A: Someone with consistently high protein in the urine may have kidney disease, but other causes could include a buildup of abnormal proteins in the organs called amyloidosis, diabetes, hypertension, Hodgkin's disease or sickle cell anemia, states Mayo Clinic. High protein may also result from leukemia, lupus, heart disease or pregnancy.
The circumstances of inpatient admission always govern the selection of principal diagnosis. The principal diagnosis is defined in the Uniform Hospital Discharge Data Set (UHDDS) as âthat condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care.â.
Before going into the actual structure of the DRG payment system, an understanding of the Uniform Hospital Discharge Data Set (UHDDS) elements used in the system is necessary. The UHDDS. The UHDDS definitions are used by acute care hospitals to report inpatient data elements in a standardized manner. The UHDDS data elements used in the DRG classification system are described below. Proper DRG assignment and resulting reimbursement is dependent on reporting these elements correctly.