Diagnosis-related group

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	Diagnosis-related group - Wikipedia, the free encyclopedia
		Diagnosis-Related Group (DRG) is a system to classify hospital cases into one of approximately 500 groups, also refered to as DRGs, expected to have similar hospital resource use, developed for Medicare as part of the prospective payment system.
		DRGs are assigned by a "grouper" program based on ICD diagnoses, procedures, age, sex, and the presence of complications or comorbidities.
		DRGs may be further grouped into Major Diagnostic Categories (MDCs).
	www.wikipedia.org /wiki/GRD (281 words)

	Figures
		Diagnosis related group for pneumonia= 89, congestive heart failure + shock = 127, cerebrovascular accident = 14, gastrointestinal miscellaneous = 182, pancreatic diseases (not cancer) = 204, toxic effects of drugs = 449, alcohol/drug abuse/dependency = 434, chest pain = 143, alcohol liver disease = 202, diabetes with complications (age >35), arrhythmias = 138.
		Length of stay by diagnosis related group: hospitalist clinician educators versus private physicians for fiscal year 2000.
		Cost per case by diagnosis related group: hospitalist clinician educators versus all other MDs for fiscal year 2000.
	www.medscape.com /content/2004/00/47/30/473051/473051_fig.html (320 words)

	PHC4 - Diagnosis Related Group (DRG) Descriptions
		Heart Failure and Shock (DRG 127): Congestive heart failure is an abnormal accumulation of fluid due to the heart's inability to pump a normal amount of blood.
		Gastrointestinal Bleeding: (DRG 174): Bleeding from stomach or intestinal ulcers, inflammation of the stomach, or inflammation of small sac-like areas in the wall of the colon.
		Vascular Operations except Heart (DRG 478): Surgical procedures on blood vessels in the head, neck, and the upper and lower limbs.
	www.phc4.org /reports/hpr/98/drgdescrip.htm (387 words)

	RBRVS EZ Fees DRG Table
		Cases are classified into DRGs for payment under the prospective payment system based on the principal diagnosis, up to eight additional diagnoses, and up to six procedures performed during the stay, as well as age, sex, and discharge status of the patient.
		Each DRG weight represents the average resources required to care for cases in that particular DRG relative to the average resources used to treat cases in all DRGs.
		A MDC of "PRE" indicates a DRG case that is directly assigned based upon procedure codes.
	www.rbrvs.net /table6.htm (307 words)

	Diagnosis-related group impact of nutrition support in cardiac surgery patients -- Flancbaum et al. 12 (5): 473 -- JPEN - Journal of Parenteral and Enteral Nutrition
		We studied the diagnosis-related groups (DRG) impact of nutrition support on 80 consecutive cardiac surgery patients operated upon during a 6-month period.
		Diagnosis-related group impact of nutrition support in cardiac surgery patients
		Group I patients were significantly older than groups II and III (p less than 0.0003) and had a significantly longer average length of stay (ALOS) (p less than 0.001), ALOS in SICU (p less than 0.0001) and greater incidence of both septic complications (p less than 0.02) and mortality (p less than 0.02).
	jpen.aspenjournals.org /cgi/content/abstract/12/5/473 (273 words)

	American Hospital Directory - - Medicare Prospective Payment System
		Each patient is classified into a Diagnosis Related Group (DRG) on the basis of clinical information.
		The DRG assignment process is computerized in a program called the grouper that is used by hospitals and fiscal intermediaries.
		A DRG with a weight of 2.0000 means that charges were historically twice the average; a DRG with a weight of 0.5000 was half the average.
	www.ahd.com /pps.html (741 words)

	Diagnosis Related Group - AnyDoctor.info
		Diagnosis-Related Group (DRG) Reimbursement This is a reimbursement system for inpatient charges from facilities, which assigns payment levels to each DRG based on the average cost of treating all...
		diagnosis related group (drg) 1 craniotomy age >17 with complications, comorbidities (beginning 10-1-02) 2 craniotomy age >17 without complications, comorbidities (beginning 10-1-02...
		diagnosis related group (DRG) A medical cost reimbursement method initially developed by Medicare for its prospective payment system for the reimbursement of medical fees for a patient.
	www.anydoctor.info /diagnosis-related-group.htm (314 words)

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	www.zyprexaresource.com /diagnosis_related_group.html (558 words)

	diagnosis related group
		Each DRG category is based on patient characteristics (e.g., age, sex), diagnosis, and medical procedures all of which are condensed into a single DRG that applies to a specific patient.
		DRG's are now utilized by employers and insured as a cost containment technique.
		A medical cost reimbursement method initially developed by Medicare for its prospective payment system for the reimbursement of medical fees for a patient.
	insurance.cch.com /rupps/diagnosis-related-group.htm (74 words)

