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This report describes the development of new data elements based on UB-92 revenue codes for analyzing healthcare service utilization, detailing a methodology for creating utilization flags that enhance
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How to fill out HCUP Methods Series Development of Utilization Flags for Use with UB-92 Administrative Data

01
Familiarize yourself with the HCUP Methods Series guidelines.
02
Gather all necessary UB-92 administrative data relevant to the utilization flags.
03
Identify the specific utilization measures you need to flag, such as readmissions or length of stay.
04
Review the definitions and criteria for each utilization flag as outlined in the HCUP documentation.
05
Develop a coding framework for assigning flags based on the identified measures.
06
Map your UB-92 data to the coding framework ensuring accurate representation of utilization flags.
07
Test the flagging system with sample data to verify accuracy and consistency.
08
Document the methodology used for future reference and utilization.

Who needs HCUP Methods Series Development of Utilization Flags for Use with UB-92 Administrative Data?

01
Healthcare researchers analyzing patient utilization patterns.
02
Policy makers looking to improve healthcare delivery.
03
Hospital administrators managing resource allocation.
04
Public health officials monitoring healthcare quality.
05
Analysts focused on cost and efficiency in healthcare services.
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HCUP data are used for research on hospital utilization, access, charges, quality, and outcomes.
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HCUP enables researchers, insurers, policymakers, and others to study healthcare delivery and patient outcomes over time, and at the national, regional, state, and community levels.
The American Health Information Management Association (AHIMA) is a professional organization that promotes the business and clinical uses of electronic and paper-based medical information. The group provides health information professionals with resources and training to improve their skills.
About the Healthcare Cost and Utilization Project (HCUP) HCUP integrates data collected by state data organizations, hospital associations, and private data organizations to create a national healthcare information resource of hospital inpatient, emergency department, and ambulatory surgery and services data.
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HCUP Methods Series Development of Utilization Flags for Use with UB-92 Administrative Data refers to a systematic approach developed to create flags that identify specific types of utilization patterns in healthcare data collected through the UB-92 billing format.
Healthcare facilities and providers that submit UB-92 administrative data for reimbursement and reporting purposes are required to implement and adhere to the HCUP Methods Series guidelines.
To fill out the HCUP Methods series, users should familiarize themselves with the UB-92 format and guidelines, accurately input data as required for the utilization flags, and ensure compliance with the specific instructions provided in the HCUP documentation.
The purpose is to enhance the analysis of healthcare utilization trends and improve data accuracy by allowing for the identification of specific service usage patterns among patients in the administrative dataset.
The information that must be reported includes demographic data, service utilization details, and any specific flags related to the type of care provided, as well as any relevant clinical data necessary for proper analysis.
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