Briefly explain the DRG validation process?
The medical record is reviewed to verify the ICD9 diagnosis and procedure codes for correct DRG assignment. The Certified Coding Specialist utilizes client customized DRG coding software to ensure that the selection of the correct principal diagnosis/procedure reflects the clinical findings in the medical record. The hospital is contacted with detailed correspondence regarding the adjusted DRG assignment. The hospital representative signs the DRG finalization form agreeing to the DRG adjustment.