MS-DRG explained - - CIC exam prep - Medicare severity diagnosis related groups
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- Опубліковано 12 вер 2024
- MS-DRG explained: why does CMS like and use Medicare Severity Diagnosis Related Groups to reimburse acute inpatient stays? As part of our CIC exam prep / CCS exam prep series, we review the logic and background to this IPPS payment methodology.
Presented as part of our full, detailed explanation of MS-DRGs:
• MS-DRG assignment for ...
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Medical coding certifications affected: this topic is to be expected on the:
CIC exam
COC exam
CCS exam
The perfect resource for medical coding auditing students and any practicing coding auditor!
This video is amazing! I'm sad it's not more widely viewed. Thank you for making these videos!
Hi Joseph! Thank you for your kind words! I hope to be able to update to the 2023 version of this topic real soon, as this video is ancient by now. Are you getting ready for an exam or did you watch it as some 'light reading' before bedtime? :D
With facility coding is room and board coded or is it included with the primary diagnosis or procedure? This is extremely helpful as I begin to self- study for the CCS exam.
Hi Zane! Room and board are captured by central billing, by the Charge Description Master. There are plenty of charges that are 'hard coded' in an IP facility, room and board, drugs, ancillary services etc. We, coders, 'soft code' only so many things: procedures and some diagnostic stuff. This will depend on your facility. On the CCS exam instructions before the case studies will tell you what NOT to capture. Do you have the CCS prep book from AHIMA? You have instructions there as well in front of case studies telling you what NOT to code for with PCS codes. :)
@@TheMedicalCodingGuild yes I am awaiting delivery on the AHIMA CCS 12th edition study guide.