Why Would a Coder or Coding Manager Automatically Review And/or

Multiple Choice

Why would a coder or coding manager automatically review and/or revise patients assigned to DRG 469 and/or DRG 470?

A) The hospital might not be entitled to the reimbursement for these DRGs.
B) The federal government reviews these DRGs for fraud and abuse.
C) There is something incorrect with the codes assigned and/or data when a patient is grouped into either of these DRGs.
D) Both a and b are true.