ECA definitions Flashcards
(180 cards)
1
Q
VisitID
A
Unique patient ID representing each surgery (visit)
2
Q
InsertDatetime
A
When the visit was created in HST
3
Q
UpdateDatetime
A
When the visist was updated in HST
4
Q
UdmDatetime
A
The date stamp of the last time the data was updated in the UDM. This does not tie back to HST.
5
Q
SourceSystem
A
The patient accounting system
6
Q
LocalFacilityID
A
This field is for centers with multiple patient accounting system instances (Example: Mt. Pleasant 50016 has local facility 1 for its ASC, local facility 2 for its Anesthesia billing, and local facility 3 for its CRNA billing)
7
Q
FacilityID
A
Unique numeric identifier for each facility
8
Q
BusinessUnitID
A
Unique numeric identifier for each facility (same as facility ID)
9
Q
LocalFacility
A
Unique numeric identifier for each facility (same as facility ID)
10
Q
PatientID
A
This is a join field from multiple patient accounting tables in HST
11
Q
PatientKey
A
This is a join field from multiple patient account tables in HST
12
Q
LocalPatientID
A
The patient ID from HST
13
Q
VisitNumber
A
How you differentiate in between different visits. (Example: 2= visit #2 for the patient)
14
Q
AccountNumber
A
The same as LocalPatientID. The patient ID from HST
15
Q
DateOfService
A
Day the surgery occurred
16
Q
DateOfServiceYear
A
Year the surgery occurred
17
Q
DateOfServiceMonth
A
Month the surgery occurred
18
Q
DateOfServiceAccountingPeriod
A
The month and year of the surgery (Shown as 202201= January 2022)
19
Q
ScheduledRoom
A
Room the surgery occurred in (examples: OR 1, OR 2)
20
Q
BillingNumber
A
How you differentiate in between different visits that were billed. This shows which visit we are billing for. (Example: 2= visit #2 for the billed for the patient)
21
Q
TotalCharges
A
The total billed charges on a case inclusive of all CPT and HCPCS codes. Pulled from HST/ patient accounting system.
22
Q
TotalPayments
A
The total payments on a case inclusive of all payments (insurance and patient). Pulled from HST/ patient accounting system.
23
Q
TotalContAdjustments
A
The total adjustments we need to take on a case based on our contract. Pulled from HST/ patient accounting system.
24
Q
TotalRefunds
A
The total amount of money refunded to a patient or insurance provider.
25
TotalBaddebt
The total amount that a patient did not pay. This debt is written off and goes to collections.
26
TotalOtherAdjustments
An adjustment taken on an account which does not fall into any other category.
27
BalanceDue
The balance on the account in HST
28
PhysicianCode
The code assigned to a physician when a teammate at the center creates a profile for them in HST.
29
PhysicianName
The name of the physician performing the surgery
30
PhysicianSpecialtyCode
The abbreviation of the physician's specialty performing the surgery (Examples: ORT, POD, ANS)
31
PhysicianSpecialtyDescription
The specialty of the physician performing the surgery (Examples: Orthopaedics, Podiatry, Pain Management)
32
FinancialClass
The number that correlates with a payer type. (example: 6= BCBS)
33
FinancialClassDescription
A grouping of different payors into similar categories for billing purposes. Rev Cycle recommends using this for analytics.
34
PayerAccountCode
The number that correlates with the payer name in the HST hierarchy. (example: 221= BCBS of TX HMO)
35
PayerName
The specific type of insurance provided by the patient. (Example: BCBS of Texas)
36
PayerPriority
This ranks the payers in the order they were billed. Primary payer = priority 1, secondary payer = priority 2
37
PayerType
A grouping of payors that shows federal health insurance, private insurance, and patient pay. (Examples: Commercial, Medicare, Medicaid, Self Pay)
38
PayerProduct
The same as Payer Type.
39
FundingPayer
The entity processing the claim.
40
PayerParentNatl
A mapped field of individual payers at the BUCAH level, as defined by Payer Analytics; similar to ContractedPayer, just at the higher level
41
ContractedPayer
A mapped field of individual payers that aligns with Funding Payer
42
PrimaryCPT
The five digit number representing the primary surgery being performed. Current Procedural Terminology(CPT)- used to describe the procedure performed by the healthcare provider on a patient)
43
PrimaryCPTDescription
The description of the primary surgery being performed
44
PrimaryCPTSpecialtyCode
The abbreviation of the specialty of the surgery being performed
45
PrimaryCPTSpecialtyDescription
The specialty of the surgery being performed
46
ORStartTime
The time the surgery starts in the OR
47
OREndTime
The time the surgery ends in the OR
48
ORMinutes
The number of minutes the patient is in the OR
49
PreparationStartTime
The time the preparation for surgery starts
50
PreparationEndTime
The time the preparation for surgery ends
51
PreparationMinutes
The number of minutes a patient is being prepared for surgery
52
RecoveryRoomStartTime
The time recovery starts
53
RecoveryRoomEndTime
The time recovery ends
54
RecoveryRoomMinutes
The number of minutes a patient is in recovery
55
CPT01_BilledCPTCode
The 1st CPT being billed to insurance based on a coder's recommendation. This CPT is meant to encompass the core aspect of the surgery and will drive total reimbursement for the case.
