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1. List and describe five major components that drive the assignment of MS-DRGs. 2. List five...

1. List and describe five major components that drive the assignment of MS-DRGs.

2. List five of the most important skill sets a coder should have to ensure the optimal MS-DRG is assigned and billed.

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Answer #1

MS-DRGs refers to the A Medicare Severly Diagnosis Related Group which is a method of division for the hospital stay of Medicare patients in order to get payment services.

1.Five Major components of MS- DRGs

  • Age and sex of the patient
  • Principal/ Secondary diagnosis and procedure codes
  • Discharge condition
  • Presence of major comorbities and complications
  • Presence or absence of complications.

2. Skill sets needed are

  • Good knowledge on Medical Terminology
  • Skill to identify the principal and secondary diagnoses codes
  • Effective problem solving skills to modify the diagnoses
  • Good communication skills
  • Good attention
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