Files > CLAIMS TRACKING SI/IS CATEGORIES

name

CLAIMS TRACKING SI/IS CATEGORIES

number

356.3

location

^IBE(356.3,

description

This file contains the major categories of areas that are used to address the severity of illness and intensity of service. Specific criteria for each category must be met to address appropriateness of admission to continued stay in and discharge from specialized units and general units. Do Not add to or delete from this file without instructions from your ISC. Editing this file may have significant impact on the QM national roll-up of Utilization Review information. The contents of this file are the general categories for Intesity of Service and Severity of Illness from Interqual. Per VHA Directive 10-93-142, this file definition should not be modified.

Fields

#	Name	Location	Type	Details	Index	Description
.01	name(+)	0;1	FREE TEXT		B	This is the name of the Severity of Illness (SI) or Intensity of Service (IS) general category. Enter the name as it appears in the Interqual manual.
.02	*general or special unit	0;2	SET OF CODES	1:SPECIAL UNIT CODE 2:GENERAL UNIT		Enter whether this criteria is for general medical surgical ward or for a specialized unit as defined in the Interqual manual. Specialized units include not only ICU's and CCU's but some other non-critical care units that one might not normally expect to see included in the list.
.03	code	0;3	FREE TEXT		C	Enter the 2 digit number to assist in looking up SI/IS criteria. Do not edit this code as it will be used in the national roll-up of QM Utilization Review data to identify the category.
.04	level of care	0;4	SET OF CODES	1:CRITICAL CARE 2:ACUTE CARE - BODY SYSTEM 3:ACUTE CARE - OTHER		This field stores the three levels of care for the SI/IS categories. This field is displayed as an identifier when the SI/IS category is selected.