The assignment of the same injury code with a different seventh character (ie, initial vs subsequent) can result in differences in ms-drg assignment, which has a significant impact on reimbursement. A diagnosis-related group (drg) is a patient classification system that standardizes prospective payment to hospitals and encourages cost containment initiatives in general, a drg payment covers all charges associated with an inpatient stay from the time of admission to discharge the drg includes any services performed by an outside. All patient refined drgs (apr-drgs) diagnosis related groups, and were created by 3m apr-drg subclass assignment.
Diagnosis-related group (drg) is a system to classify hospital cases into one of originally 467 groups, with the last group (coded as 470 through v24, 999 thereafter) being ungroupable this system of classification was developed as a collaborative project by robert b fetter, phd, of the yale school of management, and john d thompson. How can the answer be improved.
Medi-cal drg payment method frequently asked questions for sfy 2017-18 difference in the apr-drg assignment, the.
Evolution of drgs (2010 update) this practice brief has been updated see the latest version here this version is made available for historical purposes only. Making good decisions in medical coding and drg assignment joel moorhead md, phd, cpc.