DRG Desk Reference - eBook — 2017

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Item No: PEDDR17
ISBN: 978-1-62254-294-9
Availability: Immediate
Manufacturer: Optum360

With the implementation of ICD-10 codes in October 2015, the 2017 DRG Desk Reference (ICD-10-CM) gives access to crucial information to improve MS-DRG assignment practices, gives 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-9 codes. The 2017 DRG Desk Reference (ICD-10-CM) is designed to work hand-in-hand with 2017 DRG Expert and the 2017 Guide to Clinical Validation, Documentation and Coding, which is the clinical section from the 2017 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, 2016, as those claims will use the MS-DRG methodology based on ICD-10-CM.

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.
  • Optum360 Edge —DRG history and overview.Includes an overview of the basic characteristics of the DRG classification system and development of the MS-DRG system, history, and relationship to the IPPS.
  • 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.
  • 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.
Year 2017
Category DRG