Posts tagged: Gmlos

medicare gmlos drg

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By , July 15, 2015 5:52 pm
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  • medicare gmlos drg

    http://www.hfma-nca.org/documents/2012/PACT%20NCAL%20HFMA%202.2012.pdf
    PACT NCAL HFMA 2.2012 – HFMA Northern California Chapter
    Feb 14, 2012 … The Centers for Medicare & Medicaid Services (CMS) require patient …. Always
    impacts the MS-DRG when LOS is less than GMLOS. Patient …

    http://www.ahd.com/studies/TransfersFY08_070828.pdf
    Reduced Transfer Adjustments Forecasted Under New MS-DRGs …
    Aug 28, 2007 … Changes to the Medicare Inpatient Prospective Payment System … as a hospital's
    normal reimbursement for the DRG divided by the GMLOS.

    http://hfmanj.org/images/downloads/Presentation/1_hfma_medicare_101__08.13.pdf
    Medicare 101 – HFMA NJ Chapter
    Aug 22, 2014 … Medicare acute care inpatient, outpatie. • Medicare …. Medicare specified DRGs
    …… If LOS is greater than the GMLOS less 1 reimbursement =.

    https://cdn.optumcoding.com/upload/pdf/6076/DRG%20Expert%20I-9_2014.pdf
    DRG Expert – OptumCoding
    DRG Expert. A comprehensive guidebook to the MS-DRG …. 595. Appendix F —
    Medicare Case Mix Index Data ………………….. 617 … GMLOS 11.3. AMLOS 13.7.

    http://californiahia.org/sites/californiahia.org/files/docs/CDQarticles/2012-10-how-much-revenue-are-you-losing.pdf
    How much revenue are you losing due to incorrect patient status …
    Split payment methodology used by Medicare to pay claims in which a patient is
    … one of the 273 transfer MS-DRGs in which the patient is transferred from an
    acute … meeting the geometric mean length-of-stay (GMLOS) for the encounter.

    http://vct.iums.ac.ir/uploads/drg_v29.pdf
    table 5.—list of medicare severity diagnosis-related groups
    Pay. DRG MDC TYPE. MS-DRG Title. Weights. Geo- metric mean. LOS. Arith-
    metic mean. LOS. 001. No. No. PRE SURG. HEART TRANSPLANT OR IMPLANT
    .

    http://www.gpo.gov/fdsys/pkg/CFR-2011-title42-vol2/pdf/CFR-2011-title42-vol2-sec412-4.pdf
    Centers for Medicare & Medicaid Services, HHS § 412.4
    Oct 28, 2011 … more of the hospital's total Medicare discharges, as … clotting factor provided to
    Medicare inpatients … DRG based on the presence or absence.

    http://www.trinity-health.org/documents/FY14ProposedIPPSRule.pdf
    Hospital Inpatient Prospective Payment System – Trinity Health
    (CMS) proposed rule entitled Medicare Program; Hospital Inpatient ….. The FFY
    2013 DRG table has 10 DRGs with GMLOS less than 1.5 days, 49 DRGs with.

    http://www.norc.org/PDFs/Walsh%20Center/WalshCtr2004_NORCJluy04.pdf
    Exploring the Impact of Medicare's Post-Acute Care Transfer – NORC
    Jul 1, 2004 … Medicare began to pay acute- care hospital cases in 10 DRGs as transfers
    instead of ….. the GMLOS for the DRG, only patients in DRGs with a …

    http://www.noviastrategies.com/downloads/case-study-Care-Redesign.pdf
    Care Redesign – Noviastrategies.com
    processes to achieve quality and financial outcomes. Our Findings. • Medicare
    LOS 30% above. Medicare average (GMLOS). • Top 10 Medicare DRGs were.

    http://chmbinc.com/wp-content/uploads/2014/05/Performance-Monitoring-for-Hospitalists-CHMB-Ingenous-Med-Nelson-Flores-April-2014.pdf
    Performance Monitoring and Dashboards for Hospitalists – CHMB, Inc.
    Apr 30, 2014 … Acuity. • CMI. • Top diagnoses or DRGs. – Payor mix. 11 … peer group (e.g.,
    Premier, Crimson, etc.) or Medicare. GMLOS. – Severity-adjusted …

    http://www.avoidreadmissions.com/wwwroot/userfiles/documents/303/sustaining-your-gains-year-after-year.pdf
    LACE Score – Avoid Readmissions through Collaboration
    May 6, 2014 … 11,000 Medicare Advantage … o20% of discharged Medicare patients are
    readmitted within … o Identify expected GMLOS per DRG o Identify …

