DRG 793 (Full term neonate with major problems and DRG 794 (Neonate with other significant problems) are reported together.
Part 6: Most Common DRG’s with Recommendations – DRG 793/794
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Part 5: Most Common DRG’s with Recommendations – DRG 193
DRG 193 (Simple pneumonia and pleurisy with MCC). DRG 193 seems to always be in the top 5 and a focus for denials.
Part 4: Most Common DRG’s with Recommendations – DRG 189
DRG 189 (Pulmonary edema and respiratory failure). This should be no surprise to coders that DRG 189 is in the top DRG’s with recommendation.
Part 3: Most Common DRG’s with Recommendations – DRG 291
DRG 291 (Heart failure with shock with MCC). This should be no surprise to coders that DRG 291 is in the top DRG’s with recommendation. It seems to always be in the top 5 and a focus for denials.
Part 2: Most Common DRG’s with Recommendations – DRG 177/178
DRG 177 (Respiratory infections and inflammations with MCC) and 178 (Respiratory infections and inflammations with CC). This should be no surprise to coders that DRG 177 is in the top DRG’s with recommendation.
Part 1: Most Common DRG’s with Recommendations – DRG 871
Sepsis is and will most likely always be a troubled area for coders. There are multiple reasons for this and we will look at a few of these. There are many different criteria being used to validate the diagnosis of sepsis.
Coding Tip: Common Errors Found in Anterior and Posterior Spinal Fusion Coding for Hospitals
During a recent review of spinal fusion cases at a client, we found coding issues on the cases in which both an anterior interbody fusion, anterior open approach was done on one day and two days later, the patient was brought back for a posterior fusion, posterior open approach. Below are some of the recommendations we made along with education explanations.
Part 5: New 2022 CPT Codes – Modifiers, Category III codes, Evaluation and Management, etc.
This is Part 5 of a five part series on the new 2022 CPT codes. For the remaining areas we will just briefly summarize the section. Due to the intricate nature of these sections in CPT, it is recommended that the coder read the entire section notes associated with the new codes.
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Part 9: Most Common DRG’s with Recommendations – DRG 640
DRG 640 (Miscellaneous disorders of nutrition, metabolism, fluids, and electrolytes with MCC) was the number 9 most common DRG with recommendations from HIA in 2021.
Part 8: Most Common DRG’s with Recommendations – DRG 981/982
DRG 981 (Extensive O.R Procedures unrelated to principal diagnosis with MCC) was the number 8 most common DRG with recommendations from HIA in 2021.
Part 7: Most Common DRG’s with Recommendations – DRG 682
DRG 682 (Renal failure with MCC) was on of the most common DRG with recommendations. Renal failure can either be a chronic or acute condition.
Part 6: Most Common DRG’s with Recommendations – DRG 793/794
DRG 793 (Full term neonate with major problems and DRG 794 (Neonate with other significant problems) are reported together.
Part 5: Most Common DRG’s with Recommendations – DRG 193
DRG 193 (Simple pneumonia and pleurisy with MCC). DRG 193 seems to always be in the top 5 and a focus for denials.