RELIABILITY OF MEDICARE HOSPITAL DISCHARGE RECORDS -- Copyright -- CONTENTS -- FOREWORD -- Chapter 1 INTRODUCTION -- SPECIFIC STUDY OBJECTIVES -- Chapter 2 STUDY METHODS -- SAMPLING PLAN -- Initial National Sample of Hospitals -- Subsample of Hospitals for Abstracting -- Sample of Medicare Records -- Retrieval of Medicare Claim Forms -- RESEARCH INSTRUMENTS -- Abstracting Form -- Information Checklist -- FIELD WORK -- CONFIDENTIALITY -- DATA PROCESSING -- Chapter 3 ANALYSIS -- TOTAL FREQUENCIES OF DISCREPANCIES -- ANALYSIS OF DIAGNOSTIC INFORMATION -- Reasons for Discrepancies -- Admitting vs. Principal Diagnosis -- Influence of Diagnostic Groupings -- Diagnostic Specific Discrepancies -- Influence of Multiple Diagnoses -- ANALYSIS OF PRINCIPAL PROCEDURES -- ANALYSIS OF CLAIMS INFORMATION -- Principal Diagnosis -- Principal Procedure -- INFLUENCE OF DIAGNOSTIC DATA RELIABILITY ON UTILIZATION STATISTICS -- Influence of Hospital Characteristics -- Chapter 4 SUMMARY AND RECOMMENDATIONS -- CONCLUSIONS -- RECOMMENDATIONS -- Appendix A BIBLIOGRAPHY -- Appendix B SAMPLE LETTER TO HOSPITAL ADMINISTRATOR -- Appendix C DIAGNOSTIC CODES INCLUDED AS COMPONENTS OF THE SAMPLE OF MEDICARE RECORDS -- Appendix D IOM RE-ABSTRACTING FORM -- Appendix D GENERAL INSTRUCTIONS FOR FIELD TEAM -- Appendix D SPECIFIC INSTRUCTIONS FOR IOM RE-ABSTRACTING FORM -- UHDDS DEFINITIONS -- MEDICARE DEFINITIONS -- MEDICARE CODING OF PROCEDURES -- Appendix E INFORMAL CHECKLIST -- APPENDIX F RELIABILITY OF FIELD WORK -- Methods -- Analysis -- Summary -- Appendix G PERCENT OF ABSTRACTS WITH NO DISCREPANCY FOR EACH DIAGNOSIS INCLUDED AS A COMPONENT OF MEDICARE RECORDS -- Appendix H NET AND GROSS DIFFERENCE RATES IN DESIGNATION OF PRINCIPAL DIAGNOSIS (BASED ON FOUR-DIGIT COMPARISONS OF SPECIFIC….

Appendix I GENERAL COMPARISON OF ASSESSMENTS OF THE RELIABILITY OF MEDICARE RECORDS MAINTAINED BY THE HEALTH CARE FINANCING… -- Appendix J COMPARISON OF THE RELIABILITY OF HCFA MEDICARE RECORDS AND PRIVATE ABSTRACT SERVICE MEDICARE ABSTRACTS FOR… -- Appendix K STANDARD ERRORS AND CONFIDENCE INTERVALS FOR STATISTICS BASED ON MEDICARE DATA -- Appendix L STANDARD ERRORS AND CONFIDENCE INTERVALS FOR STATISTICS BASED ON DATA FROM PRIVATE ABSTRACTING SERVICES -- Appendix M SELECTED EXAMPLES OF PRINCIPAL PROCEDURES NOT LISTED IN CPT, AS DETERMINED BY THE IOM FIELD TEAM MEMBERS….