HCPro, JustCoding Inpatient - 2018 Issue 36 (September)
Q&A: Determining MS-DRG match rates
September 4th, 2018
Subscribe or sign in to view the full article.
Article Overview
This article addresses a CDI/coding workflow question about MS-DRG reconciliation and match-rate measurement. It explains the distinction between working, queried, and final DRG concepts, discusses how facilities may structure their internal comparison process, and notes that practices can vary by organization. The piece is aimed at CDI specialists, coding staff, and revenue integrity teams that track CDI impact and pre-bill reconciliation results.
Why This Topic Matters
Accurate DRG match-rate measurement affects how organizations evaluate CDI performance, compare review outcomes, and align coding and CDI teams on shared terminology.
What You Will Learn
- How CDI and coding teams may define and compare DRG stages in a reconciliation workflow.
- Why internal terminology consistency matters when calculating match rates.
- How facilities may vary in comparing DRGs during pre-bill review and retrospective reconciliation.
- Why CDI impact reporting may use different DRG comparison approaches.
Who Should Read This
- CDI specialists
- Inpatient coders
- Coding managers
- Revenue integrity teams
- Hospital compliance staff
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com