    http://www.capg.org/ftp/2014CAPGHCC/3_AvoidingReAdmissions.pdf
    Preventing Readmissions: – CAPG
    May 28, 2014 … Medicare Readmission Reduction Program …. t d GMLOS. DRG o Identify
    expected GMLOS per DRG o Identify risk for readmission (LACE …

    http://webcast.aats.org/2013/files/Wednesday/20130508_audrm1_1100_12.25%20Wilson%20Y.%20Szeto.pdf
    Download Slides – AATS: American Association for Thoracic Surgery …
    May 8, 2013 … Medicare pays hospitals by MS-DRG …. GmLOS. 14.1. 9.4. 7.0. 10.4. 6.9. 5.2. Full
    Payment. 55,141. 36,781. 30,950. 45,409. 30,376. 25,622.

    http://www.floridahfma.org/public.assets/FFY-2015-FINAL-RULE-UPDATE-8-26-14.pdf
    Mayo -FFY 2015 IPPS Final Rule Update – HFMA
    to impact of MS-DRG documentation and coding effects in FFY 2010, 2011, and.
    2012. …. CMS originally intended to use Medicare Cost Report Worksheet S-10
    data to develop factor 3. Due to ….. Based on ALOS or GMLOS? • Determining …

    http://www.aahs.org/medstaff/wp-content/uploads/InfectDisSpecialists20141.pdf
    Infectious Diseases Specialty Intervention Is Associated With …
    Sep 25, 2013 … We used administrative fee-for-service Medicare claims to identify beneficiaries
    ….. DRG-specific GMLOS to exclude less complex cases.

    http://www.synapsebiomedical.com/support/PDFs/ALS_Reimbursement/Synapse%202012%20ALS%20Reimbursement%20Guide%2092-0006-2%20Rev%20B%20090512.pdf
    NeuRx DPS Reimbursement Support 2012 – Synapse Biomedical
    Jan 1, 2012 … Amounts shown are taken from published 2012 Medicare national …… by the
    geometric mean length of stay (GMLOS) for that MS-DRG.

    http://www.ispor.org/meetings/washingtondc0512/releasedpresentations/W14-All-Slides.pdf
    Real World Evidence: Feasibility and Advantages of Linking … – ispor
    Jun 5, 2012 … Type of insurance (Commercial, self-insured, Medicaid, Medicare, etc) …. Medical
    treatments and drug prescriptions. ‒ ….. CMS Avg GMLOS.

    http://www.poma.org/Portals/0/Conventions/Dist8/Pedano.pdf
    Coding and Documentation Integrity – Poma.org
    Jan 29, 2015 … coding opportunities to maximize Medicare payment that is …. DRG: 204 RW 0.67
    Mortality 2.0 Complication: 6% GMLOS 3.4. READM: 7.71.

    http://www.researchgate.net/profile/Edwin_Huff/publication/13140640_Developing_quality_of_acute_care_indicators_through_claims_data_augmentation/links/09e41500026cc3eb1e000000.pdf
    Developing Quality of Acute Care Indicators Through Claims Data …
    acute care hospitals and physician stafl's serving Medicare beneficiaries in
    Vermont and New Hampshire, with more than 60,000 Medicare inpatient
    admissions ….. Group (DRG) database published … GMLOS = geometric mean
    length of stay.

    drg gmlos tables for 2010 and 2011

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    By , July 13, 2015 10:41 am
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  • drg gmlos tables for 2010 and 2011

    http://www.bjs.gov/content/pub/pdf/p11.pdf
    Prisoners in 2011 – Bureau of Justice Statistics
    were serving time for drug offenses in 2011, while … the 5.1% decline in 2010.
    TABLE 1. Prisoners under the jurisdiction of state or federal correctional …

    http://www.bjs.gov/content/pub/pdf/p10.pdf
    Prisoners in 2010 – Bureau of Justice Statistics
    Dec 3, 2011 … December 2011, NCJ 236096. Prisoners in 2010 … federal inmates in 2010 were
    serving time for drug offenses, 35% for public-order … populations during 2010 (
    appendix table 1). California (down 6,213) reported the largest …

    http://www.samhsa.gov/data/sites/default/files/DAWN2k11ED/DAWN2k11ED/DAWN2k11ED.pdf
    Drug Abuse Warning Network, 2011: National Estimates … – SAMHSA
    Table 2. ED visits involving drug misuse or abuse, by drug combinations, 2011 .
    ….. are comparisons of 2011 estimates with those for 2004, 2009, and 2010.

