Question

Cacey is the coding manager at Memorial Hospital. She is working with compliance to prepare an audit plan for an upcoming inpatient medical record audit. Leadership has been stressing the importance of MS-DRG assignment and the CC/MCC capture rate. Therefore, Cacey is choosing a compliance rate calculation methodology where principal diagnosis code and CC/MCC codes are given a higher weight than other codes. Which compliance rate calculation is Cacey planning to use for the audit?

a Record over record
b Code over code
c Weighted record over record
d Weighted code over code

Answer 1

Cacey is planning to use the Weighted record over record compliance rate calculation methodology for the audit.

Step-by-step explanation:

Cacey is planning to use the Weighted record over record compliance rate calculation methodology for the audit. In this method, the principal diagnosis code and CC/MCC codes are given a higher weight than other codes. This means that the presence of these codes is considered more important in determining compliance.