Define the MS-DRG – What is it? How is it calculated

Define the MS-DRG – What is it?  How is it calculated?

Why is the Acute Care setting based on MS-DRG’s?

Explain what affects the DRG.  Meaning, the DRG is largely based off of combinations of diagnoses…how do CC’s and MCC’s factor into DRG assignment?  How do certain surgical procedures change the DRG?

How does a coder following the ICD-10-CM Official Coding Guidelines determine the DRG based on how codes are assigned?  Provide a specific example and site the guideline.

How do secondary diagnoses with a Present on Admission (POA) of NO (‘N’) affect the CC’s and MCC’s which calculate into a DRG?  Provide a specific example from your research.

How can Healthcare Acquired Conditions (HCC) impact the payment of a DRG?  Consider also that HCCs will have a POA of ‘N’ when you answer, and from your research provide an example.

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