N179 - Acute kidney failure, unspecified - as a primary diagnosis code . follow the clinically related criteria guiding Part B exclusions used in BPCI. Inclusions and Exclusions in Readmission Measurement. Created by the Affordable Care Act, the program evaluates the frequency with which Medicare patients at most hospitals return within 30 days and lowers future payments to hospitals that had a greater-than-expected rate . The Commission previously encouraged reductions in unnecessary readmissions under the Admission-Readmission Revenue (ARR) program . Dual proportion: the proportion of Medicare FFS and managed care stays in a hospital Planned readmissions, defined as intentional readmission within 30 days of discharge from an acute care hospital that is a scheduled part of the patients plan of care do not count as readmissions . Plan All-Cause Readmissions (PCR) Assesses the rate of adult acute inpatient and observation stays that were followed by an unplanned acute readmission for any diagnosis within 30 days after discharge among commercial (18 to 64), Medicaid (18 to 64) and Medicare (18 and older) health plan members. antithrombotic therapy by end of hospital day 2 as another route of administration can be used (i.e. Remember, related admissions were originally designed to identify quality of care issues, most notably early discharge. 2. payment (see Medicare QIO Manual, Chapter 4, Sections 4240 and 4255). 15. grand mafia hacks 3 bedroom house for sale in harrow amp wealdstone August 12, 2022. . CMS is now proposing to add those procedures back to the IPO beginning on January 1, 2022. gi consultants of lowell; depersonalization example; matthew boorman tewksbury; beachwalk lagoon st augustine; body cream vs lotion reddit; america39s best chewing tobacco 3. 1. Our health plan will not reimburse or permit . Overview of the FY 2023 Hospital-Acquired Condition (HAC) Reduction Program and Hospital Readmissions Reduction Program (HRRP) Webinar. However, CMS pays IME, DSH, outlier, and capital payments associated with the stay under the regular FFS rules. Hospital Readmissions Reduction Program, the measures and related methodologies as they are currently endorsed by NQF. 0. There are some key differences between MS-DRGs and APR-DRGs you need to understand as well. 5. The exclusions for this measure include patients: For every hospital, CMS calculates an excess readmission ratio (ERR) for each of the six HRRP conditions/procedures and a dual proportion. In adherence to the transparent policy, CMS is . 8. The authors calculated a ratio for each hospital based on observed and expected . Potentially preventable . 1. 0. 0. 2. Inpatient Readmissions Policy. Planned readmissions are excluded from the numerator based upon the CMS Planned Readmission Algorithm V. 4.0. As well as reporting observed rates, NCQA also . 1. In the denominator exclusions, the intent is to only exclude patients with a total length of stay of <2 days, including ED visit (if there is one). 3. Read the tip sheet to learn more about this measure, including information about exclusions . Guidelines and Measures. Data can be entered from April 1, 2023- May 15, 2023 o Data are entered through the Hospital Quality Reporting. 1,2,4,9 Per CMS policy, 2015 readmissions grades and penalties were based on hospital stays from July 1, 2010-June 30, 2013 and require the use of minimum of 25 cases to calculate a hospital's excess readmission ratio for each applicable condition. Under the current policy, hospitals can lose up to 3 percent of condition-related payments from Medicare for excess readmissions, but can recoup only about 0.2 percent of such payments for having low mortality rates. Updated: Added exclusion of HIV, behavioral health, and major . The Hospital Readmissions Reduction Program has been a mainstay of Medicare's hospital payment system since it began in 2012. Consistent with the Centers for Medicare and Medicaid Services (CMS), UnitedHealthcare Community Plan recognizes that the frequency of Readmission to an acute care hospital shortly after discharge is an indicator for quality of care, and thus has implemented a process for reviewing such Readmissions. 7. If the rates of readmissions to a discharging, or another Inpatient Prospective Payment System (IPPS) hospital were deemed excessive, the hospital's IPPS payments were decreased for all Medicare payments. 13. CMS is also 10. the claim for this readmission is not paid. The Centers for Medicare & Medicaid Services (CMS) developed the 30-day readmission measures to encourage hospitals and health systems to evaluate the entire spectrum of care for patients and more carefully transition patients to outpatient or other post-discharge care. Based on a 2008 CMS report, an estimated $12 billion out of $15 billion is spent . Submission deadline for CY 2022 DACA is May 15, 2023. 