Coding Case Study 1
To increase the case mix index value of IP DRG from 0.9 to 1.2 in 45 days.
Root Cause Analysis
Presented the different possible specificities of the DX Codes and educated the provider on the importance of the documentation for higher DRG value.
This way, most of the diagnosis in CC goes to MCC which automatically increases the weightage of the DRG value, and this results in higher reimbursement.
- Improved the CMI value from 0.9 to 1.4 in the initial 45 days
- Increased the reimbursement up to $262K per month (nearing 35%) with our coding recommendations
- Assisted providers with documentation improvement