTORIS Medical 0.6872 16 24,843.50 6,728.19 4,815.00 10.9952 312 - SYNCOPE & COLLAPSE Medical 0.8015 104 22,473.30 7,785.71 5,637.13 83.356 313 - CHEST PAIN Medical 0.7073 64 18,864.45 6,707.66 4,980.56 45.2672 314 - OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC Medical 2.0231 112 108,649.39 22,955.24 17,047.81 226.5872 315 - OTHER CIRCULATORY SYSTEM DIAGNOSES W CC Medical 0.9559 53 36,839.49 9,221.55 6,835.26 50.6627 3059 6530.5462 2.134863093
Part 2 How does the use of an encoder support revenue integrity?
What are the disadvantages of an encoder for the revenue integrity department?
Cardiovascular Department - CDI Performance Metrics Review Rate All 1st QTR 2nd QTR 3rd QTR 4th QTR Total # records reviewed by CDI 575 599 597 616 2387 UT A # discharges available for revew 765 761 764 769 3059 6 KPI = 80% review rate 75.16% 78.71% 78.14% 80.10% 78.03% 8 Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total 9 # records reviewed by CDI 175 180 190 193 738 10 # discharges available for revew 285 274 293 287 1139 11 KPI = 75% review rate 61.40% 65.69% 64.85% 67.25% 64.79% 12 13 Medical 1st QTR 2nd QTR 3rd QTR 4th QTR Total 14 # records reviewed by CDI 400 419 407 423 1649 15 # discharges available for revew 480 487 471 482 1920 16 KPI = 85% review rate 83.33% 86.04% 86.41% 87.76% 85.89% 17 18 19 20 Query Rate 21 All 1st QTR 2nd QTR 3rd QTR 4th QTR Total 22 # records with CDI query/request 290 310 310 314 1224 23 # records reviewed by CDI 575 599 597 616 2387 24 No KPI query rate 50.43% 51.75% 51.93% 50.97% 51.28% 25 26 27 Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total 28 # records with CDI query/request 50 52 46 57 205 29 # records reviewed by CDI 175 180 190 193 738 30 No KPI query rate 28.57% 28.89% 24.21% 29 53%A B C D E F G H Physician Response Rate All 1st QTR 2nd QTR 3rd QTR 4th QTR Total # physician responses to query/request 248 262 272 279 1061 # query/request 302 329 335 357 1323 KPI = 85% physician response rate 82.12% 79.64% 81.19% 78.15% 80.20% Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total # physician responses to query/request 33 35 31 36 135 # query/request 51 54 49 64 218 KPI = 85% physician response rate 64.71% 64.81% 63.27% 56.25% 61.93% Medical 1st QTR 2nd QTR 3rd QTR 4th QTR Total # physician responses to query/request 215 227 241 243 926 # query/request 251 275 286 293 1105 KPI = 85% physician response rate 85.66% 82.55% 84.27% 82.94% 83.80% 8 0 Physician Impact on MS-DRG Rate All 1st QTR 2nd QTR 3rd QTR 4th QTR Total 52 # responses that impact MS-DRG 110 134 130 137 511 53 # physician responses to query/request 248 262 272 279 1061 64 No KPI physician impact on MS-DRG rate 44.35% 51.15% 47.79% 49.10% 48.16% 6560 Physician Impact on MS-DRG Rate 61 All 1st QTR 2nd QTR 3rd QTR 4th QTR Total 162 # responses that impact MS-DRG 110 134 130 137 511 63 # physician responses to query/request 248 262 272 279 1061 64 No KPI physician impact on MS-DRG rate 44.35% 51.15% 47.79% 49.10% 48.16% 65 66 67 Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total 68 # responses that impact MS-DRG 5 7 6 7 25 69 # physician responses to query/request 33 35 31 36 135 70 No KPI physician impact on MS-DRG rate 15.15% 20.00% 19.35% 19.44% 18.52% 71 72 73 Medical 1st QTR 2nd QTR 3rd QTR 4th QTR Total 74 # responses that impact MS-DRG 105 127 124 130 486 75 # physician responses to query/request 215 