    http://www.justice.gov/archive/ndic/pubs44/44731/44731p.pdf
    The Economic Impact of Illicit Drug Use on American Society
    2011 The Economic Impact of Illicit Drug Use on American Society. ….. Table 3.9.
    Hospitalization: Non-Drug-Induced Primary Diagnosis (Partial Attribution) . . . . 43
    ….. 2010 “Heart Disease and Stroke: Addressing the Nation's Leading Killers,”.

    http://stompaddiction.com/pdf/Ohio%20Department%20of%20Health%20drug%20statistics..pdf
    2012OHIO DRUG OVERDOSE DEATHS – Healthy Ohio Home Page
    2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012. R …
    Table 1. Unintentional drug overdose deaths of Ohio residents involving specific
     …

    http://www.lung.org/finding-cures/our-research/trend-reports/TB-Trend-Report.pdf
    Trends in Tuberculosis Morbidity and Mortality – American Lung …
    Table 6: Tuberculosis Drug Resistance in the US by State, 2011 …. 1982 1984
    1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2011.

    http://www.nyc.gov/html/doh/downloads/pdf/epi/datatable27.pdf
    Epi Data Tables – NYC.gov
    May 1, 2013 … Table 3. Table 3a. Table 4. DAWN: The Drug Abuse Warning Network … Any self-
    reported drug use in the past year, NYC and US, 2010-2011, …

    http://www.epi.hss.state.ak.us/injury/sa/SubstanceAbuseEpiProfile_2013.pdf
    State of Alaska Epidemiologic Profile on Substance … – Epidemiology
    Nov 7, 2013 … Substance Use, Abuse and Dependency–2007-2011. …… Table 1.16 Percentage
    of Prenatal Marijuana Use, by Year, Alaska PRAMS, …

    http://www.leap.cc/wp-content/uploads/2011/07/Drug-War-At-A-Glance.pdf
    Drug War At A Glance – Law Enforcement Against Prohibition
    There is a drug arrest every 19 seconds in the U.S. Of the more than 1.6 million …
    (September 2010). Crime in the United. States, 2009. Table 29. http://www2.fbi.
    gov/ucr/cius2009/arrests/index.html … National Drug Control Strategy: FY 2011.

    http://www.fda.gov/downloads/AboutFDA/ReportsManualsForms/Reports/BudgetReports/UCM243370.pdf
    Justification of Estimates for Appropriations Committees
    The Food and Drug Administrations Congressional Justification and Online
    Performance … Appropriations History Table (S&E and Rental Payments to GSA)
    … 1 FY 2010, FY 2011 and FY 2012 do not include an estimated 77 reimbursable
    , …

    http://courts.mi.gov/Administration/SCAO/Resources/Documents/Publications/Reports/MDTC11.pdf
    Michigan Drug Treatment Court Annual Report … – Michigan Courts
    Oct 1, 2009 … Table 2. Operational Michigan Drug Courts . ….. 2. This table includes active
    cases during fiscal years 2010 and 2011 from 92 drug courts.

    http://www.espad.org/uploads/espad_reports/2011/the_2011_espad_report_full_2012_10_29.pdf
    The 2011 ESPAD Report
    The European Monitoring Centre for Drugs and Drug Addiction (EMCDDA).
    Council of Europe, Co-operation ….. of valid questionnaires from 1995 born
    students. ESPAD 2011. Table D.. … Promotion Study in Finish schools in 2010
    and. 2011.

    http://tn.gov/mental/policy/persc_drug_docs/Prescription%20Drug%20Use%20in%20TN_2%203%202012_R2.pdf
    Prescription Drug Abuse in Tennessee (2/3/2012) – TN.gov
    The number of drug overdose deaths in 2010 … 81, December 2011, “Drug
    Poisoning Deaths in the United States, 1980 – 2008”, Data table for Figure 1. 0. 5
    . 10.

    http://www.insideprison.com/national-gang-threat-assessment.pdf
    2011 National Gang Threat Assessment – FBI
    the collection of data provided by the National Drug intelligence Center (NDiC) ….
    marily derived from the 2010 NDiC NDts data and some ….. Table 1. Recent
    Expansion of Major OMGs: GanG. ReGion mongols arizona, arkansas, California,
    .

    http://www.maine.gov/dhhs/samhs/osa/pubs/data/2013/Cost2010-final%20Apr%2010%2013.pdf
    The Cost of Alcohol and Drug Abuse in Maine, 2010 – Maine.gov
    TABLE OF CONTENTS ….. 6.1b Estimated drug-related hospital inpatient direct
    costs, Maine, 2010 . ….. 2011; The Lewin Group, 2010; NIDA/NIAAA, 1998).

