DRG Desk Reference 2021 eBook by Optum360

Access crucial information to determine DRG assignment, guidance on how to audit assigned DRGs completely and effectively, and provides a tutorial on how to assign and audit DRGs.
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  • Item#: PEDDR21
  • Edition: 2021
  • Format: eBook Download
  • ISBN#: 978-1-62254-644-2
  • Availability: In Stock
  • Product Notes:
  • Download link usually emailed within 24 hours.

eBook format! Establish proven MS-DRG assignment and auditing practices

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With the implementation of ICD-10 codes in October 2015, the 2021 DRG Desk Reference 2021 eBook gives access to crucial information to improve MS-DRG assignment practices, guidance on how to accurately assign DRGs under the MS-DRG system, and focuses on the Optimizing section of the DRG Desk Reference based on ICD-10 codes.

The DRG Desk Reference is designed to work hand-in-hand with DRG Expert 2021 and the Guide to Clinical Validation and Documentation Improvement for Coding 2021, which is the clinical section from the DRG Desk Reference based on ICD-10 codes. This product is needed to answer all your DRG questions for all inpatient stays starting after October 1, 2020, as those claims will use the MS-DRG methodology based on ICD-10-CM.

Key features and benefits of this Optum360 DRG coding ebook:

  • Optum360 Edge — Optimizing tips. Know the major factors involved in moving a patient from a lower-paying MS-DRG to a higher one to receive optimal payment while staying in compliance.
  • Optum360 Edge — Recovery Audit Contractor (RAC) program resource. Understand the types of reviews, target strategies, and targeted and top-audited DRGs.
  • Most commonly missed CC and MCC references. Perform accurate audits by knowing the most commonly missed CCs in the medical record.
  • ICD-10-CM codes for common diagnoses and procedures. Quickly identify the key diagnosis or procedure by ICD-10-CM code.
  • 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.
  • Complete CC and MCC list. Know how codes considered MCCs and CCs affect DRG assignment, helping to legitimately improve reimbursement.
  • Relative weights of every valid DRG. A quick reference of the relative weights of all DRGs presented as options for optimizing.
  • List of ICD-10 codes driving MS-DRG assignment.

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