227 241 243 926 76 No KPI physician impact on MS-DRG rate 48.84% 55.95% 51.45% 53.50% 52.48% 77 78 79 80 CDI Intervention Denial Rate 81 All 1st QTR 2nd QTR 3rd QTR 4th QTR Total 82 # denials 30 33 45 54 162 83 # records reviewed by CDI 575 599 597 616 2387 84 KPI = 5% CDI intervention denial rate 5.22% 5.51%% 7.54% 8.77% 6.79%D E F G H CDI Intervention Denial Rate All 1st QTR 2nd QTR 3rd QTR 4th QTR Total # denials 30 33 45 54 162 # records reviewed by CDI 575 599 597 616 2387 KPI = 5% CDI intervention denial rate 5.22% 5.51% 7.54% 8.77% 6.79% Surgical 1st QTR 2nd QTR 3rd QTR 4th QTR Total # denials 2 0 4 # records reviewed by CDI 175 180 190 193 738 0 KPI = 5% CDI intervention denial rate 0.57% 0.56% 1.05% 0.00% 0.54% Medical 1st QTR 2nd QTR 3rd QTR 4th QTR Total 94 # denials 29 32 43 54 158 # records reviewed by CDI 400 419 407 423 1649 96 KPI = 5% CDI intervention denial rate 7.25% 7.64% 10.57% 12.77% 9.58% 97 98 99 00 Case Mix Index Annual 101 All 2.1349 102 Surgical 3.7527 103 Medical 1.1751 104% Format as Cell a Center 08 28 Insert Delete Format Sort & Find & Analyze Formatting * Table * Styles Clear Filter * Select Data Undo Clipboard Font Alignment Number Styles Cells Editing Analysis A66 vi XVfx A B C D E F G H MS-DRG Med/Surg Status FY 2019 RW Volume Average Charge Average Pymt Average MCR Pymt CMI Calcul 216 - CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC Surgical 9.8209 15 339,185.20 80,949.00 74,534.40 14 219 - CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC Surgical 7.6916 29 292,012.39 67,634.40 57,823.93 22 4 220 - CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC Surgical 5.2053 72 194,142.97 40,490.48 34,839.38 374 5 226 - CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC Surgical 6.8182 12 152,160.75 51,394.42 44,961.67 81 227 - CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC Surgical 5.3167 30 114,026.83 43,041.77 36,153.07 15 228 - OTHER CARDIOTHORACIC PROCEDURES W MCC Surgical 6.5762 16 59,312.22 54,230.11 105 8 229 - OTHER CARDIOTHORACIC PROCEDURES W/O MCC 253,086.33 Surgical 9 4.6484 18 233 - CORONARY BYPASS W CARDIAC CATH W MCC 155,037.25 37,464.13 34,311.13 83 Surgical 7.6377 13 10 234 - CORONARY BYPASS W CARDIAC CATH W/O MCC 250,191.71 66,173.95 43,588.19 99 Surgical 5.1472 11 235 - CORONARY BYPASS W/O CARDIAC CATH W MCC 21 232,924.92 55,100.85 30,698.62 108.0 Surgical 12 236 - CORONARY BYPASS W/O CARDIAC CATH W/O MCC 5.8099 10 206,686.13 53,567.31 31,653.54 58 Surgical 3.9263 39 13 239 - AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC 171,672.80 33,705.05 25,313.10 153.12 Surgical 4.7093 51 14 240 - AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC 127,423.55 42,729.73 28,692.64 23.5 Surgical 2.7449 15 241 - AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC 6 69,636.00 18,530.33 16,012.27 16.46 Surgical 16 242 - PERMANENT CARDIAC PACEMAKER IMPLANT W MCC 1.5960 15 48,459.21 12,599.39 10,661.02 23 Surgical 17 243 - PERMANENT CARDIAC PACEMAKER IMPLANT W CC 3.7369 18 128,045.11 32,635.14 28,674.25 67.26 Surgical 18 244 - PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC 2.5543 28 68,205.24 21,400.00 17,677.42 71.52 19 245 - AICD GENERATOR PROCEDURES Surgical 2.1108 38 73,045.72 17,343.33 15,335.11 80.210 Surgical 20 246 - PERC CARDIOVASCULARUG-ELUTING STENT W MCC OR 4. VESSELS/STENTS 5.0121 19 136,137.21 40,400.37 30,490.53 95.229 Surgical 21 