UB-04 Correspondence

Beginning with Q1-2025 discharge data submissions there will be changes in reporting Medicare Advantage payer classification codes.  There is a need to analyze more granular Medicare Advantage plans that have been identified as the most utilized Medicare Advantage payers across the state. Currently, all Tennessee hospitals report all Medicare Advantage plans in patient discharge records…

Continue Reading Medicare Advantage Payer Code Changes – Effective with Q1-2025 Data Submissions

THA worked with the Data Policy Committee (DPC) to reviewand update the THA Data Release Policy. The main objectives of this effort wereto reflect changes in THA’s data programs by removing outdated uses, clarifylanguage to ensure consistent interpretation of intended uses and prohibitions,and explore new external uses for UB discharge data in health planning andfinancial…

Continue Reading Updated THA Data Release Policy

As you are aware, with each new year comes a new set of CPT/HCPCS codes.  After extensive review of the new 2024 codes by the Tennessee Hospital Association (THA) and the Tennessee Health Information Management Association (THIMA) professionals, we have determined which codes should be included or excluded from the ambulatory surgery definition beginning with the…

Continue Reading 2024 THA Ambulatory Surgery Definition Update

As you are aware, with each new year comes a new set of CPT/HCPCS codes.  After extensive review of the new 2023 codes by the Tennessee Hospital Association (THA) and the Tennessee Health Information Management Association (THIMA) professionals, we have determined which codes should be included or excluded from the ambulatory surgery definition beginning with the…

Continue Reading 2023 THA Ambulatory Surgery Update