Product Notes: Usually Ships in 48 Hours.
Establish Proven DRG Assignment and Auditing Practices
DRG Desk Referencegives access to crucial information to determine DRG assignment, gives guidance on how to audit assigned DRGs completely and effectively and provides a tutorial on how to assign and audit DRGs. This must-have tool works particularly well with DRG Expert.
Features and Benefits:
- New! Documentation Specificity Tables include diagnoses that require additional physician specificity in documentation in order to assign a code that is designated an MCC or CC such as CHF, COPD, arthropathies and ESRD.
- New! Deleted CCs Table includes diagnoses and codes for conditions that were commonly assigned CCs under the previous CMS-DRGs but will no longer be designated as MCCs or CCs under MS-DRGs.
- New! Case Mix Index section discusses the importance of calculating and tracking case mix on a regular basis as well as tips for documenting Case Mix Index changes and their causes.
- New! Physician Documentation Official Guidelines Table provides specific Coding Clinic guidelines related to physician and other clinical caregiver documentation issues and how they relate to assigning appropriate diagnosis codes.
- Exclusive— Optimal Reimbursement Indicators. Know the major factors involved in moving a patient from a lower-paying DRG to a higher one. Receive optimal payment while staying in compliance and avoiding fraudulent practices.
- Exclusive— Check The Ingenix Website for DRG Updates Throughout the Year.
- Ingenix Edge— DRG Decision Trees. Clearly understand the logic behind assigning a DRG within an MDC. Available through our product website or the CD.
- Ingenix Edge— DRG History and How-To. An overview of the basic characteristics of the DRG classification system, history and relationship to the IPPS.
- ICD-9-CM Codes for Common Diagnoses and Procedures. Quickly identify the key diagnosis or procedure by ICD-9-CM code for each potential.
- Key Fields for Coder Abstracting. Abstracting basics, elements, code edits and compliance-related issues associated with abstracting.
- Complete CC List. Know exactly how codes considered CCs will affect DRG assignment—helping to improve reimbursement.
- Relative Weights of Every Valid DRG. A quick reference of the relative weights of all DRGs presented as options for optimizing.
- Most Commonly Missed CC Reference. Perform accurate audits by knowing the most commonly missed CCs in the medical record.
- Drug Usage and Treatment Indicators. Help coders identify drugs, determine actions and know the common CC conditions with which they are associated to help ensure the appropriate DRG is assigned.
- Organisms. Improve DRG accuracy by knowing each specimen of organism that indicates a CC condition.
- Implications of Cardiovascular Major Complications and Complex Diagnoses. A comprehensive list will help you find commonly-overlooked cardiovascular and complex diagnoses that affect certain DRGs.
- New Medical Services and Technologies Under IPPS. Understand the new provisions for identification of new medical services and technology that impact add-on payments.
- Earn 6 Continuing Education Units Per Scenario from the American Academy of Professional Coders.