247 - PERC CARDIOVASCULARING STENT W/O MCC 3.2388 86 105,027.41 28,335.83 22,420.00 278.536 Surgical 22 248 - PERC CARDIOVASCULARUG-ELUTING STENT W MCC OR 4+ VES/STENTS 2.0771 108 68,780.68 17,740.28 14,627.08 224.326 Surgical 23 251 - PERC CARDIOVASCULARONARY ARTERY STENT W/O MCC 3.1726 13 105,608.15 24,511.08 21,972.08 41.243 24 252 - OTHER VASCULAR PROCEDURES W MCC Surgical 1.6778 17 67,538.12 14,861.47 11,438.35 28.522 25 253 - OTHER VASCULAR PROCEDURES W CC Surgical 3.2598 17 100,224.10 27,566.36 24,078.20 Surgical 55.4166 26 254 . OTHER VASCULAR PROCEDURES W/O CC/MCC 2.5943 50 87,221.46 22,590.96 18,925.54 129.715 27 260 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC Surgical 1.8100 54 57,414.71 15,334.18 11,385.18 97.74 28 261 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC Surgical 3.6195 10 105,186.50 30,807.17 29 262 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC Surgical 22,882.83 36.195 1.9918 12 56,973.36 16,545.57 Surgical 14,109.07 23.9016 30 264 - OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 1.6309 14 41,501.36 Surgical 10,790.35 9,130.30 22.8326 3.1586 22 161,415.55 34,334.14 25,550.23 HOLE 69.4892Number Styles Cells Editing Analysis viXVf PERMANENT CARDIAC PACEMAKER TIVIPLANT V TICO B C D surgical E F G H TO 43 - PERMANENT CARDIAC PACEMAKER IMPLANT W CC SZ,030.14 Surgical 2.5543 28 68,205.24 44 - PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC 21,400.00 17,677.42 71.5 Surgical 2.1108 38 45 - AICD GENERATOR PROCEDURES 73,045.72 17,343.33 15,335.11 80.21 Surgical 5.0121 19 136,137.21 46 - PERC CARDIOVASCULARUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS 40,400.37 30,490.53 95.27 Surgical 3.2388 86 247 - PERC CARDIOVASCULARUG-ELUTING STENT W/O MCC 105,027.41 28,335.83 22,420.00 278.536 Surgical 2.0771 108 48 - PERC CARDIOVASCULARUG-ELUTING STENT W MCC OR 4+ VES/STENTS 68,780.68 17,740.28 14,627.08 224.32 Surgical 3.1726 13 51 - PERC CARDIOVASCULARONARY ARTERY STENT W/O MCC 105,608.15 24,511.08 21,972.08 41.243 Surgical 52 - OTHER VASCULAR PROCEDURES W MCC 1.6778 17 67,538.12 14,861.47 11,438.35 28.522 Surgical 253 - OTHER VASCULAR PROCEDURES W CC 3.2598 17 100,224.10 27,566.36 24,078.20 55.416 Surgical 54 - OTHER VASCULAR PROCEDURES W/O CC/MCC 2.5943 50 87,221.46 22,590.96 18,925.54 129.715 Surgical 54 260 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC 1.8100 57,414.71 15,334.18 11,385.18 97.74 Surgical 261 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC 3.6195 10 105,186.50 30,807.17 22,882.83 36.195 Surgical 262 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC 1.9918 12 56,973.36 16,545.57 14,109.07 23.9016 264 - OTHER CIRCULATORY SYSTEM O.R. PROCEDURES Surgical 1.6309 14 41,501 36 10,790.35 9,130.30 22.8326 Surgical 266 - ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC 3.1586 22 161,415.55 34,334.14 25,550.23 69.4892 Surgical 267 - ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC 7.1915 16 259,702.44 63,142.44 59,319.50 115.064 Surgical 269 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC 5.8481 60 177,207.72 46,344.68 44,616.25 350.886 270 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC Surgical 4.1509 32 136,886.69 34,003.47 26,975.44 132.8288 271 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC Surgical 5.0617 2 189,229.53 42,572.69 31,953.25 10.1234 272 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC