AHIMA CDIP Training – Understanding the Complete Inpatient Coding and Reimbursement Pathway
If you are preparing for the AHIMA CDIP (Certified Documentation Integrity Practitioner) exam or working as a Clinical Documentation Improvement specialist, there is one foundational concept you must master before everything else. You must understand how inpatient hospital reimbursement works from the first moment a patient walks through the hospital door to the final Medicare payment deposited into the hospital account. At MEDESUN Medical Coding Academy, we teach this as the Complete IPPS Reimbursement Pathway. It is the backbone of every CDI audit, every physician query, and every DRG validation you will ever perform. Here is the full pathway explained step by step. THE COMPLETE INPATIENT REIMBURSEMENT PATHWAY ADX –> PDX –> SDX –> MDC –> MS-DRG –> RW –> HBR –> PAYMENT STEP 1 – ADX – ADMITTING DIAGNOSIS The journey begins the moment a patient is admitted. The Admitting Diagnosis, also called ADX, is the condition suspected or […]