How Stratsan’s Data Process has Adapted to Maintain Data Integrity
By Megan Reeves
New ICD and DRG codes are created every year by CMS. Why and how these codes are created and released is discussed in detail in this post. These diagnosis and procedure codes allow for:
- Easy storage, retrieval, and analysis of health information for evidence-based decision-making
- Sharing and comparing health information between hospitals, regions, settings, and countries
- Data comparisons in the same location across different time periods
They are usually released in the fall, with an announcement at the beginning of Q3. This allows healthcare providers to prepare and plan for any changes to come. Codes then typically go into effect October 1, the beginning of Q4 of that year.
While there is a standard schedule and process for when and how codes are released, COVID-19 is a unique situation and has triggered the creation of new codes outside the normal process. Creating a new set of codes outside the standard way of doing so, can lead to issues. In this post, we’ll discuss one such issue that our team has noticed—the spike in invalid and ungroupable DRGs—and how we’re addressing this problem for our clients.