ky ipop data coordinators manual for hospitals (red line version)

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1、KentuckyInpatientandOutpatientDataCoordinator’sManualForHospitalsRevisedOctober1,2015[December1,2014]DataCollectionHelpDesk1-888-992-4320www.KYIPOP.org3ContentsKYIPOPDataCoordinator’sManualforHospitalsHighlightofchanges2WhatisKentuckyIPOP?4StateMandatesandDataUses5KBSRApplicableConditionsand

2、ICD-9Codes6OtherKBSRRequiredData7KENTUCKYIPOPDataCoordinatorGuidelines8DataSubmissionHighlights9MandatoryDataSubmissions(Typesofdatarequiredtobesubmitted)10DataSubmissionTimetable15LateLoadPolicy16CaseCountSubmission18FacilityVerificationInformation19InpatientFlatFileFormatLayout21Outpatient

3、FlatFileFormatLayout59InpatientandOutpatient837FileFormatLayout102AppendixA-ZonedDecimalRepresentation134AppendixB–KBSRApplicableConditionsandICD-10-CMCodes135RecordEdits138SampleReports153FrequentlyAskedQuestions(FAQs)163Resources16621KYIPOPDataCoordinator’sManualforHospitalsHighlightofchan

4、gesThefollowingchangesweremadetothisversionofthemanual.·CoverPage-ReviseddatechangedtoOctober1,2015[December1,2014·Page4WhatisKentuckyIPOP–changelanguagetostateKentuckyInpatientOutpatientDataCollectionSystem(KYIPOP)isanonlinesystemthatsecurelyallowsforthesubmission,collection,andeditingofall

5、inpatientandalloutpatientcaseleveldatafromfacilities,asrequiredbystatuteandadministrativeregulation,totheCommonwealthofKentucky.·Page4WhatisKentuckyIPOP–changelanguagetostatePatientaccountsthatshouldbeincludedarealloutpatientprocedurecodes.·Page10MandatoryDataSubmissions(Typesofdatarequiredt

6、obesubmitted)–deletelanguage“whichiscollectingmandatedOutpatientObservationCare(OC),EmergencyDepartment(ED),OutpatientSurgical(OS),Mammography(MM),andOtherOutpatientProcedure(OP)data.SpecificrevenuecodesandCPT/HCPCScodesareusedtodeterminewhetherornotthecaseshouldbesubmitted”.·Page10Mandatory

7、DataSubmissions(Typesofdatarequiredtobesubmitted)–changedlanguagetostateInordertobeHIPAAcompliant,Hospitalsandrelatedfacilitiesmusthavesignedbusinessassociateagreementtosubmitthemandatedoutpatientrecords.·Page10MandatoryDataSubmissions(Typesofdatar