Track DRG changes the right way
Case Management Weekly, November 9, 2005
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Since 2002, the Centers for Medicare & Medicaid Services has adopted a system that flags designated Diagnosis Related Groups (DRGs), and returns noncompliant claims for resubmission, but tracking these DRGs is still a challenge for hospitals. To achieve compliance, Don May, vice president for policy at the American Hospital Association, recommends that hospitals
- update coding software systems to comply with the change
- perform periodic checks to ensure the new system works
- create a policy to track the discharge status for every patient
Source: Patient Financial Services Weekly Advisor, HCPro, Inc.
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