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DRG Desk Reference



DRG Desk Reference-2021


With the implementation of ICD-10 codes in October 2015, the 2021 DRG Desk Reference gives access to crucial information to improve MS-DRG assignment practices, guidance on how to accurately assign DRGs under the MS-DRG system, and focuses on the Optimizing section of the DRG Desk Reference based on ICD-10 codes. The DRG Desk Reference is designed to work hand-in-hand with DRG Expert and the Guide to Clinical Validation and Documentation Improvement for Coding, which is the clinical section from the DRG Desk Reference based on ICD-10 codes. This product is needed to answer all your DRG questions for all inpatient stays starting after October 1, 2020, as those claims will use the MS-DRG methodology based on ICD-10-CM.

Key Features and Benefits

• Optum360 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.

• Optum360 Edge — Recovery Audit Contractor (RAC) program resource. Understand the types of reviews, target strategies, and targeted and top-audited DRGs.

• 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 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