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What are Dyads and Triads within the DRG Reimburse...

In medical coding, Diagnosis-Related Groups (DRGs) are a reimbursements methodology that groups patients based on their similarity in relation to the consumption of resources required to provide their care. The determination of which DRG a patient’s admission falls into is based on the codes reported for their diagnoses and treatments, along with certain demographic factors such as age and gender. DRGs are used primarily for calculating reimbursement in the hospital inpatient setting, particularly under the Medicare Inpatient Prospective Payment System (IPPS) in the United States. Some DRGs are standalones called base DRGs, but in many cases ...

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    Sep 18, 2024

    What are Dyads and Triads within the DRG...

    In medical coding, Diagnosis-Related Groups (DRGs) are a reimburs...

    New Technology Add-On Payment (NTAP) Upd...

    New Technology Add-on Payments or NTAPs can represent a significa...

    FY 2025 ICD-10-CM Code Updates

    The Center for Medicare and Medicaid Services has released the FY...

    Aug 22, 2024

    ICD-10-CM Coding for Hypercoagulable Sta...

    Hypercoagulable states are blood clotting disorders that increase...

    Aug 22, 2024

    Understanding and Reporting Pseudoseizur...

    What Exactly is a Pseudoseizure? Pseudoseizures have the appearan...

    New ICD-10-CM Codes for Eating Disorders

    Recent updates to ICD-10-CM, effective October 1, 2024, have intr...

    Aug 12, 2024

    The Importance of CDI Review Notes

    Clinical Documentation Improvement (CDI) review notes play a crit...


    Medical Coding Tips

    Coding Diabetes Mellitus with Assumed Conditions

    Diabetes can be a challenge for coders. ICD-10-CM does assum...

    Hierarchical Condition Categories (HCCs) Release o...

    Hierarchical Condition Categories (HCCs) which is CMS’ risk ...

    May 13, 2024

    Sequencing the Diagnosis of Sepsis

    Sepsis Sequencing Sepsis can occur in combination with many ...

    Feb 08, 2024

    Coding Diagnoses on Outpatient Encounters

    This coding tip is intended to clear up any confusion regard...


    Annual Code Updates

    FY 2025 ICD-10-CM Code Updates

    The Center for Medicare and Medicaid Services has released t...

    2024 CPT Code Updates

    This is a summary of the new CPT codes and HOPPS changes for...

    FY 2025 ICD-10-PCS Code Updates

    The Center for Medicare and Medicaid Services has released t...

    2024 ICD-10-CM, ICD-10-PCS Codes and IPPS Changes

    It is that time of year again where the new codes for the ne...

    Industry News

    Coding Diabetes Mellitus with Assumed Conditions

    Diabetes can be a challenge for coders. ICD-10-CM does assum...

    Hierarchical Condition Categories (HCCs) Release o...

    Hierarchical Condition Categories (HCCs) which is CMS’ risk ...

    Debridement Coding in ICD-10-PCS

    Debridement is the removal of dead, damaged, or infected tis...

    Covid-19 Coding

    Covid-19 Diagnosis Coding Common Scenarios

    With the proliferation of COVID-19 cases, we thought we woul...

    Update - Coding COVID-19 When the Test is Negative

    Updates as of 1/01/21: As you may know, assigning the approp...

    Z Code Reporting for COVID-19

    Updates from 1/19/21 in green font.

    AHA COVID FAQs for ICD-10-PCS & New Technology

    Coders are instructed, at this time, to follow the AHA Frequ...


    Query Tips

    Oct 11, 2023

    Query Tip: Avoiding a Leading Query – Don't Be Dir...

    "A leading query is one that is not supported by the clinica...

    Sep 19, 2023

    How to Query for Pathology Results

    Tissue findings interpreted by a pathologist are not equival...

    Aug 23, 2019

    Query Tip: Writing a Query Question – Simple and C...

    The question asked in a physician query may be the most impo...

    Mar 04, 2024

    The Many Meanings of "Unable to Determine"

    Queries written in a multiple-choice format include a short ...

    Company News

    2025 Medical Coding Updates: Pre-Purchase of Cours...

    Health Information Associates (HIA) is excited to announce t...

    Health Information Associates to Showcase Expertis...

    Health Information Associates (HIA), known for its expertise...

    Introducing HIA’s Cloud-Based Audit Software, Atom...

    Health Information Associates (HIA), celebrating their 30th ...

    Introducing HIAlearn, an Online Medical Coding Edu...

    Accepted by AHIMA and AAPC, HIAlearn Serves as a One-Stop-Ed...



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