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Health, 15.07.2020 02:01 susannaking5742

Patient Safety Indicators(PS1) Competency: Create methods to manage Present on Admission, hospital acquired conditions and other CD components Objective: To comprehend how quality validation processes occur within the coding workflow to manage PSIs. Assignment: As part of your CDI/Coding process, accounts flagged for PSI are held for review prior to final coding °Locate the AHRQ (Agency for Healthcare Research and Quality) website. .Summarize the following: .Purpose of AHRO .What diagnosis(es) are included in PSI 11 Identify which procedures are excluded from the denominator for PSI 11 .What does the exclusion of these procedures mean for the coding review HIA 3200.61 Case Mix Issue (20 points) Competency Subdomain IV. A.1 Manage the use of clinical data required by various payment and systems To assess the accuracy of coded data and provide preventive measures Assignment: A. Last year when you were hired a you to focus on increasing the case mix index. The hospital base rate is 57,362. At the red as the HIM director at a small community hospl i the CEO wantes time you came The MS-DRG tha onboard, there were three coders: only one of whom was certified as a Certitied Cod You began by reviewing the number of MS-DRGs submitted over the past year. cCS jumped out was: MS-DRG 304, which is hypertension with an MCC 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 110, J44.9, N18.6, E11.9 110, N18.6, E10.9, E03.9, G47.33 110, G20, 125.10, N18.5 110, F17.210, 170.213, N18.6, E11.9 110, N18.6, 125.5, 125.10 110, E08.22, N18.6 2 4 5 6 7 8 110, E66.01, E03.9, N18.6, F17.210 110, E87.6, J45.909, N18.6 110, E11.9, E66.9, E78.5, N18.5 110, 125.10, N18.6, R33.9, N18.6, E10.9 10 After review of all 53 cases in MS-DRG 304. you determined that 46 of them had Correcting the errors results in reassignment of those cases to a different MS-DR Continue using the same information from above impact this has on reimbursement by determining the relative weight of the two MS forming the calculations to determine the reimbursement difference

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