Inpatient Audit

This section displays and allows the user to edit the demographic information for the chart. Please see the Demographic Information and Controls section for detailed information.

The DRG analysis tool identifies DRGs that often have errors associated with their coding and displays a window with auditing advice.

The Manual Recalculate button forces the chart to be resubmitted to TruCode. Any DRG or reimbursement changes will auto-update on the screen.

This section displays the current DRG and reimbursement amount as well as the original DRG and reimbursement values in italics if they have changed due to edits on the chart.

Click the scales to display a window of other possible DRGs and reimbursements if the non PDX DX's are resequences as PDX.

This section displays the current discharge disposition as well as the original discharge disposition in italics if it has been changed by the auditor. The auditor can also indicate that a query has been created by clicking on the question mark symbol.

This section allows the auditor to review, edit, create, delete, or resequence diagnoses for the chart. The diagnosis section will intelligently determine what action the auditor has performed on the code and assign the most appropriate reason to the code. Changes to the code, the POA status, the sequence, or the query state will automatically request a recalculation of the DRG from TruCode and display these changes on the chart immediately. Please see the Diagnosis Control section for more detailed information.

This section allows the auditor to review, edit, create, delete, or resequence procedures for the chart. The procedure section will intelligently determine what action the auditor has performed on the code and assign the most appropriate reason to the code. Please see the Procedure Control section for more detailed information.

This section allows the auditor to review, edit, or create remittance advice for the chart.

This section displays the reimbursement variances that all changes to the original state of the chart have made.

There are 10 different variance "buckets" that are displayed in this section:

This section breaks down the number of errors in the chart and calculates the overall coder accuracy.

Please note, hard CPT PRX errors do not count against the coder accuracy.

This section contains all the controls that the auditor will use that aren't directly related to the creation of the chart. Please see the Chart Edit Controls section for detailed explanations of each of these options.