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DRG Desk Reference


2019 DRG Desk Reference
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Publisher: Optum360
Experts: Karen Krawzik, RHIT, CCS, AHIMA-approved ICD-10-CM/PCS Trainer
Latest Edition: 2019
Sample Pages:  View PDF

Purchase Options

QtyEdition & FormatAvailabilityPrice
2018 Softbound
IN STOCK $219.95
2018 eBook
IN STOCK $219.95
2019 Softbound
Oct 2018 $219.95
2019 eBook
Nov 2018 $219.95


 

 

With the implementation of ICD-10 codes in October 2015, the 2019 DRG Desk Reference (ICD-10-CM) 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 (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 inpatient stays starting after October 1, 2018, as those claims will use the MS-DRG methodology based on ICD-10-CM.
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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 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.



Content Experts


Karen  Krawzik, RHIT, CCS, AHIMA-approved ICD-10-CM/PCS Trainer - Karen Krawzik, RHIT, CCS, AHIMA-approved ICD-10-CM/PCS Trainer
Ms. Krawzik has expertise in ICD-10-CM, ICD-9-CM, and CPT/HCPCS coding. Her coding experience includes inpatient, ambulatory surgery, and ancillary and emergency room records. She has served as a DRG analyst and auditor of commercial and government payer claims, and as a contract administrator. Most recently she was responsible for the conversion of the ICD-9-CM code set to ICD-10 and for analyzing audit results, identifying issues and trends, and developing remediation plans. Ms. Krawzik is credentialed by the American Health Information Management Association (AHIMA) as a Certified Coding Specialist (CCS) and is an AHIMA-approved ICD-10-CM/PCS trainer. She is an active member of AHIMA and the Missouri Health Information Management Association.


 
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