"TO BE" NPIRS PROCESSING AFTER IMPLEMENTATION OF PCC PATCH #5 | |||||||||
Type | Service | Table Record is Inserted To/Updated / Comments | Bypass and Not Insert? | Insert into Table | |||||
APC | INPATIENT | CHSOUT | CHSINP | OTHER_PCC_DATA | PHN | ||||
V | ANY
(A, H, I, C, T, N, S, O, E, R, D, X) |
Veteran's Administration visits. | N | X | |||||
C | H | Contract Inpatient | N | X | |||||
A, I, C, T, N, S, O, E, R, D, X | Contract Outpatient | N | Insert
A, S, O Insert C, T, R but flag as non-wkload rpt |
I, N, E, D, X | |||||
S | ANY
(A, H, I, C, T, N, S, O, E, R, D, X) |
State visits. | N | X | |||||
I, T, O, 6, P, U | A | Direct APC (ambulatory) visits. | N | X | X (done with extract script run manually and only for Primary Prov Codes = 13 or 32) |
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H | Direct Inpatient visits. | N | X | ||||||
I | Direct in-hospital visits | N | X | ||||||
C | Direct chart review. | N | X (Insert but flag as non-wkload rpt) | X (done with extract script run manually and only for Primary Prov Codes = 13 or 32) |
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T | Direct telecommunications. | N | X (Insert but flag as non-wkload rpt) | X (done with extract script run manually and only for Primary Prov Codes = 13 or 32) |
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N | Direct patient not found at home visit. | N | X | X (done with extract script run manually and only for Primary Prov Codes = 13 or 32) |
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S | Direct day surgery visit. | N | X | X (done with extract script run manually and only for Primary Prov Codes = 13 or 32) |
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O | Direct observation visit. | N | X | X (done with extract script run manually and only for Primary Prov Codes = 13 or 32) |
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E | Direct event. | N | X | ||||||
R | Direct nursing home visit. | N | X (Insert but flag as non-wkload rpt) | X (done with extract script run manually and only for Primary Prov Codes = 13 or 32) |
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D | Direct daily hospitalization data. | N | X | ||||||
X | Direct ancillary package daily data. | N | X | ||||||
"Type" Values: I = IHS V = VA C = Contract P = Tribe, Compacted Tribal Program T = Tribe, Non-638/Non-Compact U = Urban Clinic O = Other S = State 6 = Tribe, 638 Program V = VA |
"Service
Category" Values: A = Ambulatory S = Day Surgery H = Hospitalization O = Observation I = In Hospital E = Event (Historical) C = Chart Review R = Nursing Home T = Telecommunications D = Daily Hospitalization Data N = Not Found X = Ancillary Package Daily Data |
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Blank or any value not listed above | Blank or any value not listed above | This would be for records on the PCC statistical record that do not have a value for Type and/or Service Category. In this case, it is not known what type of visit this is. Decision made March 15, 01 to implement this logic into our PCC update programs | N | X | |||||
Blank | Blank | For records on exports NPIRS receives directly from the Tribes who do not send their data to the Area Office and which use the old format exports (which do not include Type and Service Category fields), where it is known what type of data is being exporte | N | X | X | X | X | X (done with extract script run manually and only for Primary Prov Codes = 13 or 32) |