Memorandum on No Id No Entry - DOC by uoa18940

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									    JEB BUSH                                                                                 CHRISTA CALAMAS
   GOVERNOR                                                                                    SECRETARY

                                      MEMORANDUM
To:     Penny Walker Bos

From: Rommel Bain

Date: September 22, 2006

RE:     Current Florida Center edits for Inpatient Discharge Data


Please see the requested research findings on the current edits for the Physician Inpatient Discharge Data.

Judith Salpeter, Administrator for the Data Collection Unit will be providing a verbal report during the
Physicians Workgroup meeting on October 12th and will be able to answer questions and take suggestions for
additional edits.

If you have any further questions, please contact me.
                       Inpatient Discharge Data -- Physician Edits Report
Audit                                                                                                   Audit
              Audit Message                                Audit Description
Code                                                                                                   Severity
        Principal Procedure
                                     A record with a Principal ICD-9-CM or ICD-10-CM procedure
 561    without Operating                                                                               Error
                                     code must have a corresponding Operating Physician.
        Physician
                                     Attending physician license number is a required entry and
        Attending Physician ID is    may be the same as the other operating or performing
 562                                                                                                    Error
        empty                        physician. For military physicians not licensed in Florida, use
                                     US.
                                     Attending physician license number is a required entry and
        Attending Physician ID is
 563                                 may be the operating or performing physician. For military         Error
        invalid
                                     physicians not licensed in Florida, use US.
        Performing Physician ID      A record with a Performing or Operating Physician must have
 564    without Principal            a corresponding Principal ICD-9-CM or ICD-10-CM                    Error
        Procedure                    procedure code.
        Principal Procedure          A record with a Principal ICD-9-CM or ICD-10-CM procedure
 565    without Performing           code must have a corresponding Performing or Operating             Error
        Physician                    Physician.
                                     Must contain the valid Florida physician license number of the
        Performing Physician ID is
 566                                 physician who performed the principal procedure reported. No       Error
        invalid
                                     entry is permitted if no principal procedure was reported.
                                     The other operating or performing physician must not be
        Other Physician ID is the    reported as the operating or performing physician. The other
 567    same as Performing           operating or performing physician may be the attending             Error
        Physician                    physician. No entry is permitted consistent with the records of
                                     the reporting entity.




2727 Mahan Drive, MS#                                                                     Visit AHCA online at
Tallahassee, Florida 32308                                                          http://ahca.myflorida.com
                              The other operating or performing physician must not be
                              reported as the operating or performing physician. The other
      Other Physician ID is
568                           operating or performing physician may be the attending            Error
      invalid
                              physician. No entry is permitted consistent with the records of
                              the reporting entity.

								
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