While some DRGs appear to be similar, they contain elements that give them different reimbursement levels. Coders’ Almanac for DRGs help you methodically analyze the detailed components of each potential DRG.
- Abstracting tips and guidance allow the user to easily identify the elements, code edits, and compliance-related issues associated with abstracting.
- Identify the drugs most commonly seen in inpatient medical documentation to cross-reference CCs in order to assign the most appropriate DRG.
- Guidance for identifying and assigning the most optimal DRG while avoiding fraudulent or non-compliant factors.
- Key indicators of CCs in the medical records, including -Major complication and complex diagnosis -Non-invasive test results -Organisms -Abnormal EKG -Abnormal lab values
- A helpful audit tool that allow you to ensure complete, compliant, and defensible DRG assignment.
- Contains relative weights, length of stay, MDCs, and medical/surgical partitioning information for every valid DRG. Includes DRG decision trees enforcing the proper understanding and discipline in assigning DRGs.
- Complications and comorbidities chapter included to show which diagnosis may affect DRG assignment.
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