ECA definitions Flashcards

1
Q

VisitID

A

Unique patient ID representing each surgery (visit)

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2
Q

InsertDatetime

A

When the visit was created in HST

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3
Q

UpdateDatetime

A

When the visist was updated in HST

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4
Q

UdmDatetime

A

The date stamp of the last time the data was updated in the UDM. This does not tie back to HST.

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5
Q

SourceSystem

A

The patient accounting system

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6
Q

LocalFacilityID

A

This field is for centers with multiple patient accounting system instances (Example: Mt. Pleasant 50016 has local facility 1 for its ASC, local facility 2 for its Anesthesia billing, and local facility 3 for its CRNA billing)

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7
Q

FacilityID

A

Unique numeric identifier for each facility

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8
Q

BusinessUnitID

A

Unique numeric identifier for each facility (same as facility ID)

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9
Q

LocalFacility

A

Unique numeric identifier for each facility (same as facility ID)

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10
Q

PatientID

A

This is a join field from multiple patient accounting tables in HST

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11
Q

PatientKey

A

This is a join field from multiple patient account tables in HST

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12
Q

LocalPatientID

A

The patient ID from HST

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13
Q

VisitNumber

A

How you differentiate in between different visits. (Example: 2= visit #2 for the patient)

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14
Q

AccountNumber

A

The same as LocalPatientID. The patient ID from HST

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15
Q

DateOfService

A

Day the surgery occurred

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16
Q

DateOfServiceYear

A

Year the surgery occurred

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17
Q

DateOfServiceMonth

A

Month the surgery occurred

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18
Q

DateOfServiceAccountingPeriod

A

The month and year of the surgery (Shown as 202201= January 2022)

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19
Q

ScheduledRoom

A

Room the surgery occurred in (examples: OR 1, OR 2)

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20
Q

BillingNumber

A

How you differentiate in between different visits that were billed. This shows which visit we are billing for. (Example: 2= visit #2 for the billed for the patient)

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21
Q

TotalCharges

A

The total billed charges on a case inclusive of all CPT and HCPCS codes. Pulled from HST/ patient accounting system.

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22
Q

TotalPayments

A

The total payments on a case inclusive of all payments (insurance and patient). Pulled from HST/ patient accounting system.

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23
Q

TotalContAdjustments

A

The total adjustments we need to take on a case based on our contract. Pulled from HST/ patient accounting system.

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24
Q

TotalRefunds

A

The total amount of money refunded to a patient or insurance provider.

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25
Q

TotalBaddebt

A

The total amount that a patient did not pay. This debt is written off and goes to collections.

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26
Q

TotalOtherAdjustments

A

An adjustment taken on an account which does not fall into any other category.

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27
Q

BalanceDue

A

The balance on the account in HST

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28
Q

PhysicianCode

A

The code assigned to a physician when a teammate at the center creates a profile for them in HST.

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29
Q

PhysicianName

A

The name of the physician performing the surgery

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30
Q

PhysicianSpecialtyCode

A

The abbreviation of the physician’s specialty performing the surgery (Examples: ORT, POD, ANS)

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31
Q

PhysicianSpecialtyDescription

A

The specialty of the physician performing the surgery (Examples: Orthopaedics, Podiatry, Pain Management)

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32
Q

FinancialClass

A

The number that correlates with a payer type. (example: 6= BCBS)

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33
Q

FinancialClassDescription

A

A grouping of different payors into similar categories for billing purposes. Rev Cycle recommends using this for analytics.

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34
Q

PayerAccountCode

A

The number that correlates with the payer name in the HST hierarchy. (example: 221= BCBS of TX HMO)

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35
Q

PayerName

A

The specific type of insurance provided by the patient. (Example: BCBS of Texas)

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36
Q

PayerPriority

A

This ranks the payers in the order they were billed. Primary payer = priority 1, secondary payer = priority 2

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37
Q

PayerType

A

A grouping of payors that shows federal health insurance, private insurance, and patient pay. (Examples: Commercial, Medicare, Medicaid, Self Pay)

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38
Q

PayerProduct

A

The same as Payer Type.

