Diagnosis Related Groups are a classification system used to identify distinct types of hospital inpatient cases and are the foundation for Medicare's inpatient payment system. There are currently 508 DRGs that classify patients into clinically cohesive groups that demonstrate similar resource consumption by hospitals.
A patient classification scheme that provides a clinically meaningful way of relating the number and types of patients treated in a hospital to the resources required by the hospital.
DRGs are a means of classifying a variety of diagnoses and procedures ICD codes into a group. These groups aim to represent patients who consume similar resources, are of a similar level of complexity and have a similar length of stay. Each DRG has its own cost weight, an inlier length of stay, high and low boundary points.
Diagnosis Related Group. A "Diagnosis Related Group" is a payment category that is used to classify patients, especially Medicare patients, for the purpose of reimbursing hospitals for each case in a given category with a fixed fee regardless of the actual costs incurred. A DRG is based upon the principal ICD-9-CM diagnosis code, ICD-9-CM surgical procedure code, age of patient, and expected length of stay in the hospital that will be reimbursed, independently of the charges that the hospital may have incurred.
Diagnosis Related Group. A classification of hospital admissions based on the reason for admission, any co-morbidities or complications that existed during the hospitalization, and any surgery performed. DRGs are part of the Prospective Payment System (PPS) that involves reimbursement to hospitals for the care they provide to Medicare patients.
Diagnosis Related Group. A classification of a hospital stay in terms of what was wrong with and what was done for a patient. The DRG classification (one of about 500) is determined by a "grouper" program based on diagnoses and procedures coded in ICD-9-CM, and on patient age, sex, length of stay, and other factors. The DRG frequently determines the amount of money that will be reimbursed, independently of the charges that the hospital may have incurred.
Diagnosis Related Grouping. A billing method that hospitals in some states are required to use and all other hospitals may choose to use. With this method, a hospital will charge a flat rate based on diagnosis, rather than billing each separate service rendered.
Diagnosis related group. This is a management method in which illnesses are divided into several hundred groups. The bulk payment system by which medical bills are paid under DRG is called the prospective payment system (PPS).
See Diagnosis-Related Group.
Diagnosis-Related Group, or DRG, is a term used for classifying medical conditions into standard categories. The federal Medicare system identifies more than 500 DRGs. For each DRG, there is a guideline for the patient’s standard treatment and length of stay in a hospital. Hospitals use DRGs to define a patient’s illness for billing purposes. Click here for more information. Click here for a list of the medical conditions used in the Hospital Guide.
Diagnosis Related Group. A classification system of diagnoses developed by the government for Medicare that is used to determine the amount paid to hospitals for a patient with a certain diagnosis.
Diagnosis Related Groups. A system of classification for inpatient hospital services based on diagnosis, age, sex, and the presence of complications. It is used as a means of identifying costs for providing services associated with a diagnosis and as a mechanism to reimburse hospital and selected other providers for services rendered.
directory replication group. The directory servers participating in a replication agreement.
See directory replication group (DRG)
Diagnosis Related Group. A system of classifying medical cases for payment on the basis of diagnosis. Used under Medicare's prospective payment system (PPS) for inpatient hospital services.
A system used by Medicare and some insurers to classify illnesses according to diagnosis and treatment. conomies of Scale A decrease in unit costs because of the volume.
Diagnostic Related Groups. A prospective payment system that pays a set amount for a given diagnosis. If treatment actually costs less, the provider keeps the excess; if treatment costs more, the provider loses.
Diagnostic Related Group.
Diagnosis Related Group. The basis of payment for hospitalization in Medicare, in which a group of related conditions of similar average costs are paid this same fixed rate for almost all costs associated with a hospitalization (except physician's fees). The payment is not based on length of stay or amount of services provided.