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Hospitalized, but Not Admitted: Admission Status

Hospitalized, but Not Admitted: Admission Status

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Same patient, different documentation<br />

• 75yom with CHF presents with pneumonia: MS-DRG<br />

195, simple pneumonia without CC/MCC; $3757<br />

• 75yom with CHF presents with aspiration PNA: MS-DRG<br />

179, complex PNA w/o CC/MCC; $6173<br />

• 75yom with aspiration PNA, secondary systolic HF: MS-<br />

DRG 178, complex PNA with CC; $9241<br />

• 75yom with aspiration PNA, acute on chronic systolic<br />

heart failure: MS-DRG 177, complex PNA with MCC;<br />

$13,359

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