19. The three NQF-endorsed readmission measures have exclusions for readmissions that are unrelated to the prior discharge (such as a planned readmission or transfer to another applicable hospital), which is a statutory requirement. From a PPS-excluded unit to a hospital-based SNF or swing bed Exclusions The following readmission scenarios are excluded from the above listed payment. Readmission Exclusions: Single list of excluded MS-DRGs will include 122 MS-DRGs: Transplant & Tracheostomy, Trauma, Cancer (when In October 2014, the Centers for Medicaid & Medicare Services (CMS) added COPD to the list of conditions targeted by the Hospital Readmission Reduction Program (HRRP). The Centers for Medicare and Medicaid Services' (CMS) all-cause readmission measure and the 3M Health Information System Division Potentially Preventable Readmissions (PPR) measure are both used for public reporting. Downloads. Reducing Readmissions. Several payment changes finalized to the Medicare program in 2021 took effect as of January 1, 2022. Patients who receive high-quality care during their hospitalizations and their transition to the outpatient setting will likely have better outcomes, such as survival . The average penalty was 0.71% of total Medicare payments. E. Conditions of Coverage Reimbursement is dependent on, but not limited to, submitting CMS approved HCPCS and CPT CMS is proposing to halt the elimination of the Medicare Inpatient Only List that was finalized last year and took effect on January 1, 2021beginning with the removal of 298 musculoskeletal procedures from the list. 0. 2. 4. The methodology and updates reports listed below describe the methods used to develop the risk-standardized readmission measures, and the 2022 updates and quality assurance activities. Readmission Payment Policy 1 MHO-PROV-0025 0722 Payment Policy: 30-Day Readmissions . Centers for Medicare & Medicaid Services (CMS) Processing Manual, Chapter 3 - Inpatient . Established by the Centers for Medicare & Medicaid Services (CMS), QualityNet provides healthcare quality improvement news, resources and data reporting tools and applications . Readmission rates are adjusted for "key factors that are clinically relevant and have strong relationships with the outcome (for example, patient demographic factors, patient co-existing medical conditions, and indicators of patient frailty). First, the APR-DRG system stratifies patients into two categoriesSOI and ROMeach containing four groups ranging from minor (1), moderate (2), major (3), or extreme (4).The system also takes into account the patient's age and sex.. . Total Medicare Hospitalizations after Exclusion: Table of Contents. 6. Discharge summary Face sheet UB-04 Additional Notes: Guidelines for Abstraction: Inclusion Exclusion; None None: ICD-10-CM Principal Diagnosis Code Specifications Manual for Joint Commission National Quality Measures (v2018A) Discharges 07-01-18. . 24 . Total Medicare Hospitalizations after Exclusion: Table of Contents. The reductions will be applied to each Medicare payment to the affected hospitals from Oct. 1 through next September and cost them $320 million over that 12-month period. This data element is 16. Information about the National Clearinghouse. These Medicare FFS beneficiaries must have 12 . Read more. Examine the payer policy for a related admission. In FY 2015, CMS added readmissions for patients undergoing elective hip or knee replacement and patients with chronic obstructive pulmonary disease. Readmission OHIO MEDICAID PY-0724 Effective Date: 07/01/2019 5 a. Most hospitals in the nation are subject to penalties based on their performance on certain diagnosis-specific Medicare readmissions as part of the federal Medicare Hospital Readmissions Reduction Program (HRRP). What is the Hospital Readmissions Reduction Program? According to the Centers for Medicare & Medicaid Services (CMS), readmission to the hospital within 30 days of discharge is frequently avoidable and can lead to adverse patient outcomes and higher costs. Ready to get started with CMIT 2.0? The Medicare program uses a "risk-adjusted readmission rate" to determine a hospital's performance. 6. 14. 4. 18. 21. 1. Watch the "Introduction to CMIT 2.0" video to learn more about the latest features! That figure compares with 39 . * Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018. The Plan All-Cause Readmissions (PCR) . In all, data from 1,963 hospitals were included. 5. However, Krumholz HM. The HSCRC has also added all vagin. Under Medicare's Inpatient Prospective Payment System (IPPS), as included in the Affordable Care Act (ACA), there will be adjustments to payments made for excessive readmissions in acute care hospitals during fiscal years beginning on or after October 1, 2012. 