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Close the DRG summary and drag the C18.7 down to the second position in the code screen. Which coding message do you receive? (Return the C18.7 code to the primary position after reviewing your answer.) - ️️The DRG may change as a result of reordering. What is the MS-DRG title? - ️️Diges...

What effect does the addition of a patient who is a pack-a-day smoker have on the DRG assignment when viral pneumonia is the principal diagnosis? - ️️no effect on the DRG Which of the following coding rules might affect the ethical and appropriate assignment of the principal diagnosis and DR...

Quality Improvement Organizations (QIOs) perform review services such as: - ️️o Quality of care reviews due to beneficiary complaints, complaints other than from beneficiaries and quality of care reviews referred by CMS or CMS designated entities o Utilization reviews for hospital requested h...

medicare code edits - ️️a method to identify various situations based upon assigned ICD-10-CM codes hospital wage index - ️️a numeric factor defined by medicare that considers the geographic location of hospitals. this factor is used in the reimbursement calculations for facilities to ac...

Code range - ️️may consist of PDx, operating room (OR) procedure, or a diagnosis & procedure combination What do MDCs represent? How many categoriea? - ️️Body systems treated by medicine 25 MDCs, which are further divides MDC groups into surgical and medical sections How many MS-DRGs pr...

groupers - ️️today, most MS-DRGs are calculated using software tools known as groupers. Early on, they were determined using a flow-chart book. The book contains a series of decision tree diagrams. The same information would have been necessary to determine the correct DRG (as MS-DRGs were no...

medicare code edits: - ️️A method to identify various situations based upon assigned ICD-10-CM codes. For example, the sex conflict edit identifies situations when a female only diagnosis code is on a claim indicating the patient is a male. hospital wage index: - ️️A numeric factor define...

What is an MS-DRG? - ️️An inpatient classification system designed to categorize patients who are medically related with respect to diagnoses and treatment and who are statistically similar in their lengths of stay. Each DRG has a preset reimbursement amount. All outpatient diagnostic servic...