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Uniform Hospital Discharge Data Set (UHDDS) Chap.4 All Possible Questions and Answers with complete solution $7.99
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Uniform Hospital Discharge Data Set (UHDDS) Chap.4 All Possible Questions and Answers with complete solution
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  • Uniform Hospital Discharge Data Set Chap.4

Admission Following Postoperative Observation - *A patient undergoing outpatient surgery may require postoperative admission to an observation unit to monitor a condition that develops postoperatively.* Principal Diagnosis and " After study" - *The principal diagnosis is NOT the admitting diagno...

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  • August 27, 2024
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  • 2024/2025
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  • uniform hospital discharge data set uhdds chap4

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  • Uniform Hospital Discharge Data Set Chap.4
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Uniform Hospital Discharge Data Set
(UHDDS) Chap.4
Admission Following Postoperative Observation - *A patient undergoing outpatient surgery may
require postoperative admission to an observation unit to monitor a condition that develops
postoperatively.*



Principal Diagnosis and " After study" - *The principal diagnosis is NOT the admitting diagnosis*
BUT the diagnosis found after workup or surgery that proves to be the reason for admission.



UHDDS application - Definitions and guidelines for selection of principal diagnosis and other
(secondary) diagnoses apply to:



*Acute care short-term hospitals*

*Long-term care hospitals*,

*Psychiatric hospitals*,

*Home health agencies*

*Rehabilitation facilities*,

*Nursing homes, and other settings*.



Uniform Hospital Discharge Data Set (UHDDS) - Used for reporting inpatient data in

*acute care,

short-term care, and

long-term care hospitals.*



Minimum set of items based on standard definitions to provide consistent data for multiple users.



Required for reporting Medicare and Medicaid patients.

, Many other health care payers use UHDDS for the uniform billing system.



UHDDS requiered data item - The UHDDS requires the following items:



*Principal diagnosis*



*Other diagnoses that have significance for the specific hospital episode*



*All significant procedures.*



Other items of general specific episode of care:

*Age, sex, and race of the patient,

Expected payer, and

Hospital's identification*




Principal Diagnosis- Definition and Importance - *Definition: The condition established after study
to be chiefly responsible for admission of the patient to the hospital*.



*Importance of correct selection:*

Significant in cost comparisons, in care analysis, and in utilization review.



Crucial for reimbursement because many third-party payers (including Medicare) *base reimbursement
primarily on principal diagnosis*.



*The principal diagnosis is ordinarily listed first in the physician's diagnostic statement*,



*but this is not always the case.*

1+ Always review the entire medical record

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