Answer:
One aspect of maximizing reinbursement involves when a patient is admitted as an inpatient at a hospital for the treatment of urosepsis, which is urinary tract infection, UTI. A secondary code has to be assigned to indicate the cause of the infection such as E. coli
Explanation:
Then, the DRG reinbursement rate is approximately $2,300. When an encoder and DRG software grouper are used, the coder may notice that the code for sepsis results in the higher DRG rate of approximately $6, 400. If the code for sepsis is reported as the principal diagnosis, this case would most likely be reviewed by the MAC or the quality improvement organization to verify the accuracy of the reported code.
