2023 DRG Desk Reference (ICD-10-CM) (eBook)
Optum | 2023 |
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-10 codes. This product helps answer your DRG questions for all inpatient stays starting after October 1, 2022, as those claims will use the MS-DRG methodology based on
ICD-10-CM.
- 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.
Karen Krawzik, RHIT, CCS, AHIMA-approved ICD-10-CM/PCS Trainer
CPT is a registered trademark of the American Medical Association.
Anita Schmidt, BS, RHIA, AHIMA-approved ICD-10-CM/PCS Trainer
Ms. Schmidt has expertise in ICD-10-CM/PCS, DRG, and CPT® with more than 15 years’ experience in coding in multiple settings, including inpatient, observation, and same-day surgery. Her experience includes analysis of medical record documentation, assignment of ICD-10-CM and PCS codes, and DRG validation. She has conducted training for ICD-10-CM/PCS and electronic health record. She has also collaborated with clinical documentation specialists to identify documentation needs and potential areas for physician education. Most recently she has been developing content for resource and educational products related to ICD-10-CM, ICD-10-PCS, DRG, and CPT®. Ms. Schmidt is an AHIMA-approved ICD-10-CM/PCS trainer and is an active member of the American Health Information Management Association (AHIMA) and the Minnesota Health Information Management Association (MHIMA).
CPT is a registered trademark of the American Medical Association.