Question

Documentation in the record reveals that a patient is admitted with an acute exacerbation of COPD (MS-DRG 192). -A higher-paying DRG may be appropriate if documentation is present in the record at the time the decision was made to admit the patient that confirms a diagnosis associated with which of the following:

-Angina was treated with nitroglycerin prn for chest pain
-Atrial fibrillation and underwent a cardioversion while hospitalized
-Blood gases of pO2 of 58, pCO2 of 55, pH of 7.32 upon admission and treated with intubation and mechanical ventilation for more than 96 hours
-Anemia and was given a blood transfusion

Answer 1

Documentation in the medical record plays a role in determining the appropriate DRG for a patient with an acute exacerbation of COPD. The option that indicates a severe exacerbation requiring intubation and mechanical ventilation for more than 96 hours is likely to result in a higher-paying DRG.

Step-by-step explanation:

The patient's record reveals that they were admitted with an acute exacerbation of COPD (MS-DRG 192). If documentation is present in the record at the time the decision was made to admit the patient that confirms a diagnosis associated with their condition, a higher-paying DRG may be appropriate. In this case, the options given are:

1. Angina was treated with nitroglycerin prn for chest pain
2. Atrial fibrillation and underwent a cardioversion while hospitalized
3. Blood gases of pO2 of 58, pCO2 of 55, pH of 7.32 upon admission and treated with intubation and mechanical ventilation for more than 96 hours
4. Anemia and was given a blood transfusion

Based on the information provided, option 3 is the most likely to result in a higher-paying DRG, as it indicates a severe exacerbation of COPD requiring intubation and mechanical ventilation for an extended period of time.