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OCR for page 127
Append ix J
COMPARISON OF THE RELIABILITY OF HCFA MEDICARE RECORDS AND PRIVATE
ABSTRACT SERVICE MEDICARE ABSTRACTS FOR SELECTED DIAGNOSES COMMON
TO BOTH STUDIES (SOURCE: IOM FIELD DATA)
l
Weighted percent
Percent of of all abstracts
abstracts with that each diag-
no discrepancy nosis represents
Private Private
HCFA's service HCFA's service
Medicare Medicare Medicare Medicare
Diagnosis- ICDA-codes* records records records records
.
Chronic ischemic 412 . 0; 412 .9 36 . 8 27 . 9 9 . 8 8 . 6
~ . .
heart disease
Cerebrovascular 430 . 0-430 .9 58 .5 79 .8 6.9 10.1
diseases
Fracture, neck
of femur
820.0-820.9
( 820. 0-820 . 5;
820. 9)
70.5 81.0
2.0 3.7
Cataract 374.0-374.9 97.3 94.3 3.0 7.5
(374.0;374.1;
374.8;374.9)
Acute myocardial 410.0-410.9 67.3 67.7 2.4 5.3
infarction (410. 0;410. 1;
410. 9)
Inguinal hernia 550 96 . 7 87 . 9 1 . 3 2 .1
without mention
of obstruction
Diabetes mel1itus 250 . 0-250 . 9 49 . 7 60 . 5 2. 5 2 . 9
(250.0;250.9)
Cholelithiasis/ 574.0-574.9; 62.8 74.8 2.0 3.5
cholecystitits 575
*Where diagnostic codes for sampling private abstract service records
differed from those in the study of Medicare records, they are in
parentheses.
127
OCR for page 128
Representative terms from entire chapter:
medicare medicare medicare