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The DRG Expert 2022 eBook has been a trusted and comprehensive reference to the DRG classification system for more than 25 years.
Organized by major diagnostic category (MDC), the convenient and innovative book layout follows the logical MS-DRG decision process. This is a must-have reference for those who need to verify DRG information and accurately assign MS-DRGs concurrently or retrospectively based on ICD-10-CM methodology, which goes into effect October 1, 2021.
Key features and benefits of this Optum360 DRG code ebook:
- Optum360 Edge — Visual indicators notify you of special alerts. Easily identify CC and MCC restrictions, special payment status, transfer DRG status, surgical/medical partitioning, and other requirements.
- Optum360 Edge — Medicare CMS rate structure. Updated to provide current relative weight (RW), geometric mean length-of-stay (GMLOS), and arithmetic mean length-of-stay (AMLOS) for each MS-DRG under IPPS.
- Optum360 Edge — MS-DRG structure. Every diagnosis and procedure code that defines each DRG is listed.
- Optum360 Edge — LTC-DRG crosswalk and current rate structure. Know what the RW and length-of-stay data are for each MS-DRG under the LTCH prospective payment system.
- Optum360 Edge — MDC diagnosis list. Complete list of mutually exclusive diagnoses defining each MDC.
- Optum360 Edge — Transfer DRG symbol. Indicates a DRG selected as a qualified discharge that may be paid at the per diem rate.
- Optum360 Edge — Average national payment. Listed for every MS-DRG as a quick benchmark comparison.
- Easily locate the correct DRG. Use the numeric or alphabetic index to quickly identify a DRG based on its diagnosis or procedure code.
- Surgical hierarchy table. Quickly find the DRG hierarchy for multiple procedure cases to help you assign the code that reflects the greatest resource utilization.
- Alphabetic and numeric indexes. Search for DRGs by the numeric codes or by code titles for fast look-up.
- Icons indicate which CC subclass the DRG belongs to based on the presence or absence of CCs or major CCs (MCCs).
- Complete list of diagnoses considered CCs and MCCs.
- List of those principal diagnoses that are their own CC and their own MCC.
- Full titles for each MS-DRG. Selection of the correct DRG begins with knowing its accurate and complete description.