MS IODS Mississippi Inpatient Outpatient Data Collection System – IODS Manual 2 MISSISSIPPI IODS MANUAL TABLE OF CONTENTS Table of Contents INTRODUCTION ................................................................................................................................................................................................................................................. 4 DATA SUBMISSION REQUIREMENTS ............................................................................................................................................................................................................................. 4 DUE DATES ................................................................................................................................................................................................................................................................... 5 GENERAL RULES FOR SUBMISSION MISSISSIPPI IODS DATA .............................................................................................................................................................. 6 BATCH SUBMISSION REQUIREMENTS ........................................................................................................................................................................................................................... 6 ASSIGNMENT OF PATIENT TYPE ................................................................................................................................................................................................................................... 7 MISSISSIPPI-SPECIFIC FORMAT AND FIELD REQUIREMENTS ....................................................................................................................................................................................... 7 OTHER REPORTING REQUIREMENTS ........................................................................................................................................................................................................................... 8 IODS FIELD SPECIFICATIONS ........................................................................................................................................................................................................................ 9 MISSISSIPPI-SPECIFIC IODS 837I V5010 .................................................................................................................................................................................................... 19 IODS INPATIENT FLAT FORMAT .................................................................................................................................................................................................................. 28 IODS OUTPATIENT FLAT FORMAT ............................................................................................................................................................................................................. 44 APPENDIX I – DEFINITION OF INPATIENT AND OUTPATIENT RECORDS ..................................................................................................................................................................... 60 Mississippi Inpatient Database ........................................................................................................................................................................................................................... 60 Mississippi Outpatient Database ........................................................................................................................................................................................................................ 60 APPENDIX II – PATIENT TYPE/PLACE OF SERVICE ................................................................................................................................................................................................... 61 Inpatient Patient Type/Place of Service ............................................................................................................................................................................................................ 61 Outpatient Patient Type/Place of Service ......................................................................................................................................................................................................... 62 APPENDIX III – TYPE OF BILL .................................................................................................................................................................................................................................... 63 APPENDIX IV – STATE CODE ABBREVIATIONS ......................................................................................................................................................................................................... 72 APPENDIX V - RACE ................................................................................................................................................................................................................................................... 73 APPENDIX VI - ETHNICITY .......................................................................................................................................................................................................................................... 74 APPENDIX VII – EXPECTED SOURCE OF PAY............................................................................................................................................................................................................ 75 APPENDIX VIII – ADMISSION/DISCHARGE HOUR ...................................................................................................................................................................................................... 76 APPENDIX IX – PRIORITY OF ADMISSION .................................................................................................................................................................................................................. 77 APPENDIX X – POINT OF ORIGIN ............................................................................................................................................................................................................................... 78 Newborn Point of Origin Codes .......................................................................................................................................................................................................................... 82 APPENDIX XI – PATIENT DISCHARGE STATUS .......................................................................................................................................................................................................... 83 APPENDIX XII – PRESENT ON ADMISSION ................................................................................................................................................................................................................. 91 APPENDIX XIII – REVENUE CODES REQUIRING CPT/HCPCS ................................................................................................................................................................................ 92 3 MISSISSIPPI INPATIENT OUTPATIENT DATA SYSTEM (IODS) MANUAL INTRODUCTION The Mississippi Inpatient Outpatient Data System (IODS) was created in response to legislation enacted by the State of Mississippi in 2008. The system is a collaborative between the Mississippi Hospital Association (MHA) and the Mississippi State Department of Health (MSDH). Data Submission Requirements Authority-Mississippi Code Annotated § 41-63-4 requires certain licensed health care facilities operating in the state of Mississippi to report information on patient health care to the Mississippi State Department of Health. Further, Mississippi Code Annotated § 41-7-185 requires providers of institutional health services and home health services to make available statistical information or such other requested information by the Mississippi State Department of Health. Purpose -The Mississippi State Department of Health (MSDH), acting as the state’s public health authority, is required to design and establish a registry program concerning the condition and treatment of persons seeking medical care in the state of Mississippi. MSDH must collect, analyze and disseminate these health care data in order to improve the quality and efficiency of medical care. Data Elements -The Mississippi IODS is based on the Health Care Finance Administration (HCFA) UB-04 or the most recent version and additional selected information routinely collected by health care facilities on each patient. IODS is a web-based data collection tool designed to effectively and efficiently collect inpatient discharge, outpatient surgical, emergency department, and all other outpatient encounter claims. Data will be required quarterly, but hospitals are strongly encouraged to submit data as frequently as possible to avoid last minute delays and allow for additional time for corrections. MHA recommends monthly data submission at a minimum as the volume of data being collected increases substantially with the addition of emergency department and all other outpatient