MS-DRGs on OIG radar: Ensure compliant coding
Briefings on Coding Compliance Strategies, December 1, 2008
This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Briefings on Coding Compliance Strategies.
Since October 1, 2007, providers have been adapting to a revised hospital inpatient reimbursement system, also known as the Medicare Severity DRG (MS-DRG) system.
One year later, the Office of Inspector General (OIG) released its 2009 Work Plan, in which it stated it 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.
This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Briefings on Coding Compliance Strategies.
Comments
0 comments on “MS-DRGs on OIG radar: Ensure compliant coding ”
Related Products
-
The HIM Director's Handbook, Second Ed.
This second edition is an updated version of the earlier best seller and details everything you need to know to direct your...
-
Nursing and Therapy Documentation in Long-Term Care:
Synchronize resident documentation across multiple disciplines to improve quality of care as well as protect your...
-
2013 IPPS Final Rule Highlights and New Initiatives
This 90-minute audio conference is your life line. Our experts comb the rule and pull out the information you need to know...
-
3-Day Payment Window:
Ease the burden of the CMS updates. Let our experts interpret and guide you through the new guidance in this live 90-minute...
-
Acute and Chronic Renal Failure Coding:
Our experts address new AKIN criteria, acute vs. chronic kidney disease, and other clinical aspects of renal failure and...
Most Popular
- Articles
-
- Depressing Leapfrog scores haunt hospitals
- Note from Hugh
- Q/A: How should we report irradiated blood products?
- 2014 SNF Proposed Rule Analysis: Revising and rebasing the SNF market basket
- Reminder: MDS correction policy to be updated effective May 19
- Ask the expert: BIMS assessment
- CMS issues transmittal to update the Medicare Provider Reimbursement Manual
- Advanced practice nurses shouldn’t be left behind in meaningful use journey
- CMS corrects edit 84, deletes modifiers
- Report: Nearly 10 percent of patients have C.diff at admission
- E-mailed
-
- Georgia hospitals scrambling to create residency positions
- Q/A: How should we report irradiated blood products?
- CMS looking for comments on molecular pathology payments
- Tip of the week: Build a successful website to impress candidates
- Applying multiple procedure payment reductions to therapy cap amounts for Critical Access Hospital (CAH) claims
- Don't burn those ICD-9-CM Manuals just yet
- Joint Commission seeks input on behavioral health home certification
- Report: Nearly 10 percent of patients have C.diff at admission
- Depressing Leapfrog scores haunt hospitals
- HCA initiative boosts flu shots among hospital workers
- Searched