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1.17 Evaluate MS DRG and APC groupings Subdomain LA Evaluate the accuracy of diagnostioprocedural groupings Evaluate the following MS-DRG assignments for accuracy Defend your answers

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1.17 Evaluate MS DRG and APC groupings Subdomain LA Evaluate the accuracy of diagnostioprocedural groupings Evaluate the following MS-DRG assignments for accuracy Defend your answers and provide corrections if necessary 1. A 12-year-old. intellectually disabled male (tQ-19) was admitted from home with high fever (105.2) and chills. He had been experiencing a hacking cough fot two days prior to admission and was very lethargic. Lab work, sputum culture, rapid u test, and chest s ray were performed Ilu test was negative and chest s -ray indicated acute bronchitis Due to the patient's severely weakened condition and low O, levels he was admitted. After two days in the hospital where he received IV antibiotics respiratory treatments for the acute bronchitis he was much improved discharge back to his home MS DRG assigned 201 and ready for Admit diagnosis Principal diagnosis R50.9 120.9 2. A 68 year-old female was admitted from skilled nursing with complaints of right flank pain and fever. This developed one day after her last dialysis treatment for CRE Lab work was drawn, urinalysis performed, and a KUB showed evidence of a renal calculus. The urinalysis indicated a Un, and the patient was admitted for definitive treatment of the streptococcal B UTI and renal calculus. IV antibiotics were administered and increased fluids flushed the stone By the third day, the UIT seemed to be clearing so the patient was discharged back to skilled care Her hypertension was controlled during her admission with Atenolol. MS-DRG assigned 694 Admit diagnosis Principal diagnosis Secondary diagnosis R10.9 N20.0 N39.0 B95.1 110 N18.9 breath. He was found to be experiencing an acute exacerbation of his COPD and therefore admitted for treatment. On the second day of his admission, he began complaining of right knee pain. Examination indicated a pyogenic arthritis and an aspiration of the joint was done and appropriate antibiotics started. Two days later both the patient's respiratory and knee conditions were much impr patient was discharged home 3. A 69 year old male was admitted after arrival in the ER with extreme shortness of oved and the

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