Reliability of Medicare Hospital Discharge Records: Report of a Study

Table of Contents
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Front Matter	i-vi
Table of Contents	vii-viii	(skim)
Foreword	ix-x	(skim)
Introduction	1-4	(skim)
Study Methods	5-22	(skim)
Analysis	23-60	(skim)
Summary and Recommendations	61-70	(skim)
Appendix A Bibliography	71-72	(skim)
Appendix B Sample Letter to Hospital Administrators	73-74	(skim)
Appendix C Diagnostic Codes Included as Components of the Sample of Medicare Records	75-84	(skim)
Appendix D IOM Re-abstracting Form, General Instructions for Field Team, and Specific Instructions for IOM Re-abstracting Form	85-104	(skim)
Appendix E Informal Checklist	105-106	(skim)
Appendix F Reliability of Field Work	107-114	(skim)
Appendix G Percent of Abstracts with no Discrepancy for each Diagnosis Included as a Component of the Sample of Medicare Records	115-120	(skim)
Appendix H Net and Gross Difference Rates in Designation of Principal Diagnosis (Based on Four-Digit Comparisons of Specific Diagnosis)	121-124	(skim)
Appendix I General Comparison of Assessment of the Reliability of Medicare Records Maintained by the Health Care Financing Administration and Hospital Discharge Abstracts Compiled by Private Abstract Services	125-126	(skim)
Appendix J Comparison of the Reliability of HCFA Medicare Records and Private Abstract Service Medicare Abstracts for Selected Diagnoses Common to both Studies	127-128	(skim)
Appendix K Standard Errors and Confidence Intervals for Statistics Based on Medicare Data	129-131	(skim)
Appendix L Standard Errors and Confidence Intervals for Statistics Based on Data from Private Abstracting Services	132-133	(skim)
Appendix M Selected Examples of Principal Procedures not Listed in CPT, as Determined by the IOM Field Team Members	134-134	(skim)

Reliability of Medicare Hospital Discharge Records:

Report of a Study

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