Chapter 8: Healthcare Claim Codes - Administrative Healthcare Data [Book]

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Chapter 8: Healthcare Claim Codes

International Classification of Diseases

Diagnosis Codes

Surgical Procedure Codes

Current Procedural Terminology (CPT)

Other PPS Code Sets

Case Study: Identifying a Patient with Complex Conditions

Code Simplification with SAS Array Processing

Identifying Members with Complex Conditions

Parameterizing Program 8.3 with Macro Variables

Case Study: Using Formats to Create Data Hygiene Routines

Introduction

Previously we learned of the origin of medical claims data—CMS-1500/837P, CMS-1400/837I, and NCPDP UCF/D.0—the paper and electronic claim submission formats. ...

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