Surgical 3.4938 14 120,555.75 24,700.94 22,273.94 48.9132 273 - PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC Surgical 2.6181 37 73,215.46 19,036.02 16,107.40 96.8697 274 - PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC Surgical 3.6525 45 141,122.27 33,132.84 24,262.36 Surgical 164.3625 280 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC 2.9783 126 101,992.83 21,244.69 16,595.81 281 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC Medical 375.2658 1.6571 61 75,889.74 16,571.93 Medical 12,437.39 101.0831 282 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC 0.9796 31 41,225.06 9,671.87 Medical 6,849.45 30.3676 283 - ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC 0.7490 15 31,520.59 7,249.74 286 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC Medical 5,043.29 11.235 1.8047 13 126,396.69 287 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC Medical 21,777.54 17,552.23 23.4611 2.1808 130 108,551.19 24,441.78 291 - HEART FAILURE & SHOCK W MCC Medical 17,671.56 283.504 1.1389 141 52,745.23 292 - HEART FAILURE & SHOCK W CC Medical 11,328.47 8,321.54 160.5849 1.3454 422 52,707.58 14,555.13 11,016.49 MDC OS CMI MDC 05 Medical 567.7588 0.9198 164 31,082.08 9,601.41 6,680.74 150.8472 Tx Accessibility: InvestigateNumber Styles Cells Editing Analysis viXVf PERMANENT CARDIAC PACEMAKER TIVIPLANT V TICO B C D surgical E F G H TO 43 - PERMANENT CARDIAC PACEMAKER IMPLANT W CC SZ,030.14 Surgical 2.5543 28 68,205.24 44 - PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC 21,400.00 17,677.42 71.5 Surgical 2.1108 38 45 - AICD GENERATOR PROCEDURES 73,045.72 17,343.33 15,335.11 80.21 Surgical 5.0121 19 136,137.21 46 - PERC CARDIOVASCULARUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS 40,400.37 30,490.53 95.27 Surgical 3.2388 86 247 - PERC CARDIOVASCULARUG-ELUTING STENT W/O MCC 105,027.41 28,335.83 22,420.00 278.536 Surgical 2.0771 108 48 - PERC CARDIOVASCULARUG-ELUTING STENT W MCC OR 4+ VES/STENTS 68,780.68 17,740.28 14,627.08 224.32 Surgical 3.1726 13 51 - PERC CARDIOVASCULARONARY ARTERY STENT W/O MCC 105,608.15 24,511.08 21,972.08 41.243 Surgical 52 - OTHER VASCULAR PROCEDURES W MCC 1.6778 17 67,538.12 14,861.47 11,438.35 28.522 Surgical 253 - OTHER VASCULAR PROCEDURES W CC 3.2598 17 100,224.10 27,566.36 24,078.20 55.416 Surgical 54 - OTHER VASCULAR PROCEDURES W/O CC/MCC 2.5943 50 87,221.46 22,590.96 18,925.54 129.715 Surgical 54 260 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC 1.8100 57,414.71 15,334.18 11,385.18 97.74 Surgical 261 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC 3.6195 10 105,186.50 30,807.17 22,882.83 36.195 Surgical 262 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC 1.9918 12 56,973.36 16,545.57 14,109.07 23.9016 264 - OTHER CIRCULATORY SYSTEM O.R. PROCEDURES Surgical 1.6309 14 41,501 36 10,790.35 9,130.30 22.8326 Surgical 266 - ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC 3.1586 22 161,415.55 34,334.14 25,550.23 69.4892 Surgical 267 - ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC 7.1915 16 259,702.44 63,142.44 59,319.50 115.064 Surgical 269 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC 5.8481 60 177,207.72 46,344.68 44,616.25 350.886 270 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC Surgical 4.1509 32 136,886.69 34,003.47 26,975.44 132.8288 271 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC