The handbook's format and style of presentation follows that of previous editions inspired by the Faye Brown approach to coding instruction. The handbook is authored by Nelly Leon-Chisen, RHIA, Director of Coding and Classification at the AHA.
Fiscal year 2021 code updates, including new information on COVID-19, vaping-related disorder, history of diabetes mellitus or hypertension, immunodeficiency, cytokine release syndrome,cerebrospinal fluid leak, intracranial hypotension, neonatal cerebral infarction, and “chronic stroke”
Up-to-date guidance on coding signs and symptoms, diseases, disorders, procedures, conditions, complications of care, long-term care, and more
Reflects the Official Coding Guidelines
Over 200 chapter-based and final review exercises
Built-in workbook of case summary exercises
More than 50 four-color illustrations of anatomy, common disorders, and procedures
MS-DRG Grouper for ICD-10-CM and ICD-10-PCS - Diagnosis-Related Groups
quickly calculate the DRG based on ICD-10-CM and ICD-10-PCS codes
The DRG-Grouper is used to calculate payments to cover operating costs for inpatient hospital stays. Under the inpatient prospective payment system (IPPS) each individual case is categorized into a diagnosis related group – DRG. Payment weights are assigned to each DRG based on average resources used to treat Medicare patients in that DRG.
Access to this feature is available in the following products:
Facility Inpatient Reimbursement Tools
Select the "demo" button to view sample results.
Demo Video
About Diagnosis-Related Groups (DRG)
The Centers for Medicare and Medicaid Services (CMS) developed the DRG (Diagnosis-Related Group) payment system to determine reimbursement amounts for acute care in hospitals and critical access hospitals. DRGs are assigned by a "grouper" program (such as the one shown here) based on ICD (International Classification of Diseases) diagnoses, procedures, age, sex, discharge status, and the presence of complications or comorbidities.
DRGs are used to determine how much Medicare reimburses the hospital for each "product" (a grouping of procedures, services and supplies), since patients in each DRG category are deemed to be clinically similar. DRGs may be further grouped into Major Diagnostic Categories (MDCs). DRGs are also standard practice for establishing reimbursements for other Medicare related reimbursements such as to home healthcare providers.
To use Find-A-Code's MS-DRG grouper...
Enter a ICD-10-CM principle diagnosis, as well as any ICD-10-CM secondary diagnoses and ICD-10-PCS procedures, in the boxes below.
Select the "more" links for additional boxes. When done, select the "group" button. The resultant DRG will display below.
Demo