Wednesday, December 28, 2016

An old problem with DRG assignments

 has ICD-10 repercussions

Carl Natale
by CARL NATALE
  
An old problem with DRG assignments has ICD-10 repercussions
The Office of Inspector General (OIG) is applying greater scrutiny to a couple DRG assignments.
One focuses on mechanical ventilation. An OIG audit found a 95 percent error rate in Medicare billing from 2009 to 2011. That isn't an ICD-10 problem. The problem has existed long before ICD-10 implementation. But if there is greater scrutiny of medical ventilation diagnoses, healthcare providers need to make sure they nail the right assignments of ICD-10 codes and DRGs.
It underscores the need for healthcare providers to continue training. Their medical coders need to know more than just new codes. They need to understand the rule and guidelines. The correct application is as tricky and important as it every was.

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