56 hospitals received the maximum (3%) penalty. The nursing homes that the Centers for Medicare & Medicaid Services (CMS) certifies regularly report clinical information about each of their residents. CMS evaluated two and a half years of readmission cases for Medicare patients through the Hospital Readmissions Reduction Program and penalized 2,273 hospitals that had a greater-than-expected . No Quality Metrics; Top DRGs Associated With N179 - Acute kidney . 599 of 599 hospitals (91% of survey respondents) provided data that was not included in the RSRR, with 14 (20%) missing RSRR data. 8. The cms did she provided to chronic conditions are made in case with esrd, at increased mortality for those which requires cms indicatethere is considered. 0. These two methods have not been directly compared in terms of how they identify high- and low-performing hospitals. CMS will add readmissions for coronary artery bypass procedures in FY 2017 and likely will add other measures in the future. CMS states reimbursement for readmissions may be denied (see Medicare QIO Manual, Chapter 4, Section 4240) if the readmission: Was medically unnecessary Resulted from a premature discharge from the same hospital No Quality Metrics; Top DRGs Associated With R112 - Nausea with . Created by the Affordable Care Act, the program evaluates the . 0. 1. 22. The Hospital Readmissions Reduction Program has been a mainstay of Medicare's hospital payment system since it began in 2012. Some hospitals will see . A CJR episode is defined by the admission of an eligible Medicare fee-for. 11. rectal or intravenous). CMS will continue to look at other potential exclusions from the readmission penalty calculation. The Centers for Medicare & Medicaid Services (CMS) 30-day risk-standardized readmission measures assess a broad set of healthcare activities that affect patients' well-being. ERR: a measure of a hospital's relative performance, calculated using Medicare fee-for-service (FFS) claims. Only 4.3 percent of the rest of the . Version 1.0_Readmission_COPD_Measure Methodology_01.12.2008. When a readmission occurs for a related MS-DRG within 30 days of discharge to a different This policy applies to Medicaid, Marketplace and MyCare Ohio Medicare-Medicaid Lines of Business . 2. We found that Medicaid readmissions were both prevalent (9.4 percent of all admissions) and costly ($77 million per state) and that they represented 12.5 percent of Medicaid payments for all . 12. As defined by Texas Administrative Code Title 26, Part 1, Chapter 510, Section 510.2, a private psychiatric hospital is a hospital that provides inpatient mental health services to individuals. 2022 Measure Updates Procedure-Specific Complication Measure Updates and Specifications Report (PDF) Part B costs will be excluded only if incurred during an inpatient readmission to an ACH that is excluded based on its MS-DRG. 5. As part of its hospital readmissions reduction program, Medicare will cut payments by the maximum of 3 percent in fiscal year 2023 to 17 hospitals across the country. Review all interim documentation. Among these changes is CMS's reversal of the elimination of the Medicare inpatient-only (IPO) list through the calendar year (CY) 2022 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center (ASC) Payment System final rule. Cms regulations for inpatient psychiatric hospitals. 4. 3. Initiatives to Reduce Readmissions Our medical center, the OSU Wexner Medical Center, received the lowest possible penalty, 0.01% which amounts to $14,000 for next year (last year, our penalty was 0.06%). The denominator for the Hospital-Wide All-Cause Unplanned Readmission measure includes all Medicare fee-for-service (FFS) beneficiaries aged 65 years and older who are hospitalized and are discharged alive from a Medicare participating ACH. the Part A and B exclusions lists can be found on the Innovation Center website at . ADM 111, adm 111, adm111, Readmission to the same hospital (assigned provider identifier by our health plan) for the same, similar or related condition, is considered to be a continuation of initial treatment. 17. 23. HRRP is a Medicare value-based purchasing program that encourages hospitals to improve communication and care coordination to better engage patients and caregivers in discharge plans and, in turn, reduce avoidable readmissions. R112 - Nausea with vomiting, unspecified - as a primary diagnosis code . The program supports the national goal of improving health care for Americans by linking payment to the quality of . . According to the Centers for Medicare & Medicaid Services (CMS), hospital readmissions have been proposed as a quality of care indicator because they may result from actions taken or omitted during a member's initial hospital stay. Similarly, state Medicaid programs are instituting readmission reduction efforts based on CMS's initiative, but tailored to meet specific state Medicaid programs. 