With the implementation of ICD-10 codes in October 2015, the 2022 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 Expert and the
Guide to Clinical Validation, Documentation and Coding, 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, 2021, as those claims will use the MS-DRG methodology
based on ICD-10-CM.
FEATURES:
- 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.
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