Integrated Outpatient Code Editors

**Overview**
This data package includes information regarding Ambulatory Payment Classification and Code pairs for 'Integrated' Outpatient Code Editor (I/OCE) of outpatient institutional providers. It also contains datasets about Diagnosis Codes, National Correct Codes, Valid Modifiers and Valid Revenue of Initiative Pairs for IOCE Quarterly Release Files.

**Description**
This data package contains the Ambulatory Payment Classifications (APCs) are the government's method of paying facilities for outpatient services for the Medicare program. Each APC is composed of services which are similar in clinical intensity, resource utilization and cost. All services which are grouped under a specific APC result in an annually updated Medicare prospective payment for that particular APC. The 'Integrated' Outpatient Code Editor (I/OCE) program processes claims for all outpatient institutional providers including hospitals that are subject to the Outpatient Prospective Payment System (OPPS). The OCE not only identifies individual errors but also indicates what actions should be taken and the reasons why these actions are necessary. In order to accommodate this functionality, the OCE is structured to return lists of edit numbers. This structure facilitates the linkage between the actions being taken, the reasons for the actions and the information on the claim that caused the action. The OCE performs all functions that require specific reference to HCPCS codes, HCPCS modifiers and ICD-9-CM diagnosis codes. Since these coding systems are complex and annually quarterly, the centralization of the direct reference to these codes and modifiers in a single program will reduce effort and reduce the chance of inconsistent processing. The Revenue codes are 4-digit numbers that are used on hospital bills to tell the insurance companies either where the patient was when they received treatment, or what type of item a patient might have received as a patient. A medical claim will not be paid if this is missing from a bill.

**Benefits**
- Useful for medical care providers, patients and medical research groups. integrated outpatient code editors database is available on centers for medicare & medicaid services website in raw form, whereas a john snow labs (jsl) customer gets it in a clean and normalized form ready to use and create his own custom reports. easy to comprehend for the customers who are unfamiliar with the medical terminologies as all abbreviated terms are replaced with full form, unlike centers for medicare & medicaid services (cms) original datasets which have many abbreviations. recent dataset for 2016 is available for use.

**License Information**
The use of John Snow Labs datasets is free for personal and research purposes. For commercial use please subscribe to the [Data Library](https://www.johnsnowlabs.com/marketplace/) on John Snow Labs website. The subscription will allow you to use all John Snow Labs datasets and data packages for commercial purposes.

**Included Datasets**
- [Ambulatory Payment Classification for IOCE Quarterly Release Files](https://www.johnsnowlabs.com/marketplace/ambulatory-payment-classification-for-ioce-quarterly-release-files)
- APCs or "Ambulatory Payment Classifications" are the government's method of paying facilities for outpatient services for the Medicare program.
- [Code Pairs IOCE Quarterly Release Files 2017-01 and 2017-04](https://www.johnsnowlabs.com/marketplace/code-pairs-ioce-quarterly-release-files-2017-01-and-2017-04)
- This dataset contains information about 'integrated' Outpatient Code Editor (I/OCE) program processes claims for all outpatient institutional providers including hospitals that are subject to the Outpatient Prospective Payment System (OPPS) as well as hospitals that are NOT (Non-OPPS). This dataset contains code pairs differences between January, 2017 and April, 2017 that should or should not be used together.
- [Code Pairs for IOCE Quarterly Release Files](https://www.johnsnowlabs.com/marketplace/code-pairs-for-ioce-quarterly-release-files)
- This dataset contains information about 'integrated' Outpatient Code Editor (I/OCE) program processes claims for all outpatient institutional providers including hospitals that are subject to the Outpatient Prospective Payment System (OPPS) as well as hospitals that are NOT (Non-OPPS).
- [Diagnosis Codes Using DX10 Mapping for IOCE Quarterly Release Files](https://www.johnsnowlabs.com/marketplace/diagnosis-codes-using-dx10-mapping-for-ioce-quarterly-release-files)
- This dataset contains information about 'integrated' Outpatient Code Editor (I/OCE) program processes claims for all outpatient institutional providers including hospitals that are subject to the Outpatient Prospective Payment System (OPPS) as well as hospitals that are NOT (Non-OPPS).
- [National Correct Coding Initiative Pairs for IOCE Quarterly Release](https://www.johnsnowlabs.com/marketplace/national-correct-coding-initiative-pairs-for-ioce-quarterly-release)
- This dataset contains information about 'integrated' Outpatient Code Editor (I/OCE) program processes claims for all outpatient institutional providers including hospitals that are subject to the Outpatient Prospective Payment System (OPPS) as well as hospitals that are NOT (Non-OPPS).
- [Valid Modifiers for IOCE Quarterly Release Files](https://www.johnsnowlabs.com/marketplace/valid-modifiers-for-ioce-quarterly-release-files)
- This dataset contains information about 'integrated' Outpatient Code Editor (I/OCE) program processes claims for all outpatient institutional providers including hospitals that are subject to the Outpatient Prospective Payment System (OPPS) as well as hospitals that are NOT (Non-OPPS).
- [Valid Revenue Codes for IOCE Quarterly Release Files](https://www.johnsnowlabs.com/marketplace/valid-revenue-codes-for-ioce-quarterly-release-files)
- This dataset contains information about 'integrated' Outpatient Code Editor (I/OCE) program processes claims for all outpatient institutional providers including hospitals that are subject to the Outpatient Prospective Payment System (OPPS) as well as hospitals that are NOT (Non-OPPS).

**Data Engineering Overview**
**We deliver high-quality data**
- Each dataset goes through 3 levels of quality review
- 2 Manual reviews are done by domain experts
- Then, an automated set of 60+ validations enforces every datum matches metadata & defined constraints
- Data is normalized into one unified type system
- All dates, unites, codes, currencies look the same
- All null values are normalized to the same value
- All dataset and field names are SQL and Hive compliant
- Data and Metadata
- Data is available in both CSV and Apache Parquet format, optimized for high read performance on distributed Hadoop, Spark & MPP clusters
- Metadata is provided in the open Frictionless Data standard, and its every field is normalized & validated
- Data Updates
- Data updates support replace-on-update: outdated foreign keys are deprecated, not deleted

**Our data is curated and enriched by domain experts**

Each dataset is manually curated by our team of doctors, pharmacists, public health & medical billing experts:
- Field names, descriptions, and normalized values are chosen by people who actually understand their meaning
- Healthcare & life science experts add categories, search keywords, descriptions and more to each dataset
- Both manual and automated data enrichment supported for clinical codes, providers, drugs, and geo-locations
- The data is always kept up to date – even when the source requires manual effort to get updates
- Support for data subscribers is provided directly by the domain experts who curated the data sets
- Every data source’s license is manually verified to allow for royalty-free commercial use and redistribution.

**Need Help?**
If you have questions about our products, contact us at [[e-mail]](mailto:[e-mail]).