National Academy of Sciences | 150 Year Anniversary

Questions? Call 800-624-6242

| Items in cart [0]

The National Academies Press

Rights & Permissions

topleft topright

Reliability of Medicare Hospital Discharge Records: Report of a Study (1977)
Institute of Medicine (IOM)

Citation Manager

. "Appendix E Informal Checklist." Reliability of Medicare Hospital Discharge Records: Report of a Study. Washington, DC: The National Academies Press, 1977.

Please select a format:

BibTeX EndNote RefMan


Page
105
bottomleft bottomright
Page
105
Front Matter (R1-R6)
Table of Contents (R7-R8)
Foreword (R9-R10)
Introduction (1-4)
Study Methods (5-22)
Analysis (23-60)
Summary and Recommendations (61-70)
Appendix A Bibliography (71-72)
Appendix B Sample Letter to Hospital Administrators (73-74)
Appendix C Diagnostic Codes Included as Components of the Sample of Medicare Records (75-84)
Appendix D IOM Re-abstracting Form, General Instructions for Field Team, and Specific Instructions for IOM Re-abstracting Form (85-104)
Appendix E Informal Checklist (105-106)
Appendix F Reliability of Field Work (107-114)
Appendix G Percent of Abstracts with no Discrepancy for each Diagnosis Included as a Component of the Sample of Medicare Records (115-120)
Appendix H Net and Gross Difference Rates in Designation of Principal Diagnosis (Based on Four-Digit Comparisons of Specific Diagnosis) (121-124)
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)
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)
Appendix K Standard Errors and Confidence Intervals for Statistics Based on Medicare Data (129-131)
Appendix L Standard Errors and Confidence Intervals for Statistics Based on Data from Private Abstracting Services (132-133)
Appendix M Selected Examples of Principal Procedures not Listed in CPT, as Determined by the IOM Field Team Members (134-134)

Below are the first 10 and last 10 pages of uncorrected machine-read text (when available) of this chapter, followed by the top 30 algorithmically extracted key phrases from the chapter as a whole.
Intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text on the opening pages of each chapter. Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.

Do not use for reproduction, copying, pasting, or reading; exclusively for search engines.

OCR for page 105
Appendix E INFORMAL CHECKLIST HOSPITAL NAME . NUMBER INFORMAL CHECKLIST OF ITEMS TO DESCRIBE THE FLOW OF CLAIMS INFORMATION FROM THE MEDICAL RECORD DEPARTMENT TO THE BILLING DEPARTlENT TO THE FISCAL INTER- MEDIARY (~11 responses should refer to calendar year 1974) 1. On the average how many days after discharge was information con diagnosis transmitted to the billing office for insertion on the Medicare claim form during 1974? 2. How many days after discharge was the medical record completed and a final diagnos ~ s determined ? When more definitive dsagnos tic ~nfc'~matson became available which dif- fered from that previously submitted to the bills ng office, was that $n- formation forwarded to the billing office? 4. Did the bill, ng office forward up-dated diagnostic informal' on to the fiscal intermediary?_ S. In what physical form was information on diagnoses and procedures trans- mitted to the billy ng office? Admit ~ sag shee t Xerox of face sheet Ent ire record Discharge list: hand-wrst ten computerized Other typed 6. If portions of the medical record were transmitted, what was the training of the person in the billy ng 'office who determ: ned the diagnoses that should be entered on the Medicare claim form? 7. If a discharge list or some ether summary of abstracted information was for- warded to the billing office, by whom was the diagnostic information ob- tasnet and from what source? 8. Did the diagnostic information forwarded to the billing office contain codes narratives, car both? 9. If the reformat son was coded, how was it translated back to a narrative form for submission to fiscal intermediary? 10. What definition cuff principal diagnosis was used by the hospital in com Deleting Medicare claims forms during 1976? 105

OCR for page 106
106 Appendix E 11. What definition of principal procedure was used by the hospital In complet sng Medicare claims forms? (Please note whether physical therapy or other non-surg~cal procedures were secluded on the Medicare claims form. ) 12. Did the billing office provide the intermediary with more than one diagnosis? 13. Did the belling of fice provide the intermediary we th more than one procedure? 14. Total number of Medicare discharges from this hospital ~ n 1974.

Representative terms from entire chapter:

diagnostic information