56
CPT02_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
57
CPT03_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
58
CPT04_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
59
CPT05_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
60
CPT06_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
61
CPT07_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
62
CPT08_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
63
CPT09_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
64
CPT10_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
65
CPT11_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
66
CPT12_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
67
CPT13_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
68
CPT14_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
69
CPT15_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
70
CPT01_BilledCPTDescription
The 1st CPT description being billed to insurance based on a coder's recommendation. This CPT is meant to encompass the core aspect of the surgery and will drive total reimbursement for the case.
71
CPT02_BilledCPTDescription
CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery
72
CPT03_BilledCPTDescription
CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery
73
CPT04_BilledCPTDescription
CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery
74
CPT05_BilledCPTDescription
CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery
75
CPT06_BilledCPTDescription
CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery
76
CPT07_BilledCPTDescription
CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery
77
CPT08_BilledCPTDescription
CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery
78
CPT09_BilledCPTDescription
CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery
79
CPT10_BilledCPTDescription
CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery
80
CPT11_BilledCPTDescription
CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery
81
CPT12_BilledCPTDescription
CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery
82
CPT13_BilledCPTDescription
CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery
83
CPT14_BilledCPTDescription
CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery
84
CPT15_BilledCPTDescription
CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery
85
CPT01_CPTModifierCode
This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient's left side.
86
CPT02_CPTModifierCode
This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient's left side.
87
CPT03_CPTModifierCode
This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient's left side.
88
CPT04_CPTModifierCode
This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient's left side.
89
CPT05_CPTModifierCode
This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient's left side.
90
CPT06_CPTModifierCode
This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient's left side.
91
CPT07_CPTModifierCode
This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient's left side.
92
CPT08_CPTModifierCode
This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient's left side.
93
CPT09_CPTModifierCode
This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient's left side.
94
CPT10_CPTModifierCode
This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient's left side.
95
CPT11_CPTModifierCode
This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient's left side.
96
CPT12_CPTModifierCode
This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient's left side.
97
CPT13_CPTModifierCode
This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient's left side.
98
CPT14_CPTModifierCode
This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient's left side.
99
CPT15_CPTModifierCode
This is a code used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. For example, the LT modifier indicates the procedure was done on the patient's left side.
100
CPT01_RevenueCode
A revenue code indicates the department or place where a procedure or treatment is performed.
101
CPT02_RevenueCode
A revenue code indicates the department or place where a procedure or treatment is performed.
102
CPT03_RevenueCode
A revenue code indicates the department or place where a procedure or treatment is performed.
103
CPT04_RevenueCode
A revenue code indicates the department or place where a procedure or treatment is performed.
104
CPT05_RevenueCode
A revenue code indicates the department or place where a procedure or treatment is performed.
105
CPT06_RevenueCode
A revenue code indicates the department or place where a procedure or treatment is performed.
106
CPT07_RevenueCode
A revenue code indicates the department or place where a procedure or treatment is performed.
107
CPT08_RevenueCode
A revenue code indicates the department or place where a procedure or treatment is performed.
108
CPT09_RevenueCode
A revenue code indicates the department or place where a procedure or treatment is performed.
109
CPT10_RevenueCode
A revenue code indicates the department or place where a procedure or treatment is performed.
110
CPT11_RevenueCode
A revenue code indicates the department or place where a procedure or treatment is performed.
111
CPT12_RevenueCode
A revenue code indicates the department or place where a procedure or treatment is performed.
112
CPT13_RevenueCode
A revenue code indicates the department or place where a procedure or treatment is performed.
113
CPT14_RevenueCode
A revenue code indicates the department or place where a procedure or treatment is performed.
114
CPT15_RevenueCode
A revenue code indicates the department or place where a procedure or treatment is performed.
115
CPT01_BilledAmount
The total amount billed for a specific CPT code based on the facility charge master.