	Arch Intern Med -- Abstract: Diagnosis related group 'all payor' hospital payment and medical diseases. Financial risk and hospital cost in medical noncomplicating condition-stratified diagnosis related groups, February 1, 1989, Munoz et al. 149 (2): 417
		Diagnosis related group 'all payor' hospital payment and medical diseases.
		Financial risk and hospital cost in medical noncomplicating condition-stratified diagnosis related groups, February 1, 1989, Munoz et al.
		Arch Intern Med -- Abstract: Diagnosis related group 'all payor' hospital payment and medical diseases.
	archinte.ama-assn.org /cgi/content/abstract/149/2/417 (291 words)

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	www.tobaccoresource.com /diagnosis_related_group.html (796 words)

	HHS/OIG, Audit -"Expansion of the Diagnosis Related Group Payment Window,"(A-01-02-00503)
		Included in the Medicare diagnosis related group (DRG) payments hospitals receive are nonphysician outpatient services, such as laboratory, radiology, and other diagnostic tests, provided (1) up to 3 days prior to the date of admission and (2) by the hospital or a related provider.
		Based on a statistical sample, we estimate, for 10 specific DRGs, that during calendar year 2000 Medicare reimbursed providers approximately $37 million for preadmission services rendered 4 to 14 days prior to the date of a related inpatient admission.
		The intent of the 3-day payment window provision is to prevent hospitals from claiming separate payments for preadmission services that should already be included in the inpatient DRG payment.
	oig.hhs.gov /oas/reports/region1/10200503.htm (257 words)

	Healthcare Financial Management: DRG assignment patterns differ with hospital ownership - diagnosis related group
		For example, DRGs 121 and 122 are two of the assignments that can be made for cases of circulatory disorder with myocardial infarction.
		When a cardiovascular complication, such as atrial fibrillation and ventricular tachycardia, is involved, the case warrants the assignment of the higher-paying DRG 121 when the patient is discharged alive.
		This study, while showing that there is a dramatic disparity in the coding practices and DRG assignment patterns of these two types of facilities, does not reveal the reasons for these differences.
	www.findarticles.com /p/articles/mi_m3257/is_n7_v52/ai_21045781 (465 words)

	NetImpact, in Unique Arrangement, Integrates a Dominant International Diagnosis Related Grouper Into its NetCare7.0(TM) Product
		Diagnosis Related Groups (DRGs) represent the best-known case mix classification for hospitalized patients and provide a clinically meaningful way of relating the number and types of patients treated to the resources required to treat them.
		The Australian Refined Diagnosis Related Group (AR- DRG) classifies acute admitted patient episodes in public and private hospitals.
		The AR-DRG grouper is one of the dominant DRG groupers in the international medical marketplace.
	www.prnewswire.com /cgi-bin/stories.pl?ACCT=104&STORY=/www/story/04-01-2003/0001918131&EDATE= (564 words)

	Summary of AR-DRG v4.1 to v4.2 changes
		In addition to the DRG 961Z Unacceptable principal diagnosis changes, a total of 27 groups of disease code changes were made to the classification after the AR-DRG v4.1, with each change involving at least one code.
		Comments here will be restricted to the diagnosis and procedure codes, which are significant to the DRG classification.
		Hospitals notified the Commonwealth of other issues when individual patient records failed to group to the expected DRGs.
	www.health.gov.au /casemix/dev42.htm (998 words)

	PHC4 - Diagnosis Related Group (DRG) Descriptions
		Includes the initial diagnosis, as well as follow-up care, for patients with cancerous and non-cancerous tumors.
		Kidney, eye, nervous system, or circulatory complications related to diabetes are not included.
		The majority of colorectal procedures are performed in relation to the presence of cancer or diverticulitis (inflammation of part of the lower digestive tract).
	www.phc4.org /reports/hpr/01/drgdescrip.htm (798 words)

	DRG\Calculator Help
		A DRG (Diagnosis Related Group) number will be returned based on the information provided.
		The DRG (Diagnosis Related Group) and title for the given Diagnoses, Procedures.
		Diagnosis codes may be entered with or without the decimal points.
	www.irp.com /drghelp.htm (239 words)

	CHEST: The problem with Diagnosis Related Group 475
		Analysis was carried out for the financial effect of surgical and medical Medicare patients, and non-Medicare patient payor groups.
		To qualify patients in DRG 474, the patient had to have had a tracheostomy performed for reasons other than for face, mouth, and neck diagnoses and receive mechanical ventilation.
		Subsequent evaluation of the financial effect of DRGs 474 and 475 showed that they did little to relieve hospitals of the tremendous financial burden of patients receiving mechanical ventilation.
	www.findarticles.com /p/articles/mi_m0984/is_1_122/ai_90098298 (1303 words)

