DRG Desk Reference-2019

Item No: DDR19
ISBN: 978-1-62254-408-0
Availability: Oct-2018
Manufacturer: Optum360

With the implementation of ICD-10 codes in October 2015, the 2019 DRG Desk Reference(ICD-10-CM) 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(ICD-10-CM) is designed to work hand-in-hand with DRG Expertand the Guide to Clinical Validation, Documentation and Coding, which is the clinical section from the DRG Desk Reference based on ICD-9 codes. This product is needed to answer all your DRG questions for all inpatient stays starting after October 1, 2018, as those claims will use the MS-DRG methodology based on ICD-10-CM.

Key Features and Benefits  

  • 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 will 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.

Year 2019
Category DRG