DRG relative weight definition

DRG relative weight means the average standardized costs for cases assigned to that DRG divided by the average standardized costs for cases assigned to all DRGs.

DRG relative weight means the factor that is assigned to each DRG that represents the national average resources required for a DRG classification paid under the DRG reimbursement methodology, relative to the national average resources required for all DRG discharges paid under the DRG reimbursement methodology for the same time period;

DRG relative weight means the average cost or charge of a certain DRG classification divided by the average cost or charge, respectively, for all cases in the entire data base for all DRG classifications.

Examples of DRG relative weight in a sentence

• The DRG relative weight is a weight assigned that reflects the typical hospital resources consumed in care of a patient.

• The DRG relative weight is a numerical multiplier used to adjust payment based on the acuity of the patient.

• The parameters include hospital base rate, DRG relative weight, policy adjustors, outlier loss threshold, outlier marginal cost percentage, hospital cost-to-charge ratios, hospital annual case mix values, and hospital annual Medicaid admission estimates.

• For Hospitals reimbursed by DRG, the Base Rate is a dollar amount assigned to each hospital that gets multiplied by the DRG relative weight and policy adjustor in the calculation of DRG Base Payment.

• A provider’s estimated annual case mix is the average of the DRG relative weight on all of the provider’s inpatient claims as calculated using the same historical claims used for setting the DRG base rate.

• The average Diagnosis Related Grouping (DRG) relative weight as determined from claims information filed with the Missouri Department of Health and Senior Services.

• The DRG relative weight is a key factor in determining payment to the hospital.

• In addition to the basic MS–LTC–DRG payment (standard Federal rate multiplied by the MS–LTC– DRG relative weight), we make adjustments for differences in area wage levels, COLA for Alaska and Hawaii, and SSOs. Furthermore, LTCHs may also receive HCO payments for those cases that qualify based on the threshold established each rate year.

• The per diem payment method to pay for hospital stays that group to an unstable DRG relative weight, some long term acute care (LTAC) services, and other specialty service and low volume services groups identified in WAC 388-550-3460.

• Each claim for an inpatient hospital stay shall be assigned a DRG code and a DRG relative weight based on version 31 of the All Patient Refined Diagnosis Related Group (APR-DRG) classification system established by 3M Health Information Systems.

More Definitions of DRG relative weight

DRG relative weight means the average standardized costs for cases assigned to that DRG divided by