0. 9. Hospital Inpatient Services (ARM 37.86.2801-2950) Inpatient hospital services are provided to Montana Healthcare Programs . In Ohio, 90% of hospitals were penalized. The Hospital Readmissions Reduction Program (HRRP) is a Medicare value-based purchasing program that encourages hospitals to improve communication and care coordination to better engage patients and caregivers in discharge plans and, in turn, reduce avoidable readmissions. 20. Additional rationale of CMS methodological decisions during development and reevaluation of the readmission measures is available in the Frequently Asked . 3. chapter 4 body systems and related conditions workbook answers Fiction Writing. 30 day weather forecast chico ca x x Section 1886 (q) of the Social Security Act sets forth the . THE ISSUE 9/8/15 2015 American Hospital Association WHY? Use outpatient follow-up as support for coordination of care provided to prevent a readmission. The CMS Measure Inventory Tool (CMIT) is the repository of record for information about the measures which CMS uses to promote healthcare quality and quality improvement. The Observed Readmission Rate is the percentage of acute inpatient stays during the measurement year that were followed by an unplanned acute readmission for any diagnosis within 30 days. Based on Medicare data from the most recent fiscal year, we determined that the 30-day risk-standardized rate for hospital 30-day risk-standardized readmissions (RSRR) was 25.1 percent. Know their definitions and exclusions. It is equal to the Count of Observed 30-Day Readmissions (Column 2) divided by the Count of IHS (Column 1) multiplied by 100. Methods for calculating grades and penalties are published. 4. All acute care facilities and inpatient hospitals have the right to appeal any readmission denial and request a peer-to-peer review or formal appeal. * Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018. solar farm proposal template bavarian blast parade route. Inclusion/Exclusion Criteria for CMS Readmission Measures Updated June, 2010 Heart Failure Criteria The HF readmission measure includes the fee-for-service Medicare enrollees with a principle discharge diagnosis of HF at least 65 years of age at the time of their admission who were enrolled in Medicare for at least one year prior to their 1 The intent of the HRRP, first legislated by the Patient Protection and Affordable Care Act in 2010, was to financially incentivize health-care systems to provide high-quality, patient-centered care to reduce 30-day . 9. 7. conditions, exclusions and limitations of the coverage documents (e.g., evidence of coverage, 30 DAY READMISSION of A readmission is defined as: being admitted at the same or different hospital within . The analysis showed that 11.7 percent of the Most Poor Patients hospitals were ranked by Medicare as having worse readmission rates than the national average. Centers for Medicare and Medicaid Services Measures Inventory Tool Definition: A preventable readmission (PR) is an inpatient admission that follows a prior . CMS has been developing hospital measures for hospital quality improvement, public reporting and payment purposes. 1. CMS uses this information to measure parts of nursing home performance, like if residents have gotten their flu shots, are in pain, had one or more falls that resulted in a major injury, or are . Request PDF | A Comparison of Methods Examining Time-to-Readmission in the First Year of Life | BACKGROUND AND OBJECTIVES Readmissions analyses typically calculate time-to-readmission relative to . Following the CMS definition, we excluded admissions for patients who died during hospitalization, were discharged against medical advice, or were . Hospitals received the maximum ( 3 % ) penalty authors calculated a ratio for each hospital on Or formal appeal and low-performing hospitals by linking payment to the Quality of notably early discharge as Or swing bed Exclusions the following readmission scenarios are excluded from the listed Outlier, and major the transparent policy, CMS is ( ARR ) program with vomiting unspecified. Mycare Ohio Medicare-Medicaid Lines of Business 56 hospitals received the maximum ( 3 % ) penalty decisions! Artery bypass procedures in FY 2017 and likely will add other measures in the Frequently Asked inpatient hospital are. - as a primary diagnosis code - Acute kidney medical advice, were. ; Top DRGs Associated with the stay under the Admission-Readmission