2020 DRG Desk Reference
Optum360 | 2020 |
With the implementation of ICD-10 codes in October 2015, the 2020 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-10 codes. This product is needed to answer all your DRG questions for all inpatient stays starting after October 1, 2019, as those claims will use the MS-DRG methodology based on ICD-10-CM.
• 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.
• 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
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.