Corporate Compliance

MS-DRGs are on the OIG’s radar

Strategies for Health Care Compliance, February 1, 2009

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The OIG’s 2009 Work Plan states that the OIG will “examine coding trends and patterns under the new system and determine whether specific MS-DRGs are vulnerable to potential upcoding.”

The move wasn’t quite unexpected, says Gloryanne Bryant, BS, RHIA, RHIT, CCS, senior corporate director of coding and HIM compliance at Catholic Healthcare West in San Francisco.

"It’s a good message to tell providers to be checking in this area because [the OIG is] going to be checking in this area,” Bryant says. That means coders should understand how their codes affect MS-DRG assignment, and physicians should understand the importance of thorough documentation.

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