ICD-10 Clinic Advanced - Book 15: Case-Mix Management

The case-mix index and how it is calculated, what legitimately moves it and what does not, benchmarking between hospitals, observed against expected length of stay, reading a coding dashboard, clinical documentation improvement and where it stops, what an audit actually looks at, and the line between coding accurately and coding for a result. The last book of the series, and the one about the rest of your career.

The ten chapters:

1. The case-mix index

2. Calculating it, and reading it

3. What moves it, honestly and otherwise

4. Benchmarking between hospitals

5. Observed against expected

6. Reading a coding dashboard

7. Clinical documentation improvement

8. The audit, from the inside

9. The line

10. Where this series ends

Twenty-five A4 pages in full colour. Every chapter closes with its rule stated in a single line, so you can revise the whole book from the rules alone. Then a two-page Coding Lab working full records step by step, a page of the eight pitfalls that cost the most marks, fifteen practice questions with a worked answer for every one, and a glossary.

Written in short sentences and plain English, for readers whose first language is not English and clearer for everyone else because of it.

Grouping systems differ between countries and between payers, so the numbers used here are worked examples chosen to make the arithmetic clear. The method is the same everywhere. Always use your own hospital's current weights and rates for real work. Instant PDF download. By M.R. Sterling.