webinar. Update on Health Care Service Data Reporting Guide Presented by Bob Davis with a special thank you to Ginger Cox April 14, 2010. Standards Primer Page 1 . ANSI Accredited Standards Committee (ASC) X12N
Update on Health Care Service Data Reporting Guide
with a special thank you to Ginger Cox
April 14, 2010
ANSI Accredited Standards Committee (ASC) X12N
About 80 data segments with many related data elements
ASC X12 Standards for Electronic Data Interchange Technical Report Type 3
Diagnosis codes (Including E-codes)
Present on Admission Indicator
Procedure codes (ICD, CPT, HCPC)
UB Revenue Codes
Patient Discharge Status
Preferred Language Spoken
UB Condition, Occurrence, & Value Codes
Attending, Operating, Rendering, Referring Provider
Type of Bill (Inpatient, Outpatient, ED)
Point of Origin (Old Source of Admission)
Source of Payment TypologyData Elements supported bythe HCSDRG
In later versions of the implementation guides there is considerable work occurring to provide better definitions for important terms
The situational rules are being further refined to be consistent across the industry.
The support for needed data elements continues to be refined to meet changing industry business uses.
Version 5010 (October 2003):
Version 6020 (October 2009):
Reporting Guide Changes in 5010 (October 2003)
Reporting Guide Changes in 6020 (October 2009)
Adopted in UB-04 by NUBC – Jan 1, 2011
It is important to note:
Language is a variable of interest in the Meaningful Use Interim Final Rule.
HIR 882: Mix of ICD9 and ICD10 for professional claims
We hope you consider using this reporting guide standard for your EDI process.
For a computer system to be a success, you need 2 champions
A program guy
A computer guy
The program guy needs a standard to meet his / her business needs.
The computer guy needs a standard to meet his / her technical needs
The HCSDRG is designed to meet both sets of needs and with your
help, it will evolve to do a better job with every new version
To Move Us
Consortium website: http://www.phdsc.org