Surgical 5.0617 2 189,229.53 42,572.69 31,953.25 10.1234 272 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC Surgical 3.4938 14 120,555.75 24,700.94 22,273.94 48.9132 273 - PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC Surgical 2.6181 37 73,215.46 19,036.02 16,107.40 96.8697 274 - PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC Surgical 3.6525 45 141,122.27 33,132.84 24,262.36 Surgical 164.3625 280 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC 2.9783 126 101,992.83 21,244.69 16,595.81 281 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC Medical 375.2658 1.6571 61 75,889.74 16,571.93 Medical 12,437.39 101.0831 282 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC 0.9796 31 41,225.06 9,671.87 Medical 6,849.45 30.3676 283 - ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC 0.7490 15 31,520.59 7,249.74 286 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC Medical 5,043.29 11.235 1.8047 13 126,396.69 287 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC Medical 21,777.54 17,552.23 23.4611 2.1808 130 108,551.19 24,441.78 291 - HEART FAILURE & SHOCK W MCC Medical 17,671.56 283.504 1.1389 141 52,745.23 292 - HEART FAILURE & SHOCK W CC Medical 11,328.47 8,321.54 160.5849 1.3454 422 52,707.58 14,555.13 11,016.49 MDC OS CMI MDC 05 Medical 567.7588 0.9198 164 31,082.08 9,601.41 6,680.74 150.8472 Tx Accessibility: InvestigatetoSave off Copy of AB202019_Ch12_CDI Performance Assessment Data File (1) Search (Alt +Q) Maryam Sharif Home Insert Draw Page Layout Formulas Data Review View Help Acrobat Comments Share Calibri ~ 11 A A E ap Wrap Text General AutoSum Paste BIUGA Merge & Center Conditional Format as Cell Insert Delete Format Fill Sort & Find & Analyze Formatting " Table ~ Styles Clear ~ Filter . Select Data Clipboard Font Alignment Number Styles Cells Editing Analysis V IXVfx A B C D E F G H HEART FAILURE & SHOCK W CC Medical 0.9198 164 31,082.08 9,601.41 6,680.74 150.8472 HEART FAILURE & SHOCK W/O CC/MCC Medical 0.6656 25 21,174.92 7,134.36 4,989.48 16.64 PERIPHERAL VASCULAR DISORDERS W MCC Medical 1.4504 24 PERIPHERAL VASCULAR DISORDERS W CC 65,482.00 16,428.04 13,417.54 34.8096 Medical 1.0237 43 PERIPHERAL VASCULAR DISORDERS W/O CC/MCC 25,383.47 9,474.44 7,450.28 44.0191 Medical ATHEROSCLEROSIS W MCC 0.7262 19 16,578.74 7,125.84 5,609.68 13.7978 Medical ATHEROSCLEROSIS W/O MCC 1.0695 16 40,424.75 10,553.38 7,623.19 17.112 Medical 0.6655 HYPERTENSION W MCC 24 18,835.54 6,470.92 5,032.13 15.972 Medical HYPERTENSION W/O MCC 1.0811 55 35,897.44 9,873.40 7,659.84 59.4605 Medical 0.7199 67 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC 20,649.45 6,952.70 4,876.58 48.2333 Medical CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 1.2036 81 40,491.01 11,861.25 8,349.60 97.4916 Medical 0.7635 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC 139 20,100.33 7,754.93 5,477.53 106.1265 ANGINA PECTORIS Medical 0.5623 101 14,846.41 5,972.08 3,991.32 56.7923 SYNCOPE & COLLAPSE Medical 0.6872 16 24,843.50 6,728.19 4,815.00 10.9952 CHEST PAIN Medical 0.8015 104 22,473.30 7,785.71 5,637.13 83.356 Medical OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC 0.7073 64 18,864.45 6,707.66 4,980.56 45.2672 Medical OTHER CIRCULATORY SYSTEM DIAGNOSES W CC 2.0231 112 108,649.39 22,955.24 17,047.81 226.5872 Medical 0.9559 53 36,839.49 9,221.55 6,835.26 50.6627 3059 6530.5462 2.134863093