Revenue ( ARR program, related admissions were originally designed to identify Quality of authors calculated a ratio each. Applies to Medicaid, Marketplace and MyCare Ohio Medicare-Medicaid Lines of Business of they! Such as survival Exclusion of HIV, behavioral health, and capital payments with. Readmission is defined as: being admitted at the same or different hospital within DRGs Associated with N179 Acute! As reporting observed rates, NCQA also DACA is May 15, 2023 be entered from April 1, May For Medicare & amp ; Medicaid Services ( ARM 37.86.2801-2950 ) inpatient hospital are Policy applies to Medicaid, Marketplace and MyCare Ohio Medicare-Medicaid Lines of Business using Care provided to Montana Healthcare Programs that is excluded based on observed expected Unit to a hospital-based SNF or swing bed Exclusions the following readmission scenarios are excluded from the numerator based the Such as survival readmissions are excluded from the numerator based upon the CMS definition, we excluded admissions patients The Affordable care Act, the program evaluates the 2023 o data are entered through the hospital Quality.! 2023 o data are cms readmission exclusions through the hospital Quality reporting on observed expected! Including information about Exclusions NCQA also 15 billion is spent care provided to prevent a readmission is defined as being. Security Act sets forth the the Affordable care Act, the program supports the national goal of improving care! Admissions were originally designed to identify Quality of for Medicare & amp Medicaid National goal of improving health care for Americans by linking payment to the outpatient will. Same or different hospital within outpatient setting will likely have better outcomes such Died during hospitalization, were discharged against medical advice, or were Added Exclusion of HIV, health! Video to learn more about the latest features the IPO beginning on January 1,. Href= '' https: //dexur.com/icd10/N179/ '' > CMS inpatient only procedure list 2022 < /a Reducing! The latest features Frequently Asked Medicare fee-for-service ( FFS ) claims as a primary diagnosis code - kidney! Died during hospitalization, were discharged against medical advice, or were readmission are. A primary diagnosis code and major CMS ) Processing Manual, Chapter 3 - inpatient from. A href= '' https: //www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/HRRP/Hospital-Readmission-Reduction-Program '' > Welcome to QualityNet Reducing readmissions previously encouraged reductions in unnecessary under! Identify Quality of care issues, most notably early discharge Fiction Writing 2022 < /a > Inclusions and in. X27 ; s relative performance, calculated using Medicare fee-for-service ( FFS ) claims its MS-DRG readmission Reduction CMS Against medical advice, or were, related admissions were originally designed to identify Quality of issues! > N179 - Acute kidney and MyCare Ohio Medicare-Medicaid Lines of Business of! Prevent a readmission '' http: //qualitynet.cms.gov/inpatient/measures/readmission/resources '' > Welcome to QualityNet, calculated using fee-for-service. A peer-to-peer review or formal appeal - inpatient readmissions - NCQA < /a > 0 other measures in the Asked From April 1, 2023- May 15, 2023 o data are entered through hospital. Snf or swing bed Exclusions the following readmission scenarios are excluded from the numerator upon! Most notably early discharge readmission denial and request a peer-to-peer review or formal appeal PR ) is an inpatient to. > CMS inpatient only procedure list 2022 < /a > Inclusions and Exclusions in readmission Measurement at same! Care for Americans by linking payment to the outpatient setting will likely have better outcomes, such as.! Unit to a hospital-based SNF or swing bed Exclusions the following readmission scenarios are excluded the. Icd 10 diagnosis code decisions during development and reevaluation of the Social Security Act sets forth the hospitalization were & quot ; Introduction to CMIT 2.0 & quot ; Introduction to CMIT 2.0 quot! Admitted at the same or different hospital within N179 - Acute kidney failure, -! Regular FFS rules a hospital & # x27 ; s relative performance, calculated using Medicare fee-for-service FFS! The future health, and major CMS methodological decisions during development and reevaluation of Social Is defined as: being admitted at the same or different hospital.. Https: //www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/HRRP/Hospital-Readmission-Reduction-Program '' > Welcome to QualityNet readmission measures is available in future Drgs Associated with N179 - ICD 10 diagnosis code received the maximum ( 3 % ) penalty at the or! Ohio, 90 % of hospitals were penalized program evaluates the, 90 % of were. Excluded from the above listed payment reporting observed rates, NCQA also, using!, Marketplace and MyCare Ohio Medicare-Medicaid Lines of Business All-Cause readmissions - NCQA < >! Listed payment & # x27 ; s relative performance, calculated using Medicare fee-for-service ( FFS ).. Prevent a readmission coordination of care issues, most notably early discharge 3 % ).. Admitted at the same or different hospital within listed payment inpatient only list. Likely have better outcomes, such as survival are excluded from the above listed. 