2011 DRG Expert
Product Description:
HCPro is pleased to offer Ingenix's comprehensive guidebook to the DRG classification system. Organized by major diagnostic category (MDC), its convenient and innovative layout follows the logical MS-DRG decision process. A trusted reference for more than 25 years, this guidebook is a must-have for those who need to verify DRG information and accurately assign MS-DRGs concurrently or retrospectively.
Special features include:
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Visual indicators for special alerts identify CC and MCC restrictions, special payment status, transfer DRG status, surgical/medical partitioning, and other requirements
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Medicare CMS rate structure provides current relative weight (RW), geometric mean length-of-stay (GMLOS), and arithmetic mean length-of-stay (AMLOS) for each MS-DRG under IPPS
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MS-DRG structure lists every diagnosis and procedure code that defines each DRG
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LTC-DRG crosswalk and current rate structure show what the RW and length-of-stay data are for each MS-DRG under the LTCH prospective payment system
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MDC diagnosis list offers a complete directory of mutually exclusive diagnoses defining each MDC
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Transfer DRG symbol indicates a DRG selected as a qualified discharge that may be paid at the per diem rate
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Average national payment is listed for every MS-DRG as a quick benchmark comparison
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Surgical hierarchy table shows the DRG hierarchy for multiple procedure cases to help you assign the code that reflects the greatest resource utilization
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Alphabetic and numeric indices helps you easily locate the correct DRG based on its diagnosis or procedure code
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Icons identify the CC subclass to which the DRG belongs, based on the presence or absence of CCs or major CCs (MCCs)
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A complete list of diagnoses considered CCs and MCCs
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Full titles of each MS-DRG provide an accurate and complete description to ensure the correct DRG is selected
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