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ICD-9 CM and DRG Updates for Long Term Acute Care Hospitals (LTAC) Thursday, October 27, 2005, Louisiana Hospital Association Conference Center 9521 Brookline Avenue, Baton Rouge, LA Program Description
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How to fill out icd-9 cm and drg

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How to Fill Out ICD-9 CM and DRG?

01
Determine the appropriate ICD-9 CM code: Start by examining the patient's medical record and identifying the diagnosis or reason for the encounter. Look for relevant details such as signs, symptoms, and associated conditions. Consult the ICD-9 CM codebook or electronic coding tools to find the code that accurately describes the diagnosis.
02
Document the primary diagnosis: Identify the main reason for the patient's encounter or hospitalization. This should be the most significant condition or problem affecting the patient's care. Make sure to record this primary diagnosis accurately, as it influences the DRG assignment.
03
Assign additional diagnoses: Identify and document any other significant conditions related to the patient's care. This includes coexisting conditions, secondary diagnoses, or complications. Each additional diagnosis should have a separate ICD-9 CM code assigned.
04
Code the procedures: If applicable, assign ICD-9 CM procedure codes to document any surgical or therapeutic procedures performed during the patient's encounter. This should include the principal procedure, as well as any additional procedures. Again, consult the coding resources for accurate code selection.
05
Validate the code assignments: Ensure that the selected ICD-9 CM codes are supported by the medical documentation and comply with coding guidelines. Cross-reference the codes with the patient's medical record to verify their accuracy. Review any physician queries or clarifications, if needed, to ensure correct coding.

Who Needs ICD-9 CM and DRG?

01
Healthcare providers: Medical professionals, such as physicians, nurses, and medical coders, need knowledge and understanding of ICD-9 CM and DRG systems. They use these coding systems to accurately document patient diagnoses and procedures, facilitate the billing process, and ensure appropriate reimbursement.
02
Health insurance companies: Insurers rely on ICD-9 CM codes to determine the medical necessity of procedures and treatments, adjudicate claims, and calculate reimbursements. Knowledge of ICD-9 CM and DRG systems enables insurance companies to review and evaluate medical records accurately.
03
Researchers and statisticians: ICD-9 CM codes provide a standardized method for classifying and analyzing health data. Researchers and statisticians utilize these codes to study various diseases, track healthcare trends, and generate population health reports. ICD-9 CM and DRG data help in measuring the quality of healthcare and identifying areas for improvement.
04
Policy makers and government agencies: Government agencies and policy makers rely on ICD-9 CM codes to understand the health status of a population, allocate healthcare resources, and establish health policies. These codes help in monitoring public health, identifying disease patterns, and evaluating the efficacy of healthcare interventions.
Overall, understanding how to fill out ICD-9 CM and DRG codes is crucial for healthcare professionals, insurance companies, researchers, and government agencies to ensure accurate documentation, billing, reimbursement, and analysis of healthcare data.
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ICD-9-CM stands for International Classification of Diseases, 9th Revision, Clinical Modification and DRG stands for Diagnosis Related Group.
Healthcare providers, hospitals, and healthcare facilities are required to file ICD-9-CM and DRG codes.
ICD-9-CM and DRG codes are filled out based on the diagnosis and procedures performed during a patient's hospital stay.
The purpose of ICD-9-CM and DRG is to classify diseases and procedures for the purpose of billing and reimbursement in healthcare.
Information such as patient diagnosis, procedures performed, and length of hospital stay must be reported on ICD-9-CM and DRG forms.
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