Tidy Healthcare Revenue Integrity
You can install northstar from GitHub with:
# install.packages("pak")
pak::pak("andrewallenbruce/northstar")library(northstar)describe_hcpcs(hcpcs = c("33924", "43116"))> # A tibble: 11 × 8
> hcpcs description desc_type level category section rbcs_category rbcs_family
> <chr> <chr> <chr> <chr> <chr> <chr> <chr> <chr>
> 1 33924 Remove pulm… Short I I Surgery Major Proced… Cardiovasc…
> 2 33924 Ligation an… Long I I Surgery Major Proced… Cardiovasc…
> 3 33924 LIG&TKDN SY… Medical I I Surgery Major Proced… Cardiovasc…
> 4 33924 Disconnecti… Consumer I I Surgery Major Proced… Cardiovasc…
> 5 33924 Ligation an… Clinician I I Surgery Major Proced… Cardiovasc…
> 6 33924 Ligation an… Clinician I I Surgery Major Proced… Cardiovasc…
> 7 43116 Partial rem… Short I I Surgery Major Proced… Digestive/…
> 8 43116 Partial eso… Long I I Surgery Major Proced… Digestive/…
> 9 43116 PRTL ESOPHA… Medical I I Surgery Major Proced… Digestive/…
> 10 43116 Partial rem… Consumer I I Surgery Major Proced… Digestive/…
> 11 43116 Partial cer… Clinician I I Surgery Major Proced… Digestive/…
get_addon_edits(hcpcs = c("33924", "33935"))> # A tibble: 6 × 6
> hcpcs aoc_type aoc_complements aoc_edit_type aoc_edit_description
> <chr> <chr> <list> <int> <chr>
> 1 33924 addon <tibble [39 × 1]> 1 Only Paid if Primary is Paid. …
> 2 33924 addon <tibble [10 × 1]> 1 Only Paid if Primary is Paid. …
> 3 33924 addon <tibble [1 × 1]> 1 Only Paid if Primary is Paid. …
> 4 33924 addon <tibble [3 × 1]> 1 Only Paid if Primary is Paid. …
> 5 33935 primary <tibble [1 × 1]> 1 Only Paid if Primary is Paid. …
> 6 33935 primary <tibble [3 × 1]> 1 Only Paid if Primary is Paid. …
> # ℹ 1 more variable: aoc_edit_effective <int>
get_mue_edits(hcpcs = c("33924", "33935"))> # A tibble: 4 × 6
> hcpcs mue_uos mue_mai mue_mai_desc mue_service_type mue_rationale
> <chr> <int> <int> <chr> <chr> <chr>
> 1 33924 1 2 Date of Service Edit: Po… Practitioner Code Descrip…
> 2 33935 1 2 Date of Service Edit: Po… Practitioner Anatomic Con…
> 3 33924 1 2 Date of Service Edit: Po… Outpatient Hosp… Code Descrip…
> 4 33935 1 2 Date of Service Edit: Po… Outpatient Hosp… Anatomic Con…
get_ptp_edits(hcpcs = c("33924", "33935"))> # A tibble: 21 × 6
> hcpcs ptp_type ptp_complements ptp_edit_mod ptp_edit_mod_desc
> <chr> <chr> <list> <int> <chr>
> 1 33924 comprehensive <tibble [1 × 1]> 0 Not Allowed
> 2 33924 comprehensive <tibble [4 × 1]> 0 Not Allowed
> 3 33924 comprehensive <tibble [1 × 1]> 1 Allowed
> 4 33924 comprehensive <tibble [4 × 1]> 1 Allowed
> 5 33924 comprehensive <tibble [6 × 1]> 0 Not Allowed
> 6 33924 comprehensive <tibble [2 × 1]> 1 Allowed
> 7 33924 comprehensive <tibble [2 × 1]> 1 Allowed
> 8 33924 comprehensive <tibble [2 × 1]> 1 Allowed
> 9 33924 comprehensive <tibble [1 × 1]> 0 Not Allowed
> 10 33924 component <tibble [1 × 1]> 0 Not Allowed
> 11 33935 comprehensive <tibble [27 × 1]> 0 Not Allowed
> 12 33935 comprehensive <tibble [50 × 1]> 1 Allowed
> 13 33935 comprehensive <tibble [63 × 1]> 1 Allowed
> 14 33935 comprehensive <tibble [67 × 1]> 1 Allowed
> 15 33935 comprehensive <tibble [13 × 1]> 0 Not Allowed
> 16 33935 comprehensive <tibble [1 × 1]> 1 Allowed
> 17 33935 comprehensive <tibble [2 × 1]> 0 Not Allowed
> 18 33935 comprehensive <tibble [2 × 1]> 0 Not Allowed
> 19 33935 comprehensive <tibble [11 × 1]> 0 Not Allowed
> 20 33935 comprehensive <tibble [24 × 1]> 0 Not Allowed
> # ℹ 1 more row
> # ℹ 1 more variable: ptp_edit_rationale <chr>
Please note that the northstar project is released with a Contributor
Code of
Conduct.
By contributing to this project, you agree to abide by its terms.
This project is primarily maintained by Andrew Bruce. Other authors may occasionally assist with some of these duties.