Diagnosis Related Groups definition

Diagnosis Related Groups or "DRGs" means the patient classification scheme set forth in 42 CFR 412.60. "Episode-based payments" means a discounted payment or pre-determined price against which actual payments are
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Diagnosis Related Groups or "DRG" means a patient classification scheme in which cases are grouped by shared characteristics of principal diagnosis, secondary diagnosis, age, surgical procedure, and other complications. Each DRG exhibits a consistent amount of resource consumption as measured by some unit (for example, length of stay or dollars).
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Diagnosis Related Groups means the
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Examples of Diagnosis Related Groups in a sentence

  • AHCA utilizes All Patient Refined Diagnosis Related Groups (APR-DRGs) created by 3M Health Information Systems for assigning DRG classifications to claims.

  • In most cases (except for providers under Diagnosis Related Groups (DRGs), Outpatient Prospective Payment System (OPPS), and the inpatient mental health per diem payment system), a participation agreement is required.

  • The key impact of the project will be to bridge many of the gaps that have grown over the past twenty years, so that many more people will be able to access a high-quality social protection system across the lifecycle, thereby supporting the achievement of Goal 1, Target 1.3. A high proportion of those excluded from social protection are female and so, by expanding coverage, we will support the achievement of Goal 5.

  • The IPF PPS includes payment adjustments for the following patient-level characteristics: Medicare Severity Diagnosis Related Groups (MS–DRGs) assignment of the patient’s principal diagnosis, selected comorbidities, patient age, and the variable per diem adjustments.

  • Hospitals must follow national coding guidelines and bill using the 7th digit where applicable in accordance with methodology used in the Medicare Diagnosis Related Groups.

  • For admissions dated October 1, 2012 and after, the Division of Medicaid reimburses all hospitals a per stay rate based on All Patient Refined Diagnosis Related Groups (APR- DRGs).

  • Under Diagnosis Related Groups (DRG)-based payment, hospitals cannot split bill inpatient hospital Medicaid claims when a stay crosses a state fiscal year end, cost report year end, or under any other circumstance unless otherwise specified by the Division of Medicaid.

  • IPF PPS Patient-Level Adjustments The IPF PPS includes payment adjustments for the following patient- level characteristics: Medicare Severity Diagnosis Related Groups (MS–DRGs) assignment of the patient’s principal diagnosis, selected comorbidities, patient age, and the variable per diem adjustments.

  • Diagnosis Related Groups in Europe: Moving Towards Transparency, Efficiency and Quality in Hospitals.

  • FFS payments include Diagnosis Related Groups (DRGs), per-diem payments, fixed procedure code-based fee schedule (e.g., Medicare’s Ambulatory Payment Classifications (APCs)), and discounted charges-based payments.


More Definitions of Diagnosis Related Groups

Diagnosis Related Groups or "DRGs" means the patient classification scheme set forth in 42 CFR 412.60.
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Related to Diagnosis Related Groups

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  • Qualified mental health professional means a licensed medical practitioner or any other person meeting the qualifications specified in OAR 309-019-0125.

  • COVID-19 symptoms means fever of 100.4 degrees Fahrenheit or higher, chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, or diarrhea, unless a licensed health care professional determines the person’s symptoms were caused by a known condition other than COVID-19.

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  • Complex or chronic medical condition means a physical,

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  • Antipsychotic medications means that class of drugs

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  • muscular dystrophy means a group of hereditary genetic muscle disease that weakens the muscles that move the human body and persons with multiple dystrophy have incorrect and missing information in their genes, which prevents them from making the proteins they need for healthy muscles. It is characterised by progressive skeletal muscle weakness, defects in muscle proteins, and the death of muscle cells and tissue;

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  • Provider Group means a medical group, independent

  • Small Diversity business concern means a small business concern that is at least fifty-one (51) percent unconditionally owned by one or more individuals who are both socially and economically diverse, or a publicly owned business that has at least fifty-one (51) percent of its stock unconditionally owned by one or more socially and economically diverse individuals and that has its management and daily business controlled by one or more such individuals. This term also means a small business concern that is at least fifty-one (51) percent unconditionally owned by an economically diverse Indian tribe or Native Hawaiian Organization, or a publicly owned business that has at least fifty-one (51) percent of its stock unconditionally owned by one of these entities, that has its management and daily business controlled by members of an economically diverse Indian tribe or Native Hawaiian organization.