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Key
Features and Benefits
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Optum Edge — Visual
indicators notify you of special alerts. Easily
identify CC and MCC restrictions, special payment status, transfer DRG
status, surgical/medical partitioning, and other requirements.
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Optum Edge — Medicare
CMS rate structure. Updated to provide current relative
weight (RW), geometric mean length-of-stay (GMLOS), and arithmetic mean
length-of-stay (AMLOS) for each MS-DRG under IPPS.
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Optum Edge — MS-DRG
structure. Every diagnosis and procedure code
that defines each DRG is listed.
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Optum Edge — LTC-DRG
crosswalk and current rate structure. Know
what the RW and length-of-stay data are for each MS-DRG under the LTCH
prospective payment system.
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Optum Edge — MDC
diagnosis list. Complete list of mutually exclusive
diagnoses defining each MDC.
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Optum Edge — Transfer
DRG symbol. Indicates a DRG selected as a
qualified discharge that may be paid at the per diem rate.
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Optum Edge — Average
national payment. Listed for every MS-DRG as a quick
benchmark comparison.
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Easily locate the
correct DRG. Use the exclusive numeric or
alphabetic indexes to quickly identify a DRG based on its diagnosis or
procedure code.
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Surgical hierarchy
table. Quickly find the DRG hierarchy for
multiple procedure cases to help you assign the code that reflects the
greatest resource utilization.
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Alphabetic and
numeric indexes. Search for DRGs by the numeric codes
or by code titles for fast look-up.
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Icons indicate
which CC subclass the DRG belongs to based on the presence or absence of CCs
or major CCs (MCCs).
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Complete list of diagnoses considered CCs and MCCs.
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List of those principal diagnoses that are their own CC
and their own MCC.
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Full titles for each MS-DRG. Selection of the
correct DRG begins with knowing its accurate and complete description.
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