116
CPT02_BilledAmount
The total amount billed for a specific CPT code based on the facility charge master
117
CPT03_BilledAmount
The total amount billed for a specific CPT code based on the facility charge master
118
CPT04_BilledAmount
The total amount billed for a specific CPT code based on the facility charge master
119
CPT05_BilledAmount
The total amount billed for a specific CPT code based on the facility charge master
120
CPT06_BilledAmount
The total amount billed for a specific CPT code based on the facility charge master
121
CPT07_BilledAmount
The total amount billed for a specific CPT code based on the facility charge master
122
CPT08_BilledAmount
The total amount billed for a specific CPT code based on the facility charge master
123
CPT09_BilledAmount
The total amount billed for a specific CPT code based on the facility charge master
124
CPT10_BilledAmount
The total amount billed for a specific CPT code based on the facility charge master
125
CPT11_BilledAmount
The total amount billed for a specific CPT code based on the facility charge master
126
CPT12_BilledAmount
The total amount billed for a specific CPT code based on the facility charge master
127
CPT13_BilledAmount
The total amount billed for a specific CPT code based on the facility charge master
128
CPT14_BilledAmount
The total amount billed for a specific CPT code based on the facility charge master
129
CPT15_BilledAmount
The total amount billed for a specific CPT code based on the facility charge master
130
CPT01_ICDCode
The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)
131
CPT02_ICDCode
The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)
132
CPT03_ICDCode
The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)
133
CPT04_ICDCode
The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)
134
CPT05_ICDCode
The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)
135
CPT06_ICDCode
The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)
136
CPT07_ICDCode
The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)
137
CPT08_ICDCode
The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)
138
CPT09_ICDCode
The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)
139
CPT10_ICDCode
The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)
140
CPT11_ICDCode
The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)
141
CPT12_ICDCode
The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)
142
CPT13_ICDCode
The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)
143
CPT14_ICDCode
The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)
144
CPT15_ICDCode
The classification system of diagnosis codes representing conditions and diseases, related health problems, and abnormal findings that are universally accepted by the medical and insurance fields. International Classification of Disease (ICD)
145
CPT01_ContractFee
The amount we expect to be reimbursed from the insurance provider.
146
CPT02_ContractFee
The amount we expect to be reimbursed from the insurance provider.
147
CPT03_ContractFee
The amount we expect to be reimbursed from the insurance provider.
148
CPT04_ContractFee
The amount we expect to be reimbursed from the insurance provider.
149
CPT05_ContractFee
The amount we expect to be reimbursed from the insurance provider.
150
CPT06_ContractFee
The amount we expect to be reimbursed from the insurance provider.
151
CPT07_ContractFee
The amount we expect to be reimbursed from the insurance provider.
152
CPT08_ContractFee
The amount we expect to be reimbursed from the insurance provider.
153
CPT09_ContractFee
The amount we expect to be reimbursed from the insurance provider.
154
CPT10_ContractFee
The amount we expect to be reimbursed from the insurance provider.
155
CPT11_ContractFee
The amount we expect to be reimbursed from the insurance provider.
156
CPT12_ContractFee
The amount we expect to be reimbursed from the insurance provider.
157
CPT13_ContractFee
The amount we expect to be reimbursed from the insurance provider.
158
CPT14_ContractFee
The amount we expect to be reimbursed from the insurance provider.
159
CPT15_ContractFee
The amount we expect to be reimbursed from the insurance provider.
160
TotalContractFee
The total amount we expect to be reimbursed from the insurance provider. This takes into account our contract and necessary adjustments.
161
ContractID
The ID in HST that connects to the PCD (Payer Contract Database)
162
ContractNumber
The contract number in the Payer Contract Database.
163
RateStartDate
This field used to track the date the payer contract rates begins but is no longer used per SCA Data Architect Ashley Bryan.
164
RateEndDate
This field used to track the date the payer contract rates end but is no longer used per SCA Data Architect Ashley Bryan.
165
CPT01_ManagedCareRate
This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.
166
CPT02_ManagedCareRate
This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.
167
CPT03_ManagedCareRate
This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.
168
CPT04_ManagedCareRate
This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.
169
CPT05_ManagedCareRate
This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.
170
CPT06_ManagedCareRate
This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.
171
CPT07_ManagedCareRate
This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.
172
CPT08_ManagedCareRate
This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.
173
CPT09_ManagedCareRate
This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.
174
CPT10_ManagedCareRate
This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.
175
CPT11_ManagedCareRate
This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.
176
CPT12_ManagedCareRate
This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.
177
CPT13_ManagedCareRate
This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.
178
CPT14_ManagedCareRate
This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.
179
CPT15_ManagedCareRate
This fields used to track the Managed Care Rate but are no longer used per SCA Data Architect Ashley Bryan.
180
VisitCanceledFlag
Identifies if the surgery occurred or was cancelled.
