Classification Systems I
Diagnose codes used to report medical necessity
What is International Classification Diseases (10th revision): Clinical Manifestations (ICD-10-CM)?
Comprehensive database of health care provider credentials
What is National Practitioner Data Bank?
Information on how well hospitals provide recommended care to their patients
What is Hospital Compare/Nursing Home Compare?
Procedure codes used to report services provided to hospital inpatients
What is Procedure Coding System (ICD-10-PCS)?
Terminologies used for medications
What is RxNorm?
Diagnosis codes for oncology
What is ICD-O-3?
A national data bank of health care provider licensure and certification actions, participation exclusions, criminal convictions, civil judgements, and other adjudicated actions
What is Healthcare Integrity and Protection Data Bank?
General equivalency mapping to translate from one classification system to another
What is GEM?
Descriptions and codes used for diagnoses related to mental health
What is Diagnostics and Statistics Manual (DSM)?
Classification of diagnosis-related groups used for determining level of reimbursement for inpatient services provided to Medicare beneficiaries
What is Diagnosis-Related Groups (DRG)?
Procedures, services, and treatment codes for physician services and outpatient facilities
What is Current Procedural Terminology (CPT)?
Files contain information for 100% of Medicare beneficiaries using hospital inpatient services
What is MEDPAR?
List of all patients treated at one facility
What is MPI?
International standards for medical terminology
What is Systemized Nomenclature of Medicine Clinical Terminology (SNOMED CT)?
Used to collect information regarding hospital-based emergency departments
What is Data Elements for Emergency Department Systems (DEEDS)?
The reporting participation in Physician Quality Reporting System (PQRS)
What is CPT, Category II?
: for example, tumor, cancer, HIV/AIDS, diabetes mellitus, trauma, birth defects
What is Registries?
List of all surgical procedures performed at one facility
What is Operation index?
privacy and security classification system for interoperability
What is Health Level Seven (HL7)?
Core assessment data that measure adult outcomes of those receiving home health services
What is Outcomes and Assessment Information Set (OASIS)?
DMEPOS (durable medical equipment, prosthetics, orthotics, supplies), transportation, and other health care–related items not accurately reported in Current Procedural Terminology (CPT)
What is Healthcare Common Procedural Coding System (HCPCS) Level II?
Data collected on all hospital discharges
What is Uniform Hospital Discharge Data Set (UHDDS)?
List of all diseases treated at one facility
What is Disease index?
Standard for identifying medical laboratory observations
What is Logical Observation Identifies, Names, and Codes (LOINC)?
Specific data elements collected regarding patient care in ambulatory care settings
What is Uniform Ambulatory Care Data Set (UACDS)?