APR DRG Review

aliciasmail@twc.comaliciasmail@twc.com
in General

Are there tips in how to review a case for APR DRG instead of MS DRG? We have the Solventum tool and realize it shows us the SOI/ROM and unlike MS DRG there is no listing of "CC and MCC" but rather look for acuity, organ system involvement, response to treatment, etc.

I am trying to provide guidance to the CDI team who will be reviewing some cases for MS DRG and others for APR DRG so want to minimize the confusion while also not just telling them to keep adding dx until they get to the highest level SOI/ROM as this will be more time consuming.

Any and all tips or guidance are much appreciated.

Thank you,

Alicia Mitchell

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