20236. EPMO Open Source Coordination Office Redaction File Detail Report

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20236.1 Files compared

# Location File Last Modified
1 CCRS.zip\CCRS\CCRS-BUSRULES-v1.5.3.zip\CCRS-BUSRULES-v1.5.3-436e6fff1115001d614ccd45b469ad60a9bdb27b\docs SEOC_Taxonomy.xlsx Tue Apr 10 06:18:41 2018 UTC
2 CCRS.zip\CCRS\CCRS-BUSRULES-v1.5.3.zip\CCRS-BUSRULES-v1.5.3-436e6fff1115001d614ccd45b469ad60a9bdb27b\docs SEOC_Taxonomy.xlsx Fri Jun 15 15:22:35 2018 UTC

20236.2 Comparison summary

Description Between
Files 1 and 2
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Unchanged 1 56
Changed 0 0
Inserted 0 0
Removed 0 0

20236.3 Comparison options

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20236.4 Active regular expressions

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20236.5 Comparison detail

  1   SHEET: She et1
  2   Attribute, Data Type, Data Defin ition,Exam ple,
  3   SEOC ID Nu mber,Strin g,Service  Line Abbre viation_SE OC Name_Ve rsion Numb er_PAL (if  a PAL SEO C)_PCRT (i f need pre -cert),PMR _CHIROPRAC TIC_1.0.1,
  4   Service Li ne (associ ated with  the specia lty),Strin g,Service  Line for e ach SEOC,R ehabilitat ive Servic es,
  5   Category o f Care (CO C),String, Category o f Care ass ociated wi th SEOC,Ch iropractic ,
  6   SEOC  Name ,String,Na me of the  SEOC,Chiro practic,
  7   Clinical S ervice,Str ing,The cl inical ser vice assoc iated with  the SEOC, N/A,
  8   Continued  Pain Manag ement,
  9   Version,St ring,Versi on number  if the SEO C,1.0.1,
  10   Version Ef fective St art Date,D ate,The ef fective st art date f or this ve rsion of t he SEOC,1- Jan-18,
  11   [Month/Day /Year],
  12   Version Ef fective En d Date,Dat e,The effe ctive end  date for t his versio n of the S EOC,1-Jun- 18,
  13   [Month/Day /Year],
  14   No. of Ser vice/,Numb er,The num ber of ser vices asso ciated wit h the SEOC ,1,
  15   Procedure  within SEO C,2,
  16   3,
  17   Service/Ca re Request ed,String, One or mor e services  associate d with the  SEOC,Brea st MRI inc luding CHE M panel, a s clinical ly indicat ed,
  18   Duration,N umber,The  window of  time appro ved to pro vide this  service,90 ,
  19   (days),
  20   Authorized   No. of V isit(s) -  by Service ,Number,Th e numerica l amount o f approved  visits fo r a partic ular servi ce,4,
  21   CPT Codes, Number,The  CPT code  set descri bes medica l, surgica l, and dia gnostic se rvices and  is design ed to comm unicate un iform info rmation ab out medica l services  and proce dures amon g physicia ns, coders , patients , accredit ation orga nizations,  and payer s for admi nistrative , financia l, and ana lytical pu rposes. ,9 9201,
  22   CPT Descri ption,Stri ng,Provide s a short,  plain lan guage desc ription of  the servi ce/procedu re each in dividual C PT code re presents,O ffice or o ther outpa tient visi t for the  evaluation  and manag ement of a n establis hed patien t,
  23   Disclaimer ,String,Co mmunity pr ovider nee ds to see  this as it  identifie s certain  details ex clusive to  VA that t hey would  not encoun ter with a ny other i nsurer,**  All reques ts for add itional th erapeutic  modalities , includin g heat/col d modaliti es and mas sage thera py,
  24    require V A review.,
  25   Pre-Cert s ervices,Nu mber,Ident ifies indi vidual CPT  codes tha t require  insurance  pre-certif ication fo r Veterans  who have  Other Heal th Insuran ce.,77077,  20526, 20 527, 23020 ,
  26   PAL SEOC,B oolean,A y es/no indi cator that  defines t he SEOC is  a service  listed on  the Prior  Authoriza tion List  (PAL),Yes  ,
  27   DRG,String ,An inpati ent code f or the Dia gnostic Re lated Grou p (DRG) th at defines  the cost,  complexit y and leng th of stay  for inpat ient servi ces,D12.56 ,
  28   QASP categ ory,String ,Is a sing le selecti on at the  SEOC level  of five c ategories  under the  Quality As surance Su rveillance  Plan (QAS P). Those  categories  are: Gene ral Care,  Primary Ca re, Genera l Dentistr y, Special ty Dentist ry, Compli mentary &  Integrativ e Health C are,Genera l Care ,