DRG 469 vs. 470

Unknown
edited May 2016 in CDI Talk Archive
Good afternoon - I was having a discussion with my new director on DRG 469 vs. 470. Is there data out there, somewhere that shows an industry standard or regional of percentage of cases with MCC vs. w/o MCC? I checked out the Pepper Report which did not contain the information. Any suggestions where to look?

Thanks - Linnea


Linnea Thennes, RN, BS, CCDS, CCS
Supervisor, Clinical Documentation Improvement
Centegra Health System
815. 759-8193
lthennes@centegra.com

Comments

  • katysuegood@gmail.comkatysuegood@gmail.com
    edited May 2016
    We get this info from our Consulting company. I have the 80% benchmark being a 90/10% split.

    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    AHIMA Approved ICD-10CM/PCS Trainer
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404
  • singwm@chc.netsingwm@chc.net
    edited May 2016
    Benchmark used by our consultants for this DRG Pair is 10.6% of the time should have MCC.

    Bill Singletary, RN, BSN, BA, MBM
    Director - Care Coordination
    Stroke Program Coordinator
    The Medical Center
    250 Park St.
    Bowling Green, KY. 42101
    (270) 796-2554
    singwm@chc.net
  • don.cdi.rn@gmail.comdon.cdi.rn@gmail.com
    edited May 2016
    The data in table 7 of the Final IPPS rule (FY12 Medpar data):

    MS-DRG Number of Discharges
    469 27,954
    470 423,963

    So, 6.2% with MCC

    Don

    Donald A. Butler, RN, BSN
    Manager, Clinical Documentation Advisor Program
    Vidant Health, Greenville NC
    DButler@vidanthealth.com ( mailto:mDButler@vidanthealth.com )
Sign In or Register to comment.