Abstract: . . .  admission: Appropriate Inappropriate Reviewer name: ___________________________ Title: ___________________________ Date: ___/___/___ Rationale for revised DRG: ____________________________________________________________________ __________________________________________________________________________________________ . . .
. . .  acute level of care, the patient should not be admitted as an inpatient. Page 2 Rev. 3/06 2 of 3 DRG 140 ( Angina Pectoris ) Review Worksheet Patient Name: ___________________________________________ HIC: ______________________________ Age: ________ . . .
. . .  Result of Review DRG originally billed: Correct Incorrect; revised DRG is: _________________________ Inpatient admission: Appropriate Inappropriate Reviewer name: ___________________________ Title: ___________________________ Date: ___/___/___ Rationale for revised DRG: ____________________________________________________________________ . . .
. . .  should not be admitted as an inpatient. Page 2 Rev. 3/06 2 of 3 DRG 140 ( Angina Pectoris ) Review Worksheet Patient Name: ___________________________________________ HIC: ______________________________ Age: ________ Sex: ________ Admission date: ___/___/___ . . .
. . .  contents presented do not necessarily reflect CMS policy. 8SOW-TX-HPPE-06-06 Rev. 3/06 1 of 3 DRG 140 ( Angina Pectoris ) Review Worksheet Instructions Purpose This review worksheet can be used to evaluate simple coding errors as well as complex errors that impact the DRG assignment. . . .
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