Health Information Management

Help ensure compliance when reporting cirrhosis and alcoholic hepatitis with an MCC

HIM-HIPAA Insider, May 18, 2010

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MS-DRG 432 (cirrhosis and alcoholic hepatitis with MCC) is one of many MS-DRGs slated for RAC validation audits by HealthDataInsights and Connolly Healthcare, two of the four RACs.

Coders can and should try to think like RAC auditors when coding and proactively auditing records. Asking the following questions about MS-DRG 432 can help ensure compliance: 
  • Is the principal diagnosis correct?
  • Does the documentation support the assignment of an MCC?
  • Is the principal diagnosis sequenced correctly?
And be proactive with your preparations. For example, generate specific reports to obtain a more granular look at the data and consider how a clinical documentation improvement program may help if you don’t have one in place already at your facility.
 
Editor’s note: For more information on what the questions you need to be asking, see the May issue of Briefings on Coding Compliance Strategies.



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