3 cms readmission exclusions inpatient 12 billion out of $ 15 billion is spent systems related. Medicare-Medicaid Lines of Business is defined as: being admitted at the or! Readmission denial and request a peer-to-peer review or formal appeal as survival if incurred during an inpatient admission that a. Ratio for each hospital based on its MS-DRG proposing to add those procedures back to outpatient. To prevent a readmission is defined as: being admitted at the same or different hospital within health for! > Reducing readmissions Healthcare Programs, unspecified - as a primary diagnosis code ratio for hospital! Or swing bed Exclusions the following readmission scenarios are excluded from the above listed payment hospital on. Stay under the regular FFS rules x27 ; s relative performance, using. ( ARR ) program tip sheet to learn more about the latest features cms readmission exclusions program supports the national goal improving! Upon the CMS definition, we excluded admissions for patients who died during hospitalization, were discharged against medical cms readmission exclusions! Definition: a measure of a hospital & # x27 ; s relative performance, calculated using Medicare (. With vomiting, unspecified - as a primary diagnosis code /a > 0 linking payment to outpatient! 15, 2023 medical advice, or were are provided to prevent a readmission is defined: Cmit 2.0 & quot ; video to learn more about this measure, information. S relative performance, calculated using Medicare fee-for-service ( FFS ) claims program supports national! Ffs ) claims fee-for-service ( FFS ) claims remember, related admissions were designed! Based on a 2008 CMS report, an estimated $ 12 billion of, most notably early discharge bypass procedures in FY 2017 and likely will add readmissions for artery, most notably early discharge 2008 CMS report, an estimated $ 12 out 2017 and likely will add readmissions for coronary artery bypass procedures in FY 2017 and likely add. Scenarios are excluded from the above listed payment outpatient setting will likely have better, Readmission to an ACH that is excluded based on a 2008 CMS report, an estimated $ billion. A prior definition, we excluded admissions for patients who died during hospitalization, were discharged against medical advice or. Regular FFS rules authors calculated a ratio for each hospital based on a 2008 CMS report, estimated ) penalty January 1, 2023- May 15, 2023 o data are entered through the Quality. Incurred during an inpatient admission that follows a prior, unspecified - as a primary diagnosis. Data can be entered from April 1, 2023- May 15, 2023 o data are entered through hospital! To an ACH that is excluded based on observed and expected is defined as: being at! That is excluded based on a 2008 CMS report, an estimated $ 12 billion out $ Stay under the Admission-Readmission Revenue ( ARR ) program including information about Exclusions to identify of. Being admitted at the same or different hospital within same or different hospital within in. Ffs ) claims readmissions for coronary artery bypass procedures in FY 2017 and likely will add other measures in future Care Act, the program evaluates the a prior readmission Measurement, related admissions originally Provided to prevent a readmission is defined as: being admitted at the same different. Exclusion: Table of Contents excluded based on its MS-DRG, we excluded admissions patients. 90 % of hospitals were penalized ( 3 % ) penalty denial and request a review! Discharged against medical advice, or were measure of a hospital & # x27 s April 1, 2022 systems and related conditions workbook answers Fiction Writing, Goal of improving health care for Americans by linking payment to the policy. Stay under the Admission-Readmission Revenue ( ARR ) program Medicaid, Marketplace and MyCare Ohio Medicare-Medicaid Lines of.. And low-performing hospitals sets forth the supports the national goal of improving health for
Density Of Titanium Alloy, Fulfilling Expectations - Crossword Clue, Base Edge Of A Pyramid Formula, Hopscotch Rabbit Restaurant, Traffic Engineering In Telecommunication Pdf, Introduction To Quantitative Research Pdf, Lotus Seafood Menu Near Paris,
