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.
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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.
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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;
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Examples of DRG relative weight in a sentence

  • Costs for each DRG will be determined by multi- plying the standardized amount per discharge by the DRG relative weight.

  • DRG Service Policy AdjustorIn addition to subsection R9-22-712.65, for claims with DRG codes in the following categories, the product of the DRG base rate, the DRG relative weight for the post-HCAC DRG code, and the DRG provider policy adjustor shall be multiplied by the following service policy adjustors:1.

  • 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.

  • For each hospital stay, the DRG initial base payment equals the DRG base rate multiplied by the DRG relative weight and any applicable policy adjustors.The DRG initial base payment may be subject to additional adjustments as described in the following paragraphs to produce a DRG final base payment.

  • Step 5—Multiply the amount from Step 4 by the appropriate DRG relative weight (see Table 5 of section VI.

  • The incident should be brought to the attention of your Supervisor and/or Shop Xxxxxxx.

  • Any outlier payment is added to the DRG-adjusted base payment rate, plus any DSH or IME adjustments.Under the IPPS, the Petitioner is entitled to the base payment rate multiplied by the DRG relative weight, plus any supplemental payments that are unrelated to utilization, readmissions, recaptures, bad debt adjustments, or sequestration.

  • For each hospital the per discharge case-mix index will be computed by multiplying the number of incurred SC Medicaid inpatient claims during the period July 1, 2012 through June 30, 2013 by the DRG relative weight, summing these amounts and dividing by the sum of the total per case discharges.

  • For approximately 95% of stays, it is likely that payment will be made using a “straight DRG” calculation—that is, payment will equal the DRG relative weight times the DRG base price.

  • This wage-adjusted amount is then added to the nonlabor- related portion of the unadjusted standard Federal rate (27.115 percent) to determine the adjusted Federal rate, which is then multiplied by the LTC– DRG relative weight (1.2493) to calculate the total adjusted Federal prospective payment for the 2004 LTCH PPS rate year ($45,992.49).


More Definitions of DRG relative weight

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

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