Part A Module: DRGs 871 and 872

Published 02/21/2022

The Centers for Medicaid & Medicare Services (CMS) along with the Office of Inspector General (OIG) have identified coding errors during inpatient stays for diagnosis related groups (DRGs) 871 and 872.

These codes are currently under review by the Comprehensive Error Rate Testing (CERT) contractor and after OIG analysis, certain hospitals maybe subject to further medical review to determine the extent to which hospitals are billing these codes incorrectly.

Take a moment to explore this interactive module to gain an understanding of OIG findings, documenation requirements, and denial prevention tips.