    http://dhmh.maryland.gov/vsa/Documents/Report.pdf
    Drug and Alcohol-Related Intoxication Deaths in Maryland, 2013
    2007 2008 2009 2010 2011 2012 2013. Nu m b er of d eath s. Heroin …. Table
    10. Combinations of Substances Related to Unintentional Drug and Alcohol …

    http://www.rmhidta.org/html/FINAL%20Legalization%20of%20MJ%20in%20Colorado%20The%20Impact.pdf
    The Legalization of Marijuana in Colorado – Rocky Mountain High …
    Table of Contents. Table of ….. From 2010 to 2012 Colorado marijuana seized by
    the U.S. Postal …. Fatalities Involving Driver with Positive Drug Test 2006-2011.

    http://www.poison.org/stats/2010%20NPDS%20Annual%20Report.pdf
    2010 Annual Report of the American Association – National Capital …
    Dec 14, 2011 … Clinical Toxicology (2011), 49, 910–941. Copyright … AAPCC 2010 Annual
    Report of the NPDS 911. Table of Contents …… All Drug Identification and Law
    Enforcement Drug Identification Calls by Day since 1 January 2000 .

    https://www.lls.org/content/nationalcontent/resourcecenter/freeeducationmaterials/generalcancer/pdf/facts.pdf
    facts 2014-2015 – The Leukemia & Lymphoma Society
    2007-2011. Tables. 8 Table 1. The Four Major Types of Leukemia. 8 Table 2.
    Approximate US …. The difference in rates between 1975-1977 and 2004-2010 is
    statistically significant …. These are some of the US Food and Drug
    Administration.

    http://pubs.niaaa.nih.gov/publications/NEDS&NIS-DRM9/NEDS&NIS-DRM9.pdf
    Alcohol-Related Emergency Department Visits and Hospitalizations …
    12 years and older, by sex and age group, United States, 2006–2010 . … Table
    A5. Percent distribution that had co-occurring drug-related diagnoses among ……
    al., 2011). To qualify for an all-listed diagnosis of a certain condition category, …

    define gmlos drg

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    By , July 9, 2015 12:29 am
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  • define gmlos drg

    http://www.smainformatics.com/pdfs/FAQ_TDRG.pdf
    frequently asked questions about transfer drgs – SMA Informatics

    http://hfmanj.org/images/downloads/Presentation/1_hfma_medicare_101__08.13.pdf
    Medicare 101 – HFMA NJ Chapter
    Aug 22, 2014 … Defined. IPPS system was effective October 19. Applies to acute care hospitals.
    What does IPPS …. ive weight for the applicable MS-DRG – This amount …… If
    LOS is greater than the GMLOS less 1 reimbursement = If LOS is …

    http://vct.iums.ac.ir/uploads/drg_v29.pdf
    table 5.—list of medicare severity diagnosis-related groups
    Pay. DRG MDC TYPE. MS-DRG Title. Weights. Geo- metric mean. LOS. Arith-
    metic mean. LOS. 001. No. No. PRE SURG. HEART TRANSPLANT OR IMPLANT
    .

    http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_048618.pdf
    Meaningful Use Terminologies – Ahima – American Health …
    data for use within a defined context of data elements within a data set. ….. for use
    with categorical variables (sex, diagnosis-related group [DRG], … GM (as in
    GMLOS or geometric mean length of stay as reported by Centers for Medicare
    and.

    https://cdn.optumcoding.com/upload/pdf/6076/DRG%20Expert%20I-9_2014.pdf
    DRG Expert – OptumCoding
    DRG Expert. A comprehensive guidebook to the MS-DRG …. Appendix B — MS-
    DRG Surgical Hierarchy Table …………….. 553 … GMLOS 11.3. AMLOS 13.7.

    https://oig.hhs.gov/oas/reports/region1/11200507.pdf
    A-01-12-00507 – Office of Inspector General
    Medicare's existing transfer payment policies, we define an early discharge as …..
    6 The GMLOS is the national mean length of stay for a DRG as determined …

    http://www.ehcca.com/presentations/racpbcsummit/zarate_pc.pdf
    “Don't expect to meet the challenges of today with yesterday's tools …
    Define CDI: ❑ CDI's objective: … ➢Length of stay (GMLOS) is assigned to each
    DRG …. Systemic inflammatory response syndrome (SIRS) is defined by the.

    http://www.lni.wa.gov/ClaimsIns/Files/ProviderPay/FeeSchedules/2012FS/fsDrg.pdf
    AP-DRG Assignment
    Jul 1, 2012 … Refer to Field Key for definitions AP-DRG Assignment Page: 1 … AP-DRGs from
    version 23.0 by 3M Health Information. Systems. Number.

