feedback
CHIA Dynamic Reports
DRG Reports
Facility Report for a DRG DRG Report for a FacilityDescription
A Diagnosis Related Group (DRG) is a broad category of a health condition or procedure. DRGs are further grouped into Major Diagnostic Categories (MDC). To create a DRG report, the user will first select a time period, then a Diagnosis Related Group (DRG). When a DRG is selected a list of the DRGs for an MDC will be displayed on the screen. Depending on the type of DRG report selected, the user will then be able to select one DRG for multiple facilities, or multiple DRGs for one facility. The user will also have the option for one additional breakout of gender, age group, or payer. As with many of the reports on this website, a minimum cell or sample size of 10 is displayed. If a row of data within a report has a count less than 10, it will not be displayed within the report. For this reason it is possible for a report to be completely empty. If this occurs, select a different set of criteria.
Top 50 Principal Diagnosis Reports
Facility Report for a Top 50 Principal Diagnosis Top 50 Principal Diagnosis Report for a FacilityDescription
A patient's health care billing record contains many codes. The Principal Diagnosis (PD) code contains the primary reason a patient was treated at a health care facility. In the PD reports, the top 50 codes are selected by frequency. Depending on the type of report selected, the user can view one of the top 50 PDs by multiple facilities, or all of the top 50 PDs for one facility. As with many of the reports on this website, a minimum cell or sample size of 10 is displayed. If a row of data within a report has a count of less than 10, it will not be displayed within the report.
Top 50 Principal Procedure Reports
Facility Report for a Top 50 Principal Procedure Top 50 Principal Procedure Report for a FacilityDescription
There are two primary reasons a patient may enter a health care facility. The first is the patient has a health diagnosis of concern, and the second is they will be undergoing a procedure to treat that diagnosis. The Principal Procedure (PC) code displays the primary procedure; typically a surgical procedure. In the PC report, the top 50 codes are selected by frequency. Depending on the type of report selected, the user can view one of the top 50 PCs by multiple facilities, or all of the top 50 PCs for one facility. As with many of the reports on this website, a minimum cell or sample size of 10 is displayed. If a row of data within a report has a count less than 10, it will not be displayed within the report.
Top 50 Surgical CPT® Reports
Facility Report for a Top 50 Surgical CPT® Top 50 Surgical CPT® Report for a FacilityDescription
Current Procedural Terminology (CPT®) codes are numbers that categorize every service and procedure provided to an outpatient by a health facility. CPT® code definitions are proprietary to the American Medical Association (AMA). For the benefit of public health, and the transparency of public health information, the AMA has authorized the Center for Health Information Analysis the public display of said definitions. To produce a CPT® report, the user of this site must first read and agree to the AMA provisions. As with many of the reports on this website, a minimum cell or sample size of 10 is displayed. If a row of data within a report has a count less than 10, it will not be displayed within the report.
Physician Reports
Facility Report for a Physician (Inpatient) Physician Report for a Facility (Inpatient) Facility Report for a Physician (Outpatient) Physician Report for a Facility (Outpatient)Description
Current Procedural Terminology (CPT®) codes are numbers that categorize every service and procedure provided to an outpatient by a health facility. CPT® code definitions are proprietary to the American Medical Association (AMA). For the benefit of public health, and the transparency of public health information, the AMA has authorized the Center for Health Information Analysis the public display of said definitions. To produce a CPT® report, the user of this site must first read and agree to the AMA provisions. As with many of the reports on this website, a minimum cell or sample size of 10 is displayed. If a row of data within a report has a count less than 10, it will not be displayed within the report.
When running physician reports there are a couple of very important considerations to take into account. The "Cases" field in the reports is an estimate. We look at the primary operating physician. We then count operating room procedures for inpatient, or surgical CPT codes for outpatient. It is possible that the operating physician had assistants, and that some of these procedures were performed by those assistants. CHIA has no way to determine this. There is also one other issue to take into consideration. The reports are only as good as the data. Some facilities are making the following errors: 1) They put facility name in place of the physician name. 2) They use the same physician NPI code for multiple physicians. 3) They use the same physician name for multiple NPI numbers. 4) They use multiple or different physician name spellings. 5) Sometimes physician fields are left blank, even though a surgical procedure was performed.
CHIA is working with the facilities to improve the quality of these fields within the data, but for now when running reports, remember that you are viewing an imperfect picture. The reports provide a general impression, but not exact counts.
