Tidy Healthcare Revenue Integrity
📦 Installation
You can install northstar from GitHub with:
# install.packages("pak")
pak::pak("andrewallenbruce/northstar")🔰 Usage
Describe HCPCS
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/…NCCI Edits
Add-On Codes
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>Retrieve MUEs
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…Procedure-to-Procedure Edits
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>⚖️ Code of Conduct
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.
🏛️ Governance
This project is primarily maintained by Andrew Bruce. Other authors may occasionally assist with some of these duties.