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Want to learn DRG's & APC's
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Re: Want to learn DRG's & APC's
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skygazer1016
Re: Want to learn DRG's & APC's
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Oct 30 03 9:18 PM
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My Recent Posts
That is a DRG grouper. You simply put in the DX and PX's and then hit calculate, and it will give you the estimated DRG reimbursement. It is probably based on the national hospital base rate since its not specific for a facility.
IRP is a great website for information, but their coding software is one of the most horrible pieces of junk I've ever tried to use. It was given to me to try out and I threw it away and used my books, if that tells you anything!
www.ingenixonline.com/mod...egoryID=50
There is a link to Ingenix for DRG products. I have both the DRG Expert and the DRG Desk Reference as they are used for different purposes. The desk reference is $200, so check out Ebay or contact a local hospital to see if they will sell you an older copy. I know we used to purchase 4-5 copies for the concurrent reviewers...and each facility should really only need to retain 1-2 copies (TRUST ME, always keep at least one copy of an old book...you never know when you are going to be audited on an 3-4 year old account!). The desk reference has more background info, as well as the dreaded "trees" to flow out the assigment of a DRG. I think I would even use that IRP website before I did that manually.
I promise, i will get to the APC info soon...
Leslie....send me your email address if you can.... SMBCoding@cfl.rr.com
Shannon
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Association News
Medical Billing & Coding Education from the MAB
Continuing Education
Management Advice and Training
Questions Asked More Than Once
Help Wanted - Billing and Coding
Non Billing Talk
The Venting Area (Clean posts please)
Medical Coding and Billing News
Fraud and Abuse
Health Insurance - Provider Contracting
ERISA
Tricare
Workers' Compensation
General Medical Billing Questions
Appeals
Accounts Receivables (A/R)
Refunds
Auto Accident Issues
Medisoft Technical Support
Medical Software Technical Support Questions Other than Medisoft. No Investigation Questions!
General Medical Coding Forum
CPT Coding Questions
HCPCS Coding Questions
ICD-9-CM Coding Questions
Evaluation & Management Coding Questions
Acupuncture Billing and Coding
Ambulance Coding and Billing
Cardiology Coding and Billing
Chiropractic Coding and Billing
Dental Billing and Coding
DME Coding and Billing
Emergency Department Coding and Billing
Family Practice Coding and Billing
Hospital Inpatient and Outpatient Coding
Hospital Billing, Appeals and Collections
Internal Medicine Coding and Billing
Laboratory Coding and Billing
Ophthalmology Coding and Billing
OB-GYN Coding and Billing
Pain Management Coding and Billing
Pediatric Coding and Billing
Podiatry Coding and Billing
Physical Therapy Coding and Billing
Psychiatry Coding and Billing
Radiology Coding and Billing
Surgery Coding and Billing
Neurology Coding and Billing
Urgent Care Coding and Billing
Provider Compliance
Billing Center Compliance
HIPAA
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