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The 2017 DRG Expert has been a trusted and comprehensive reference to the DRG classification system for over 25 years. Organized by major diagnostic category (MDC), the convenient and innovative book layout follows the logical MS-DRG decision process. This is a must-have reference for those who need to verify DRG information and accurately assign MS-DRGs concurrently or retrospectively based on ICD-10-CM methodology, which goes into effect October 1, 2016. Key Features and Benefits Optum360 Edge Visual indicators notify you of special alerts. Easily identify CC and MCC restrictions, special payment status, transfer DRG status, surgical/medical partitioning, and other requirements. Optum360 Edge Medicare CMS rate structure. Updated to provide current relative weight (RW), geometric mean length-of-stay (GMLOS), and arithmetic mean length-of-stay (AMLOS) for each MS-DRG under IPPS. Optum360 Edge MS-DRG structure. Every diagnosis and procedure code that defines each DRG is listed. Optum360 Edge LTC-DRG crosswalk and current rate structure. Know what the RW and length-of-stay data are for each MS-DRG under the LTCH prospective payment system. Optum360 Edge MDC diagnosis list. Complete list of mutually exclusive diagnoses defining each MDC. Optum360 Edge Transfer DRG symbol. Indicates a DRG selected as a qualified discharge that may be paid at the per diem rate. Optum360 Edge Average national payment. Listed for every MS-DRG as a quick benchmark comparison. Easily locate the correct DRG. Use the numeric or alphabetic index to quickly identify a DRG based on its diagnosis or procedure code. Surgical hierarchy table. Quickly find the DRG hierarchy for multiple procedure cases to help you assign the code that reflects the greatest resource utilization. Alphabetic and numeric indexes. Search for DRGs by the numeric codes or by code titles for fast look-up. Icons indicate which CC subclass the DRG belongs to based upon the presence or absence of CCs or major CCs (MCCs). Complete list of diagnoses considered CCs and MCCs. List of those Principal Diagnoses that are their own CC and their own MCC.Full titles for each MS-DRG. Selection of the correct DRG begins with knowing its accurate and complete description. Inpatient Medicare MedPAR benchmarking data designed to provide a high-level benchmark of discharges, length of stay, age, total charges, and total reimbursement on a DRG basis at a national level for hospitals.
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Product details
Series: DRG Expert
Spiral-bound: 1334 pages
Publisher: Optum360; 2017 edition (October 15, 2016)
Language: English
ISBN-10: 1622542916
ISBN-13: 978-1622542918
Product Dimensions:
10.5 x 2.2 x 10.5 inches
Shipping Weight: 5.4 pounds
Average Customer Review:
5.0 out of 5 stars
4 customer reviews
Amazon Best Sellers Rank:
#960,516 in Books (See Top 100 in Books)
Good, solid spiral rings. This book is heavy and bulky but no way around that with all of the information it holds I suppose...As always with Optum references, since I use them daily, I would love for them to come tabbed for quick reference. I'd rather spend my time reading and applying the info than adding tabs and sticky notes. Can't believe that I'm saying this, but I'd even pay a little more for a pre-tabbed version.
this was the exact book needed for the CCDS test as per the instructions. It has answers to some questions, so I recommend this book to those taking the CCDS certification examination.
Great and precise.
Great reference guide for Coders and Auditors!!!
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