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39
Q

FundingPayer

A

The entity processing the claim.

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40
Q

PayerParentNatl

A

A mapped field of individual payers at the BUCAH level, as defined by Payer Analytics; similar to ContractedPayer, just at the higher level

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41
Q

ContractedPayer

A

A mapped field of individual payers that aligns with Funding Payer

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42
Q

PrimaryCPT

A

The five digit number representing the primary surgery being performed. Current Procedural Terminology(CPT)- used to describe the procedure performed by the healthcare provider on a patient)

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43
Q

PrimaryCPTDescription

A

The description of the primary surgery being performed

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44
Q

PrimaryCPTSpecialtyCode

A

The abbreviation of the specialty of the surgery being performed

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45
Q

PrimaryCPTSpecialtyDescription

A

The specialty of the surgery being performed

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46
Q

ORStartTime

A

The time the surgery starts in the OR

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47
Q

OREndTime

A

The time the surgery ends in the OR

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48
Q

ORMinutes

A

The number of minutes the patient is in the OR

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49
Q

PreparationStartTime

A

The time the preparation for surgery starts

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50
Q

PreparationEndTime

A

The time the preparation for surgery ends

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51
Q

PreparationMinutes

A

The number of minutes a patient is being prepared for surgery

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52
Q

RecoveryRoomStartTime

A

The time recovery starts

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53
Q

RecoveryRoomEndTime

A

The time recovery ends

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54
Q

RecoveryRoomMinutes

A

The number of minutes a patient is in recovery

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55
Q

CPT01_BilledCPTCode

A

The 1st CPT being billed to insurance based on a coder’s recommendation. This CPT is meant to encompass the core aspect of the surgery and will drive total reimbursement for the case.

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56
Q

CPT02_BilledCPTCode

A

CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery

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57
Q

CPT03_BilledCPTCode

A

CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery

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58
Q

CPT04_BilledCPTCode

A

CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery

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59
Q

CPT05_BilledCPTCode

A

CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery

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60
Q

CPT06_BilledCPTCode

A

CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery

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61
Q

CPT07_BilledCPTCode

A

CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery

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62
Q

CPT08_BilledCPTCode

A

CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery

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63
Q

CPT09_BilledCPTCode

A

CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery

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64
Q

CPT10_BilledCPTCode

A

CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery

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65
Q

CPT11_BilledCPTCode

A

CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery

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66
Q

CPT12_BilledCPTCode

A

CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery

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67
Q

CPT13_BilledCPTCode

A

CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery

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68
Q

CPT14_BilledCPTCode

A

CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery

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69
Q

CPT15_BilledCPTCode

A

CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery

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70
Q

CPT01_BilledCPTDescription

A

The 1st CPT description being billed to insurance based on a coder’s recommendation. This CPT is meant to encompass the core aspect of the surgery and will drive total reimbursement for the case.

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71
Q

CPT02_BilledCPTDescription

A

CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery

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72
Q

CPT03_BilledCPTDescription

A

CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery

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73
Q

CPT04_BilledCPTDescription

A

CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery

74
Q

CPT05_BilledCPTDescription

A

CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery

75
Q

CPT06_BilledCPTDescription

A

CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery

76
Q

CPT07_BilledCPTDescription

A

CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery

77
Q

CPT08_BilledCPTDescription

A

CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery

78
Q

CPT09_BilledCPTDescription

A

CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery

79
Q

CPT10_BilledCPTDescription

A

CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery

80
Q

CPT11_BilledCPTDescription

A

CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery

81
Q

CPT12_BilledCPTDescription

A

CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery

82
Q

CPT13_BilledCPTDescription

A

CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery

83
Q

CPT14_BilledCPTDescription

A

CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery

84
Q

CPT15_BilledCPTDescription

A

CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery

85
Q

CPT01_CPTModifierCode

A

This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient’s left side.

86
Q

CPT02_CPTModifierCode

A

This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient’s left side.

87
Q

CPT03_CPTModifierCode

A

This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient’s left side.

