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.
·
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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