    http://www.trinity-health.org/documents/FY14ProposedIPPSRule.pdf
    Hospital Inpatient Prospective Payment System – Trinity Health
    We would encourage CMS to include in the definition of charity care, ….. The FFY
    2013 DRG table has 10 DRGs with GMLOS less than 1.5 days, 49 DRGs with.

    http://multimedia.3m.com/mws/media/382721O/fact-sheet-3m-apr-drg-services-10-14.pdf
    3M™ APR DRG Services
    profiling agencies are adopting 3M APR DRGs to process claims and/or report on
    the performance of … documentation and coding well beyond what is needed for
    the original DRG system. … DRG, SOI, ROM, GMLOS and weights. Physician …

    http://www.floridahfma.org/public.assets/FFY-2015-FINAL-RULE-UPDATE-8-26-14.pdf
    Mayo -FFY 2015 IPPS Final Rule Update – HFMA
    to impact of MS-DRG documentation and coding effects in FFY 2010, 2011, and.
    2012. • Estimated overpayments for the period 2010-2012 = $11 billion as …

    http://chmbinc.com/wp-content/uploads/2014/05/Performance-Monitoring-for-Hospitalists-CHMB-Ingenous-Med-Nelson-Flores-April-2014.pdf
    Performance Monitoring and Dashboards for Hospitalists – CHMB, Inc.
    Apr 30, 2014 … Top diagnoses or DRGs. – Payor mix. 11 … GMLOS. – Severity-adjusted average
    cost per discharge …. What is the range of acceptable.

    https://www.etsu.edu/com/cme/documents/strokeuniversity2011.pdf
    NNeuStrategy® – East Tennessee State University
    Jul 1, 2011 … Return on Investment (ROI) – What is gained on the investment made, i.e., in a
    ….. + Adjustments in MS-DRG weights and GMLOS (geometric.

    http://ashpadvantagemedia.com/leaders/docs/Breakout2.pdf
    Download Handout – Home Study Activities
    Dec 14, 2014 … department goals. • ASHP PPMI – pharmacist-provided drug therapy … Outcomes
    to support resource ask – what is ROI …. Historical GMLOS.

    http://www.aahs.org/medstaff/wp-content/uploads/InfectDisSpecialists20141.pdf
    Infectious Diseases Specialty Intervention Is Associated With …
    Sep 25, 2013 … For the primary analysis, we created 2 cohorts, defined by the presence of …..
    DRG-specific GMLOS to exclude less complex cases. However,.

    http://www.ok.gov/sib/documents/FacilityContract.pdf
    Network Facility Contract – State of Oklahoma
    MS-DRG Relative Weight is multiplied to obtain the MS-DRG Allowable Fee. 2.3
    … “Geometric Mean Length of Stay” (GMLOS) means the current version of the ….
    Facilities that are not identified by this Contract, except EGID Members defined.

    http://www.researchgate.net/profile/Louis_Samuels/publication/6830152_Outcome_improvement_and_cost_reduction_in_an_increasingly_morbid_cardiac_surgery_population/links/00b4952c5a3c7c270f000000.pdf
    Outcome Improvement and Cost Reduction in an … – ResearchGate
    Jun 2, 2006 … CMS GMLOS is assigned to each case on the basis of DRG billed and … Direct
    costs are defined as the expense associated with “hands-on” …

    http://www.hcca-info.org/Portals/0/PDFs/Resources/Conference_Handouts/Compliance_Institute/2013/PREPM/PREPM15print2.pdf
    Presentation – Health Care Compliance Association
    Mar 29, 2013 … Incorrectly coded services (including DRG miscoding). 13 … what is documented
    by the physician, and are not … GMLOS=4.1 days. • Average.

    https://www.hanys.org/communications/publications/2014/health_care_acronyms.pdf
    2014 HANYS Health Care Acronyms, Abbreviations, and Terms
    Jan 1, 2014 … … department chairs. APR-DRGs-All Patient Refined Diagnosis Related Groups
    ….. The federal Office of Management and Budget defines a CBSA as “a
    geographic entity …… GMLOS-Geometric Mean Length of Stay. Used by …

    http://perioperativesummit.org/uploads/3/2/2/1/3221254/satpm-stead_-_acos.pdf
    Download File – AACD Perioperative Leadership Summit
    accountable for the overall costs and quality of care for a defined population” –
    The New England. Journal of Medicine. Source: …. (GMLOS =6.6 days). •
    Professional … average of Part B claims for discharges for the selected DRGs;. •
    Medicare …

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