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”
CONTENT:
ü Introduction to DRG
ü History and Types of DRG
ü Standard Definitions of DRG and DRG Grouper
ü DRG Structure, Basic Guidelines of DRG coding and computing
ü CMI, Data Analysis,ICD-10-CM Coding guidelines for DRG
ü Severity of DRG
ü Secondary diagnosis Impact on DRG
ü Resource Value Measurement
ü Outlier Payment, Marginal, Gap
ü DRG Payment Calculation and Process
ü Example Cases
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