2022 DRG Expert, 2 Volume Set

Optum360

ISBN 10: 1622547470 ISBN 13: 9781622547470
Published by Optum360?, 2021
New Soft cover

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Synopsis:

The DRG Expert has been a trusted and comprehensive reference to the DRG classification system for more than 25 years. Organized by major diagnostic category (MDC), the convenient and innovative book layout follows the logical MS-DRG decision process. This is a must-have reference for those who need to verify DRG information and accurately assign MS-DRGs concurrently or retrospectively based on ICD-10-CM methodology, which goes into effect October 1, 2021.

Key Features and Benefits:

  • Optum360 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.

  • Optum360 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.

  • Optum360 Edge - MS-DRG structure. Every diagnosis and procedure code that defines each DRG is listed.

  • Optum360 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.

  • Optum360 Edge ― MDC diagnosis list. Complete list of mutually exclusive diagnoses defining each MDC.

  • Optum360 Edge ― Transfer DRG symbol. Indicates a DRG selected as a qualified discharge that may be paid at the per diem rate.

  • Optum360 Edge ― Average national payment. Listed for every MS-DRG as a quick benchmark comparison.

  • Easily locate the correct DRG. Use the numeric or alphabetic index to quickly identify a DRG based on its diagnosis or procedure code.

  • Surgical hierarchy table. Quickly find the DRG hierarchy for multiple procedure cases to help you assign the code that reflects the greatest resource utilization.

  • Alphabetic and numeric indexes. Search for DRGs by the numeric codes or by code titles for fast look-up.

  • Icons indicate which CC subclass the DRG belongs to based on the presence or absence of CCs or major CCs (MCCs).

  • Complete list of diagnoses considered CCs and MCCs.

  • List of those principal diagnoses that are their own CC and their own MCC.

  • Full titles for each MS-DRG. Selection of the correct DRG begins with knowing its accurate and complete description.

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Bibliographic Details

Title: 2022 DRG Expert, 2 Volume Set
Publisher: Optum360?
Publication Date: 2021
Binding: Soft cover
Condition: new

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