Last year, when you were hired as the HIM director at a small community hospital, the CEO wanted you to focus on increasing the case mix index. The hospital base rate is $7,862. At the time you came on board, there were three coders, only one of whom was a certified coding specialist (CCS). You began by reviewing the number of MS-DRGs submitted over the past year. The MS-DRG that jumped out was MS-DRG 304, which is hypertension with an MCC. There were 53 submissions of this MS-DRG. As you reviewed the data for 10 of those submissions, you began to notice a trend. Evaluate the data below to identify the issue Chart Codes submitted
1 I10, J44.9, N18.6, E11.9
2 I10, N18.6, E10.9, E03.9, G47.33
3 I10, G20, I25.10, N18.5
4 I10, F17.210, I70.213, N18.6, E11.9
5 I10, N18.6, I25.5, I25.10
6 I10, E08.22, N18.6
7 I10, E66.01, E03.9, N18.6, F17.210
8 I10, E87.6, J45.909, N18.6
9 I10, E11.9, E66.9, E78.5, N18.5
10 I10, I25.10, N18.6, R33.9, N18.6, E10.9
Continue using the same information from above
After review of all 53 cases in MS-DRG 304, you determined that 46 of them had the same error.
Correcting the errors results in reassignment of those cases to a different MS-DRG. Calculate the impact this has on reimbursement by determining the relative weight of the two MS-DRGs and performing the calculations to determine the reimbursement difference.