Effective Coding Under MS-DRGs - American Health Information ...
Effective Coding Under MS-DRGs - American Health Information ...
Effective Coding Under MS-DRGs - American Health Information ...
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<strong>Effective</strong> <strong>Coding</strong> <strong>Under</strong> <strong>MS</strong>-<strong>DRGs</strong><br />
Notes/Comments/Questions<br />
Historical C<strong>MS</strong>-DRG System Structure<br />
• Did not account for patients with greater<br />
severity of illness<br />
• CCs had the same weight no matter how severe<br />
• Designated a CC by an increase in LOS by<br />
at least one day in 75% of the patients<br />
• Paired DRG system only required one<br />
secondary diagnosis to assign a CC<br />
• Patients with multiple CCs given same<br />
resource weight as those with one.<br />
9<br />
<strong>MS</strong>-<strong>DRGs</strong><br />
• Implemented October 1, 2007<br />
• Still have 25 MDCs<br />
• Pre-MDC and <strong>DRGs</strong> with all MDCs remain<br />
• 745 total <strong>MS</strong>-<strong>DRGs</strong><br />
• Increase from 538 C<strong>MS</strong>-<strong>DRGs</strong><br />
• Base DRG structure basically the same<br />
• Complete overhaul of the CC structure<br />
10<br />
AHIMA 2008 Audio Seminar Series 5<br />
CPT ® Codes Copyright 2007 by AMA. All Rights Reserved
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