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M131/HIM1125 Rasmussen Mod 1 Reimbursement Concepts Discussion Post

M131/HIM1125 Section 04 ICD-CM Coding

Rasmussen College

Question Description

Module 01 Discussion - Reimbursement Concepts (MS DRG), Revenue Cycle, and UHDDS

Complete the following questions.

Part 1: Describe the hospital inpatient prospective payment system (MS-DRGs)
including what determines the MS-DRG and the relationship to ICD-10-CM diagnosis
codes.

Part 2: What is the Uniform Hospital Discharge Data Set (UHDDS)? How does it
relate to medical coding?

Part 3: Discuss the coding professional's role in the revenue cycle and the effect

coding has on reimbursement.

Final Answer

Hello, please find attached. In case you need edits, feel free to ask.

Running head: MS-DRGs

1

MS-DRGs
Student’s Name
Institutional Affiliation
Course
Date

MS-DRGs

2

Part 1
MS-DRGs was adopted in the year 2008. The move was one of the most drastic revisions
done on the DRG system after more than 25 years. The aim of the new system was to improve
the ability of Medicare meant to recognize the illness of its inpatients during hospital payments.
The new system was the only way of increasing payments for hospital services provided to
patients. MS-DRGs also meant to prevent the level of lower payments that has been on the rise in
healthcare agencies (Didier, Pace, & Walker, 2016). There are different levels of severity that are
determined by the diagnoses codes.
a. The presence of MS-DRGs has major comorbidity/complications (MCC) accompanied
by the highest level of...

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