Oregon Medicaid Diagnosis Codes Exempt From Readmission Billing

Oregon Medicaid diagnosis codes are exempt from a specific 30-day readmission billing rule. The list includes effective dates, code values, and descriptions, published by data.oregon.gov. The dataset was last updated in October 2020.

Use Cases

• Validate hospital billing by checking if a patient's `Code` is exempt from consolidated billing under rule 410-125-0410(2).
• Track policy changes over time by analyzing the `Effective` date of code exemptions.
• Map exempt diagnosis categories using the `Description` field for auditing or reporting.

Strengths

• Provides a specific list of exempt codes directly tied to an Oregon Administrative Rule.
• Includes three clear columns (`Effective`, `Description`, `Code`) for straightforward lookup.

Limitations

• Dataset size, row count, and completeness are unknown.
• Data is stale, with no updates since October 2020, potentially missing recent policy changes.
• Geographic scope is limited solely to Oregon Medicaid policy.

Provenance

Source

data.oregon.gov

Freshness

Last updated 2020-10-27; update frequency unknown.

Geography

Oregon, USA