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Optum360 Edge ā 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.
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Optum360 Edge ā 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.
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Optum360 Edge ā MS-DRG structure. Every diagnosis and procedure code that defines each DRG is listed.
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Optum360 Edge ā 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.
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Optum360 Edge ā MDC diagnosis list. Complete list of mutually exclusive diagnoses defining each MDC.
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Optum360 Edge ā Transfer DRG symbol. Indicates a DRG selected as a qualified discharge that may be paid at the per diem rate.
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Optum360 Edge ā Average national payment. Listed for every MS-DRG as a quick benchmark comparison.
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Easily locate the correct DRG. Use the numeric or alphabetic index to quickly identify a DRG based on its diagnosis or procedure code.
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Surgical hierarchy table. Quickly find the DRG hierarchy for multiple procedure cases to help you assign the code that reflects the greatest resource utilization.
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Alphabetic and numeric indexes. Search for DRGs by the numeric codes or by code titles for fast look-up.
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Icons indicate which CC subclass the DRG belongs to based on the presence or absence of CCs or major CCs (MCCs).
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Complete list of diagnoses considered CCs and MCCs.
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List of those principal diagnoses that are their own CC and their own MCC.
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Full titles for each MS-DRG. Selection of the correct DRG begins with knowing its accurate and complete description.
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ISBN: 978-1-62254-558-2 Print
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Available October 2021
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| Binding : Spiral Bound | Brand : Optum 360 | Customizable : No | Edition : 2022 |
| Format : Book | |||
| Weight : 1.00 lbs. per Each |





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