88
Q

CPT04_CPTModifierCode

A

This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient’s left side.

89
Q

CPT05_CPTModifierCode

A

This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient’s left side.

90
Q

CPT06_CPTModifierCode

A

This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient’s left side.

91
Q

CPT07_CPTModifierCode

A

This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient’s left side.

92
Q

CPT08_CPTModifierCode

A

This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient’s left side.

93
Q

CPT09_CPTModifierCode

A

This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient’s left side.

94
Q

CPT10_CPTModifierCode

A

This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient’s left side.

95
Q

CPT11_CPTModifierCode

A

This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient’s left side.

96
Q

CPT12_CPTModifierCode

A

This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient’s left side.

97
Q

CPT13_CPTModifierCode

A

This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient’s left side.

98
Q

CPT14_CPTModifierCode

A

This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient’s left side.

99
Q

CPT15_CPTModifierCode

A

This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient’s left side.

100
Q

CPT01_RevenueCode

A

A revenue code indicates the department or place where a procedure or treatment is performed.

101
Q

CPT02_RevenueCode

A

A revenue code indicates the department or place where a procedure or treatment is performed.

102
Q

CPT03_RevenueCode

A

A revenue code indicates the department or place where a procedure or treatment is performed.

103
Q

CPT04_RevenueCode

A

A revenue code indicates the department or place where a procedure or treatment is performed.

104
Q

CPT05_RevenueCode

A

A revenue code indicates the department or place where a procedure or treatment is performed.

105
Q

CPT06_RevenueCode

A

A revenue code indicates the department or place where a procedure or treatment is performed.

106
Q

CPT07_RevenueCode

A

A revenue code indicates the department or place where a procedure or treatment is performed.

107
Q

CPT08_RevenueCode

A

A revenue code indicates the department or place where a procedure or treatment is performed.

108
Q

CPT09_RevenueCode

A

A revenue code indicates the department or place where a procedure or treatment is performed.

109
Q

CPT10_RevenueCode

A

A revenue code indicates the department or place where a procedure or treatment is performed.

110
Q

CPT11_RevenueCode

A

A revenue code indicates the department or place where a procedure or treatment is performed.

111
Q

CPT12_RevenueCode

A

A revenue code indicates the department or place where a procedure or treatment is performed.

112
Q

CPT13_RevenueCode

A

A revenue code indicates the department or place where a procedure or treatment is performed.

113
Q

CPT14_RevenueCode

A

A revenue code indicates the department or place where a procedure or treatment is performed.

114
Q

CPT15_RevenueCode

A

A revenue code indicates the department or place where a procedure or treatment is performed.

115
Q

CPT01_BilledAmount

A

The total amount billed for a specific CPT code based on the facility charge master.

116
Q

CPT02_BilledAmount

A

The total amount billed for a specific CPT code based on the facility charge master

117
Q

CPT03_BilledAmount

A

The total amount billed for a specific CPT code based on the facility charge master

118
Q

CPT04_BilledAmount

A

The total amount billed for a specific CPT code based on the facility charge master

119
Q

CPT05_BilledAmount

A

The total amount billed for a specific CPT code based on the facility charge master

120
Q

CPT06_BilledAmount

A

The total amount billed for a specific CPT code based on the facility charge master

121
Q

CPT07_BilledAmount

A

The total amount billed for a specific CPT code based on the facility charge master

122
Q

CPT08_BilledAmount

A

The total amount billed for a specific CPT code based on the facility charge master

123
Q

CPT09_BilledAmount

A

The total amount billed for a specific CPT code based on the facility charge master

124
Q

CPT10_BilledAmount

A

The total amount billed for a specific CPT code based on the facility charge master

125
Q

CPT11_BilledAmount

A

The total amount billed for a specific CPT code based on the facility charge master

126
Q

CPT12_BilledAmount

A

The total amount billed for a specific CPT code based on the facility charge master

127
Q

CPT13_BilledAmount

A

The total amount billed for a specific CPT code based on the facility charge master

128
Q

CPT14_BilledAmount

A

The total amount billed for a specific CPT code based on the facility charge master

