Higher Education

DRG Desk Reference from ICD-9-CM Ebook, 2015, 1st Edition

  • Optum360
  • ISBN-10: 1601519486  |  ISBN-13: 9781601519481
  • © 2015 | Published
  • College Bookstore Wholesale Price = $208.95 List Price = $ 208.95



With the implementation of ICD-10 codes in October 2014, the 2014 DRG Desk Reference (ICD-10-CM) gives access to crucial information to improve MS-DRG ssignment practices, gives guidance on how to accurately assign DRGs under theMS-DRG system, and focuses on the Optimizing section of the DRG Desk Reference based on ICD-9 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-9 codes. This product is needed to answer all your DRG questions for all inpatientstays starting after October 1, 2014, as those claims will use the MS-DRG methodology based on ICD-10-CM.

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.
  • Optum Edge —Recovery audit contractor (RAC) program resource. Understand the types of reviews, target strategies, and targeted and top-audited DRGs.
  • Optum Edge —DRG decision trees. Clearly understand the logic behind assigning a DRG within an MDC. Available on the eBook and our exclusive DRG Desk Reference website.
  • Optum Edge —DRG history and overview. Includes an overview of the basic characteristics of the DRG classification system and development of the MS-DRG system, as well as history and relationship to the IPPS.
  • 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.
  • Complete CC and MCC exclusion list. List of CC and MCC conditions and the principal diagnoses for which the condition does not qualify to be a CC or MCC, and therefore cannot be moved to a higher-paying DRG.
  • Time-saving eBook features. Table of contents instantly links the user to any chapter, and PDF features allow the user to move back and forth between views quickly. Plus, you can quickly find the information you are looking for with keyword searches.