Disposition Codes Anasazi Description Examples ID B Board & Care C Crisis Residence D E Death/Expired Left Without Being Seen F Moved H Home/Shelter/Self I IMD/MHRC Institution for Mental Disease/Mental Health Rehabilitative Center Licensed by DSS and not a health care facility. Board and Care Homes START programs, Children’s CAC Death Walked out before being seen Moved from area, no longer seeking services in San Diego County Includes: half-way house, group home, community care facility, foster care, shelter, homelessness, ILF, residential care facilities, any nonhealth facility Facilities defined as IMD by DHCS and not licensed by the California Dept of Public Health as a SNF. Ex includes Alpine Treatment Center Any jail, prison, detention, Juvenile Hall (Not necessarily Court Ordered) Any inpatient hospital. NOT physical medicine rehab facilities or rehab that is a distinct part of a hospital, or psychiatric facilities, or a Critical Access Hospital Includes: Home with healthcare services or written home health plan, Foster Care with organized home health services, home with J (San Diego MHRC is Alpine Treatment Center) Jail M Medical Hospital N SNF with Medicare Certification (Nursing Home, SNF, ICF) 1 Disposition Codes O Other P Psychiatric Hospital Q Per Court Order S State Hospital U Unplanned, AMA, Unknown V Homeless X DoubleLetter Reason Codes AA Do Not Use/Auto Close Intermediate Care Facility oxygen therapy, home with durable medical equipment, home with IV therapy or infusion therapy, home with rehabilitation or physical therapy (Medicare Part A), home with home health services ordered but not related to condition from the inpatient hospital, home with home health services ordered but not started within the postdischarge period, outpatient chemical dependence programs. NOT for hospice services Anything not covered in any other code Transfer to a Critical Care from EPU Any jail, prison, detention, Juvenile Hall (per Court Order) Metro, Napa State, Atascadero, etc. Client left hospital during treatment, left against medical advice, did not return for outpatient treatment Client returned to street, vs shelter or other living facility Never use Please contact QIMatters if any questions about these disposition codes. Includes: Nursing Facility with no Medicare/Medi-Cal certification, Assisted 2 Disposition Codes AB Federal Health Care Facility/VA AC Inpatient Rehab Facility AD Medicare Long Term Care Hospital AE Nursing Facility (Only MediCal) Living, Personal Home Care, Medicare certified SNF (but only receiving non skilled services, certified skilled bed but not qualifying for skilled level of care. Includes: VA, Dept Of Defense and Public Health Service Hospitals, Nursing facility in VA, Psychiatric Unit in VA IMD not licensed by California Dept of Public Health as a SNF IRFs are free standing rehabilitation hospitals and rehabilitation units in acute care facilities A long term care hospital that proved acute inpatient care with an average length of stay greater than 25 days or is Medicare certified. NOT SNF facilities certified by Medicare or ICF facility or SNF Facility certified by MediCal. Includes: SNF within the hospital’s non Medi-Cal Sub-acute Care Program, Skilled nursing bed for the Medi-Cal Transitional Care Program, Skilled nursing bed in a Congregate Living Health Facility licensed by California Dept. of Public Health, Institute for Mental Disease (IMD), if licensed by DPH as SNF’s. If not licensed by DPH, this 3 Disposition Codes AF Another type Health Care Facility AG Cancer Center/Children’s Hospital AH Home/with Home Health Service can be reported as federal health care facility. Includes: Hospitalbased ambulatory surgery clinic, a freestanding ambulatory surgery clinic/center, An Urgent Care facility, An Emergency Department, Chemical Dependency A children’s hospital that is not under Medicare Prospective Payment System, a cancer hospital that is designated by the National Cancer Institute. NOT nondesignated cancer hospitals. Home/Foster Home with healthcare services provided to patients at their place of residence at a level less intensive (include nursing care, respiratory/inhalation therapy, electro cardiology, physical therapy, occupational therapy, and recreational therapy), a written home health plan of care for home health care services, includes oxygen therapy, durable medical equipment, IV therapy or infusion therapy, rehab or physical therapy (all under organized home health services), Home with home health 4 Disposition Codes AI Home with Hospice Care AJ Medical Facility with Hospice Care AK Hospital based Medicare swing bed AL Critical Access Hospital (CAH) AM Disaster Alternative Care Site AN ID B C H V w/plan inpt readmit services ordered, but not related to condition from the inpatient hospital, home with services ordered, but not started within the post-discharge period, outpatient chemical dependence programs, NOT to home with hospice services. Includes Alternative setting such as patient’s home with hospice care, designated nursing home (as continued residence) with hospice care. Transfer to any medical facility for hospice care only. Includes Hospice Medical Facility and Inpatient respite. Pts discharged or transferred to a SNF level of care within the hospital’s Medicare approved swing arrangement. Includes Critical Access hospital’s swing bed. Includes a hospital designated as a Critical Access Hospital (See M above) Includes: hospital based ambulatory surgery clinic, freestanding ambulatory surgery clinic/center, Urgent Care, Emergency Dept, Chemical Dependency To be used only for discharges with planned acute care inpatient readmission. Follow National 5 Disposition Codes AO ID M w/plan inpt readmit AP ID N w/plan inpt readmit AQ Custodial w/plan inpt readmit AR ID AG (plan for inpt readmit) AS ID AH (plan for inpt readmit) AT ID AH (plan for inpt readmit) AU ID J,O (plan for inpt readmit) AV ID I, AB (plan for inpt readmit) AW ID AC (plan for inpt readmit) Uniform Billing Committee (NUBC) reporting guidelines. To be used only for discharges with planned acute care inpatient readmission. Follow NUBC reporting guidelines. To be used only for discharges with planned acute care inpatient readmission. Follow NUBC reporting guidelines. To be used only for discharges with planned acute care inpatient readmission. Follow NUBC reporting guidelines To be used only for discharges with planned acute care inpatient readmission. Follow NUBC reporting. To be used only for discharges with planned acute care inpatient readmission. Follow NUBC reporting. To be used only for discharges with planned acute care inpatient readmission. Follow NUBC reporting. To be used only for discharges with planned acute care inpatient readmission. Follow NUBC reporting. To be used only for discharges with planned acute care inpatient readmission. Follow NUBC reporting. To be used only for 6 Disposition Codes AX ID AD (plan for inpt readmit) AY ID AE (plan for inpt readmit) AZ ID P,S (plan for inpt readmit) BA ID AL (plan for inpt readmit) BB ID AF (plan for inpt readmit) discharges with planned acute care inpatient readmission. Follow NUBC reporting. To be used only for discharges with planned acute care inpatient readmission. Follow NUBC reporting. To be used only for discharges with planned acute care inpatient readmission. Follow NUBC reporting. Use only for discharges with planned acute care inpatient readmission. Follow NUBC reporting. Use only for discharges with planned acute care inpatient readmission. Follow NUBC reporting. Use only for discharges with planned acute care inpatient readmission. Follow NUBC reporting. 7