Analyzing the Financial Impact of MS-DRGs How do you analyze data to anticipate the effect of Medicare-Severity adjusted DRGs on high volume, high risk, and high weight DRGs? This publication features a step by step approach to conducting a facility-specific analysis, including the necessary crosswalk tables to guide the process. A complication and co-morbidity (CC) impact analysis is included. Analysis has already been completed, listing the top 30 CCs now deleted under MS-DRGs and listing the top 30 CCs most commonly ...
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Analyzing the Financial Impact of MS-DRGs How do you analyze data to anticipate the effect of Medicare-Severity adjusted DRGs on high volume, high risk, and high weight DRGs? This publication features a step by step approach to conducting a facility-specific analysis, including the necessary crosswalk tables to guide the process. A complication and co-morbidity (CC) impact analysis is included. Analysis has already been completed, listing the top 30 CCs now deleted under MS-DRGs and listing the top 30 CCs most commonly reported as the single CC on the claim. This projects potential movement to the lower-weighted MS-DRG, allowing anticipation of the financial impact and facilitating a proactive approach to mitigate negative effectives. Coding and documentation improvement opportunities are also identified. Key Features Enhanced crosswalk facilitates the ability to walk from current CMS DRG system and MS-DRG system and vice-versa Crosswalk offers value in tracking DRG number correlation (same numbers are used for both CMS DRGs and MS-DRGs) Includes relative weight and Medicare Post-Acute Transfer DRG information for both systems, plus CD-ROM with customizable Excel worksheets
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