129
Q

CPT15_BilledAmount

A

The total amount billed for a specific CPT code based on the facility charge master

130
Q

CPT01_ICDCode

A

The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)

131
Q

CPT02_ICDCode

A

The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)

132
Q

CPT03_ICDCode

A

The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)

133
Q

CPT04_ICDCode

A

The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)

134
Q

CPT05_ICDCode

A

The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)

135
Q

CPT06_ICDCode

A

The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)

136
Q

CPT07_ICDCode

A

The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)

137
Q

CPT08_ICDCode

A

The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)

138
Q

CPT09_ICDCode

A

The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)

139
Q

CPT10_ICDCode

A

The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)

140
Q

CPT11_ICDCode

A

The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)

141
Q

CPT12_ICDCode

A

The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)

142
Q

CPT13_ICDCode

A

The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)

143
Q

CPT14_ICDCode

A

The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)

144
Q

CPT15_ICDCode

A

The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)

145
Q

CPT01_ContractFee

A

The amount we expect to be reimbursed from the insurance provider.

146
Q

CPT02_ContractFee

A

The amount we expect to be reimbursed from the insurance provider.

147
Q

CPT03_ContractFee

A

The amount we expect to be reimbursed from the insurance provider.

148
Q

CPT04_ContractFee

A

The amount we expect to be reimbursed from the insurance provider.

149
Q

CPT05_ContractFee

A

The amount we expect to be reimbursed from the insurance provider.

150
Q

CPT06_ContractFee

A

The amount we expect to be reimbursed from the insurance provider.

151
Q

CPT07_ContractFee

A

The amount we expect to be reimbursed from the insurance provider.

152
Q

CPT08_ContractFee

A

The amount we expect to be reimbursed from the insurance provider.

153
Q

CPT09_ContractFee

A

The amount we expect to be reimbursed from the insurance provider.

154
Q

CPT10_ContractFee

A

The amount we expect to be reimbursed from the insurance provider.

155
Q

CPT11_ContractFee

A

The amount we expect to be reimbursed from the insurance provider.

156
Q

CPT12_ContractFee

A

The amount we expect to be reimbursed from the insurance provider.

157
Q

CPT13_ContractFee

A

The amount we expect to be reimbursed from the insurance provider.

158
Q

CPT14_ContractFee

A

The amount we expect to be reimbursed from the insurance provider.

159
Q

CPT15_ContractFee

A

The amount we expect to be reimbursed from the insurance provider.

160
Q

TotalContractFee

A

The total amount we expect to be reimbursed from the insurance provider. This takes into account our contract and necessary adjustments.

161
Q

ContractID

A

The ID in HST that connects to the PCD (Payer Contract Database)

162
Q

ContractNumber

A

The contract number in the Payer Contract Database.

163
Q

RateStartDate

A

This field used to track the date the payer contract rates begins but is no longer used per SCA Data Architect Ashley Bryan.

164
Q

RateEndDate

A

This field used to track the date the payer contract rates end but is no longer used per SCA Data Architect Ashley Bryan.

165
Q

CPT01_ManagedCareRate

A

This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.

166
Q

CPT02_ManagedCareRate

A

This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.

167
Q

CPT03_ManagedCareRate

A

This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.

168
Q

CPT04_ManagedCareRate

A

This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.

169
Q

CPT05_ManagedCareRate

A

This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.

170
Q

CPT06_ManagedCareRate

A

This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.

171
Q

CPT07_ManagedCareRate

A

This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.

172
Q

CPT08_ManagedCareRate

A

This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.

173
Q

CPT09_ManagedCareRate

A

This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.

174
Q

CPT10_ManagedCareRate

A

This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.

175
Q

CPT11_ManagedCareRate

A

This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.

176
Q

CPT12_ManagedCareRate

A

This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.

177
Q

CPT13_ManagedCareRate

A

This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.

178
Q

CPT14_ManagedCareRate

A

This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.

179
Q

CPT15_ManagedCareRate

A

This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.

180
Q

VisitCanceledFlag

A

Identifies if the surgery occurred or was cancelled.