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Health Care Compliance

Health Care Compliance. Lesson 3 Medicare Target Areas Section 1. Acute Care. Acute Care. DRG. D iagnosis R elated G roup. >500. Diagnosis Treatments Procedures Age. Acute Care. Principal diagnosis. ICD-9 Codes. Must be supported by Physician Documentation!. DRG.

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Health Care Compliance

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  1. Health Care Compliance Lesson 3 Medicare Target Areas Section 1

  2. Acute Care

  3. Acute Care DRG Diagnosis Related Group >500 Diagnosis Treatments Procedures Age

  4. Acute Care Principal diagnosis ICD-9 Codes Must be supported by Physician Documentation! DRG

  5. DRG Selection Acute Care • What are Groupers? • Groupers determine DRGs • DRGs determine $$$$$$$

  6. Admissions and Discharges OIG Supplemental Guidelines

  7. Inpatient CAH

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