CX03.1 - Diagnostics

Use this form to define and inquire on valid diagnostic codes, such as
Diagnostic-Related Groups (DRGs). Each record is uniquely identified by a
diagnosis type and code.

When you define diagnostic codes, add a value where applicable for the
following cost factors: relative weight (RW), geometric mean length-of-stay
(GMLOS), arithmetic mean length-of-stay (AMLOS), and outlier threshold (OT).
Insurers such as HCFA or private insurers provide these values. The base rate
is a number assigned by insurers and used to calculate reimbursement. The Case
Carts system uses the relative weight in a formula along with the base rate to
calculate a reimbursement amount for the applicable diagnosis.

Before you add diagnostic codes, identify the type codes you want to assign
to your diagnostic code sets. For more information on diagnostic code types,
select field help for the Type field or consult your management.

Updated Files

    CKPOINT    - Not used by this program.

    CXDIAGNOST - Primary file maintained by program.


Referenced Files

    None.