Assessment of Strategies for Managing Expansion of Diagnosis Coding Using Risk-Adjustment Methods for Medicare Data

Yusuke Tsugawa; Jose F Figueroa; Irene Papanicolas; E John Orav; Ashish K Jha

doi:10.1001/jamainternmed.2019.1005

Assessment of Strategies for Managing Expansion of Diagnosis Coding Using Risk-Adjustment Methods for Medicare Data

JAMA Intern Med. 2019 Sep 1;179(9):1287-1290. doi: 10.1001/jamainternmed.2019.1005.

Authors

Yusuke Tsugawa¹, Jose F Figueroa^{2

3}, Irene Papanicolas^{2

4}, E John Orav^{3

5}, Ashish K Jha^{2

3

6}

Affiliations

¹ Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, UCLA (University of California, Los Angeles).
² Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
³ Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
⁴ Department of Health Policy, London School of Economics and Political Science, London, England.
⁵ Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
⁶ Veterans Affairs Healthcare System, Boston, Massachusetts.

Abstract

This study of 100% Medicare Inpatient Files assesses strategies for managing coding of comorbidities associated with hospitalization before and after Centers for Medicare & Medicaid coding changes.