Complication and Comorbidity Coding Analyzer

Target your clinical documentation improvement efforts

Tool in Brief

Purpose

Assembles cohort data for Medicare patients in FY2018 and pinpoints areas where your hospital's MS-DRG coding reflects a substantially higher or lower level of acuity than a self-identified peer group; useful for guiding clinical documentation improvement efforts or post-payment audit risk analyses. 

Suggested users

Revenue cycle and finance leaders, clinical documentation improvement managers, revenue integrity specialists, coders

Type of tool

Web-based, benchmarking/survey

Key Information

Estimated completion time

Instant

Required inputs

  • Select institution (analysis is pre-loaded with your institution’s MedPAR data; no additional claims data required)
  • Select base MS-DRGs and compare their usage of specific diagnosis codes in these categories relative to the selected peer group

Tool outputs

  • Provides cohort data and compares your institution’s coding acuity within specific base MS-DRGs with those of your peers
  • Quantifies the revenue implications associated with these acuity variances

 

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