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This is a 3 page paper that provides and overview of the MS-DRG system of medical coding. The challenges of implementing the MS-DRG system are explored. Bibliography lists 3 sources.
Page Count:
3 pages (~225 words per page)
File: KW60_KFcodmgr.doc
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Unformatted sample text from the term paper:
listed below. Citation styles constantly change, and these examples may not contain the most recent updates. An Overview of the MS-DRG System , 11/2010 VISIT
/aftersale.htm--properly! One of the most dramatic changes in Medicare comes in the MS-DRG. An updated version of the diagnosis related group system,
the MS-DRG seeks to improve the way that conditions and ailments are coded and reimbursed. The MS-DRG stands for the Medicare Severity Diagnosis Related Groups and relates to those patients
that are covered by Medicare. One of the most noticeable changes to the DRG system under the new MS-DRG system is the addition of 216 new groups from the 538
DRGs to the now 754 MS-DRGs. This paragraph helps the student by presenting a summary overview of the MS-DRG system and the challenges it presents. The way the new
MS-DRG works is by grouping patients with similar systems and characteristics such as costs, age, and medical procedures. Payment is then devised by taking the average costs of the individual
group. Along with this change comes a complete overhaul of the ICD-9. With more than 10,000 ICD-9 diagnosis codes the reclassification presents an incredible change that is sure to be
felt throughout the medical field from administrators to coding experts. These changes mostly concern the complication/comorbidity status of Medicare patients ("Medicare", 2007). In the old Diagnosis Related Groups there were
3,326 codes that were classified as complication/comorbidity or as CCs. With the new MS-DRG system patients are divided into two categories which are complication/comorbidity status and major complication/comorbidity status or
MCC. The CC and MCC status include chronic diseases and end stage diseases. With the implementation of the new MS-DRG comes changes in certain diagnosis and if they do
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