Highest MS-DRG Weight versus Highest SOI/ROM
Taking an informal poll on which Principal Diagnosis (PDx) to sequence first in the following scenario. There are two conditions that equally meet the definition of PDx. One has a higher MS-DRG/CMI. The other has a higher SOI/ROM. Which would you sequence first and why?
We traditionally have always gone with highest MS-DRG weight but with recent conversations over the last several years, specifically in regards to mortality index, we are curious what others are doing.