Key Features and Benefits
Optum 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.
missed CC and MCC references.
Perform accurate audits by knowing the most commonly missed CCs in the
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.
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.