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Optum360 Edge — Optimizing tips. Know the major factors involved in moving a patient from a lower-paying MS-DRG to a higher one to receive optimal payment while staying in compliance.
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Optum360 Edge — Recovery Audit Contractor (RAC) program resource. Understand the types of reviews, target strategies, and targeted and top-audited DRGs.
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Most commonly missed CC and MCC references. Perform accurate audits by knowing the most commonly missed CCs in the medical record.
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ICD-10-CM codes for common diagnoses and procedures. Quickly identify the key diagnosis or procedure by ICD-10-CM code.
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Case mix index section. Discusses the importance of calculating and tracking case mix on a regular basis as well as tips for documenting case mix index changes and their causes.
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Complete CC and MCC list. Know how codes considered MCCs and CCs will affect DRG assignment—helping to legitimately improve reimbursement.
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Relative weights of every valid DRG. A quick reference of the relative weights of all DRGs presented as options for optimizing.
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List of ICD-10 codes driving MS-DRG assignment.
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ISBN: 978-1-62254-705-0 Print
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Available November 2021
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| Brand : Optum 360 | Customizable : No | Edition : 2022 | |
| Weight : 1.00 lbs. per Each |



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