APCD Encounter ID Methodology Enhancements

Often times, there is a series of claims for the same inpatient stay, which vary across multiple care settings (Emergency Room->IP Admission -> others –>Continued IP stay). Instead of only generating a single encounter activity to the inpatient facility, these different activities were often generating a claim and an encounter.

This methodology has been enhanced to allow for closer alignment with how these encounters are grouped based on our knowledge with the state data.

Contact your Customer Success Manager for more information.

APCD 837 ER Claims: Care Settings Updated Based on Revenue Codes

There are observed claims which have an ER revenue code on the claim, but which have a point of sale or type of bill code that is assigned a “Hospital Outpatient” care setting.

These ER Revenue codes are: 0450, 0451, 0452, 0456, 0459, 0981.

This is the standard set of revenue codes used throughout state data sets when setting the ‘ER Flag’. The care setting that comes on the claim will be overwritten to Emergency Room Hospital, along with the corresponding care setting code of 23.

Contact your Customer Success Manager for more information.

 

Blackbird Experience Enhancements

healthcare data analytics platform iconWe have recently released enhancements to our All-Payer Claims output in Blackbird, to improve the in-app experience. Updates include the following:

  • Age Range Category column and filter capabilities have been added to our all-payer claim database curated data view.
  • Age Range Categories Added:

    • 0-17
    • 18-44
    • 45-64
    • 65+

Important Note: It is recommended that users also include the additional age columns such as “age range” and Patient Age for the first time to help provide context to the data they are seeing.

Contact your Customer Success Manager for more information.

 

APCD Update: Clearinghouse Added

Significant Data Addition from the #1 ASC Claims Provider

Stratasan is pleased to announce that our All-Payer Claims Data (APCD) has been updated to include data from a new major clearinghouse with approximately 550M annual claim volume. This means our APCD users now have access to significantly more data, including:

  • 30% increase in claims
  • 25% more people

This data has been added to Patient Claim Detail datasets—both the full version and the organization-specific derived datasets. If you and your organization have access to Stratasan’s APCD, then you already have access to this new data! Contact your Customer Success Manager for more information.