DRG Expert 2016: A Comprehensive Guidebook to the DRG Classification System Using the ICD-10-CM and ICD-10-PCS Code Set

DRG Expert 2016: A Comprehensive Guidebook to the DRG Classification System Using the ICD-10-CM and ICD-10-PCS Code Set

**<b>New 2017 Edition will be available September 2016**</b><br><P> The <i><b>DRG Expert </i></b> has been a trusted and comprehensive reference to the DRG classification system for over 25 years. Organized by major diagnostic category (MDC), the convenient and innovative book layout follows the logical MS-DRG decision process. <P> This is a must-have reference for those who need to verify DRG information and accurately assign MS-DRGs concurrently or retrospectively based on ICD-10-CM methodology, which goes into effect October 1, 2015. <P> <b>Key Features and Benefits</b><P> <b>Optum360 Edge Visual indicators notify you of special alerts. Easily identify CC and MCC restrictions, special payment status, transfer DRG status, surgical/medical partitioning, and other requirements. <P> <b>Optum360 Edge Medicare CMS rate structure. Updated to provide current relative weight (RW), geometric mean length-of-stay (GMLOS), and arithmetic mean length-of-stay (AMLOS) for each MS-DRG under IPPS. <P> <b>Optum360 Edge MS-DRG structure. Every diagnosis and procedure code that defines each DRG is listed. <P> <b>Optum360 Edge LTC-DRG crosswalk and current rate structure. Know what the RW and length-of-stay data are for each MS-DRG under the LTCH prospective payment system. <P> <b>Optum360 Edge MDC diagnosis list. Complete list of mutually exclusive diagnoses defining each MDC. <P> <b>Optum360 Edge Transfer DRG symbol. Indicates a DRG selected as a qualified discharge that may be paid at the per diem rate. <P> <b>Optum360 Edge Average national payment. Listed for every MS-DRG as a quick benchmark comparison. <P> <b>Easily locate the correct DRG. Use the numeric or alphabetic index to quickly identify a DRG based on its diagnosis or procedure code. <P> <b>Surgical hierarchy table. Quickly find the DRG hierarchy for multiple procedure cases to help you assign the code that reflects the greatest resource utilization. <P> <b>Alphabetic and numeric indexes. Search for DRGs by the numeric codes or by code titles for fast look-up. <P> <b>Icons indicate which CC subclass the DRG belongs to based upon the presence or absence of CCs or major CCs (MCC). <P> <b>Complete list of diagnoses considered CCs and MCCs. <P> <b>List of those Principal Diagnoses that are their own CC and their own MCC. <P> Full titles for each MS-DRG. Selection of the correct DRG begins with knowing its accurate and complete description. <P> <b>Inpatient Medicare MedPAR benchmarking data designed to provide a high-level benchmark of discharges, length-of-stay, age, total charges, and total reimbursement on a DRG basis at a national level for hospitals. <P>