We utilize PWC Smart software to identify specific DRGs for a secondary review prebilling. One process we take involves utilizing Vizient data to identify DRGs where we're not at the 75th percentile MCC capture rate (as compared to other like facilities). We then review those DRGs at 100% looking for missed opportunities.
Comments
We utilize PWC Smart software to identify specific DRGs for a secondary review prebilling. One process we take involves utilizing Vizient data to identify DRGs where we're not at the 75th percentile MCC capture rate (as compared to other like facilities). We then review those DRGs at 100% looking for missed opportunities.
Erik J. Kilbo, RHIA, CCS, CPC-I, CCDS, CDIP
This information is very much appreciated!