	TRICARE Provider Handbook - Diagnosis-Related Group (DRG) Reimbursement
		A change in the principal diagnosis or sequencing of the diagnoses or procedures may result in a higher-weighted DRG and a higher reimbursement rate.
		DRG relative weights and hospital base rates are adjusted yearly.
		Each DRG is assigned a relative weight by CMS based upon charge data for all Medicare inpatient hospital discharges.
	www.triwest.com /triwest/unauth/content/provider/handbook/provider/tricare_diagnosis_related.html (1253 words)

	HCUP-3 Nationwide Inpatient Sample for 1994: Diagnosis-Related Groups
		DRGs: Diagnosis-related groups (DRGs) are a classification of hospital case types into groups expected to have similar hospital resource use.
		A hot-deck procedure was used to impute LOS for these cases, controlling for diagnosis-related group (DRG) and hospital characteristics (geographic region, ownership, urban/rural location, size, and teaching status).
		The groupings are based on diagnoses, procedures, age, sex, and the presence of complications or comorbidities (CC, defined later).
	www.ahcpr.gov /data/hcup/94drga.htm (697 words)

	Evaluating a benchmarking database and identifying cost reduction opportunities by diagnosis-related group -- Knoer et al. 56 (11): 1102 -- American Journal of Health-System Pharmacy
		Pharmacy cost data from the University HealthSystem Consortium (UHC) Clinical Database for specific diagnosis-related groups (DRGs) were reviewed to assess their applicability to a university medical center and to identify opportunities to reduce costs.
		Appropriate drug use for DRGs 302 and 480 (liver transplant) was assessed by contacting transplant pharmacists and pharmacy administrators at the five top-performing hospitals (in terms of cost per DRG) as listed in the UHC database to find opportunities for reducing pharmacy costs.
		Pharmacy costs for DRG 302 (kidney transplant) at the University of Kansas Medical Center (KUMC) were compared with the costs shown in the UHC Clinical Database.
	www.ajhp.org /cgi/content/abstract/56/11/1102 (327 words)

	Diagnosis-Related Groups (DRG)
		A system for classifying patient care by relating common characteristics such as diagnosis, treatment, and age to an expected consumption of hospital resources and length of stay.
		Note: Definition based on Medline, 1997: Decision Group, 1999.
		Its purpose is to provide a framework for specifying case mix and to reduce hospital costs and reimbursements and it forms the cornerstone of the prospective payment system.
	www.ecosa.org /csi/glossary.nsf/0/844EA478A6A25821C1256B950033C72B (118 words)

	Kentucky: Cabinet for Health and Family Services - Diagnosis Related Group (DRG)
		Yes, if the diagnosis is the same as diagnosis at time of admission.
		Psychiatric cases were identified in the CY 2001 Medicaid claims data based on diagnosis.
		The costs of the psychiatric claims were estimated by converting covered days and charges in the claims data to costs, using routine per diems and ancillary cost-to=charge ratios from the audited 1999 Medicaid cost reports, applied at the detailed revenue code level.
	chfs.ky.gov /dms/drg.htm (1038 words)

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	WebWire® Aging Population Fuels European Cataract Device Market
		In France, an impending switch to a Diagnosis Related Group reimbursement system will enable hospitals to command lower prices for IOLs.
		Thanks to early diagnosis and treatment, however, many European patients no longer face the prospect of blindness caused by this age-related condition.
		According to a newly published report by Millennium Research Group (MRG), the number of surgical cataract procedures performed in Europe will increase at an annual rate of almost 5% over the next 5 years.
	www.webwire.com /ViewPressRel.asp?aId=3716 (318 words)

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	Terms Beginning With D
		Definition: a case-mix classification system that groups together patients who are similar clinically in terms of diagnosis and treatment, and in their consumption of hospital resources, thus allowing comparisons of resource use across hospitals with varying mixes of patients.
		Definition: The definition for Extended Disease Cluster (EDC) in the Adjusted Clinical Group (ACG) classification system was applied to group diagnosis codes that represented discrete clinical conditions or problems, for example hypertension, diabetes and schizophrenia.
		Definition: the process of transferring data and related documentation from an external agency and converting it to a format appropriate for use in the MCHP data repository.
	www.umanitoba.ca /centres/mchp/concept/thesaurus/thesaurus_D.html (3277 words)

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