Administrative Healthcare Data

Chapter 5: Facility Claims

Introduction

CMS-1450 Paper Claim Form

837I Electronic Claim Format

Data Elements Unique to Facilities

Type of Bill

Admission and Discharge Dates

Patient Discharge Status

Revenue Code

Diagnosis Codes

Present on Admission

Surgical Procedure Codes

DRG

Provider IDs

Others

Case Study: Calculating C-Section Rates among Hospitals

Create Summary Data Set for All Births

Create Summary Data Set for C-Section Births

Join Summary Data Sets

Create Bar Graphs

Case Study: Top Reasons for ER Utilization

Automating Reports with SAS Enterprise Guide

Creating Documentation in SAS Enterprise Guide

Conclusion

Introduction

Facilities are different from other provider types. They provide dissimilar services and are reimbursed based on different ...