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Purpose For this discussion, you will have an opportunity to review cases that group to MS-DRG 304 depicting coding errors, especially HTN with CKD (chronic kidney disease), and determine not only the errors themself but recommend corrective actions. This discussion provides an opportunity for students to connect with fellow students, ask poignant questions, seek clarification, and contribute to the overall discussion. Information Last year when you were hired as the HIM director at a small community hospital, the CEO wanted you to focus on increasing the case mix index. At the time you were hired, there were three coders: only one was certified as a Certified Coding Specialist (CCS). You began by reviewing the number of MS-DRGs submitted over the past year. The MS-DRG that jumped out was: MS-DRG 304, which is hypertension with an MCC. There were 53 submissions of this MS-DRG. As you reviewed the data for 10 of those submissions, you began to notice a trend. Chart Codes Submitted 1 I10, J449, N18.6, E11.9 2 I10, N18.6, E10.9, E03.9, G47.33 3 I10, G20, I25.10, N18.5 4 I10, F17.210, I70.213, N18.6, E11.9 5 I10, N18.6, I25.5, I25.10 6 I10, E08.22, N18.6 7 I10, E66.01, E03.9, N18.6, F17.210 8 I10, E87.6, J45.909, N18.6 9 I10, E11.9, E66.9, E78.5, N18.5 10 I10, I25.10, N18.6, R33.9, N18.6, E10.9 After a review of the cases in MS-DRG 304, you determined that there was a recurrent error and it is needed to correct these errors to different MS-DRGs. Instructions 1. Evaluate the data above to identify the issue(s) including coding errors. 2. Recommend corrective actions for recoding these cases. Provide an example of a coding error and why there is an error. Provide an example of a correct coding option including coding pathways 3. In 3-sentences, explain how would you educate staff on correct coding assignments. 4. In 3-sentences, explain how would you educate staff on the impact coding has on the facility’s reimbursement.

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