Admission Coding

  1. From the CareRight Dashboard:
  2. Select Locations Menu item and choose relevant Location.
  3. Select Admission Coding.
  4. The Admission Coding Summary screen has a matrix, for given date ranges, showing the number of admissions which are:
    1. Ungrouped - Not yet grouped i.e. the admission does not have a DRG code (or at least one Diagnosis or Procedure code).
    2. Ungrouped and Held for Claiming - Not yet grouped and flagged in admission screen as Hold Claims For This Admission = Yes.
    3. Grouped - Admissions with a DRG code (or at least one Diagnosis or Procedure code) and which are not cancelled.
    4. Total - Total of all Admissions discharged on the date which are not cancelled.
  5. Click the hyperlink number to display admissions for a date period.

Note: If you do not require a DRG to be populated for an Admission to be deemed "coded" then check the setting "Enable Manual Coding"  in System Administration>Locations (edit a location)

Example screen:

Discharge Date

Ungrouped

Ungrouped and held for Claiming

Grouped

Total

17/06/2018

1

0

2

3

16/06/2018

1

1

1

4

03/05/2018

1

0

2

3

30/04/2018

0

1

3

4

29/04/2018

1

2

4

7

28/04/2018

1

2

1

4

** this screen contains pagination results that will flow to additional pages after 30 entries

     6. The list of Admissions will display with the following fields:

Field 

Description 

Example

Admission Date

Date of Admission with time

11/12/2018 at 09:51AM

Discharge Date

Date of Discharge with time

11/12/20108 at 04:35PM

ARN (hyperlink)

This is the Admission Record Number - it is unique

0001354

MRN

This is the Medical Record Number - it is unique

0000051

Patient (hyperlink)

This is the patients full name

Mr Caleb James Gray

First Name

Patients first name

Caleb

Last Name

Patient Last name (the results will sort by this field as a default)

Gray

Admission Category

This is the category of the admission.

General

Reason

This is the reason for the admission

Sick

Held Status

Status of the claim

Ready to Claim

       7. The values in this list can be sorted by the following fields:

            a. Admission Date

            b. Discharge Date

            c. ARN (admission record number)

            d. Patient First Name & Last Name

      8. From the list, the ARN is a hyperlink to the admission - click this to go to the admission record

      9. This admission can then be edited, coded, invoiced, etc

 

Alternative way to access this screen:

  1. From the CareRight Dashboard:
  2. Select Locations Menu item and choose relevant Location.
  3. Select Invoices and Claims.
    1. The Invoices and claims screen will display
  4. Scroll down to the bottom of the screen and select View Ungrouped Admissions.
    1. The Admissions Coding summary screen will display.