Highest MS-DRG Weight versus Highest SOI/ROM when 2 DX Equally Meet Definition for PDx
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 have traditionally always used the highest MS-DRG PDx but with recent quality conversations, specifically the mortality index, we are curious as to what other organizations are following.