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Electronic (digital download/no shipping)
WEDI Members Only -
The intent of the the DRG Shifts tool is to provide a standard method for capturing, reviewing and discussing issues that members have identified as they have begun their analysis of the ICD-10 transition, in particular as it is related to DRGs. The intent of this product is to capture in a consistent way, those issues related to DRG shifts that may be related to: • DRG grouper issues • Mapping issues • Documentation variation • Coding variation • Weighting changes for the same DRG. The approach is to create simple scenarios based on experiences in testing or analysis that will help identify potential risk areas that can be addressed through testing, education or other actions to maintain revenue neutrality to the degree possible across the transition. The scenarios are designed to be as simple as possible to illustrate the points of shift without getting lost in the details of complex claim cases. The goal is to have an evolving tool that will be shared widely to aid other stakeholders in the industry.