Inside Angle

From 3M Health Information Systems

Tag: APR-DRGs

Developed by 3M, APR-DRGs stands for All Patient Refined Diagnosis Related Groups, a classification system designed to accurately identify how sick a patient population is compared to peer organizations. 3M APR DRGs are an extension of the basic DRG structure that reflects the complete cross-section of patients seen in an acute care setting. The 3M APR DRGs include four severity-of-illness levels and four risk-of mortality levels within each DRG. Severity and mortality subclasses are assigned according to a sophisticated clinical logic that simultaneously evaluates the interactions of multiple co-morbidities, age, procedures, and principal diagnosis. The idea behind APR DRGs is that severity of illness and risk of mortality both depend on the patient’s underlying condition. High severity of illness and risk of mortality are characterized by multiple serious diseases and the interactions between disorders.

Webinar: Creating an accurate picture of your clinical risk

With Cheryl Manchenton, RN

In this webinar, explore how to create a true picture of your patient populations and their mortality risks with Cheryl Manchenton, RN.

Video: Paying for value instead of volume

BCBS of Nebraska has been able to control the cost of health care and keep premiums low. Their strategy: value-based contracting.

ICD-10 financial impact update

August 28th, 2015 / By Ron Mills, PhD

Back in March, I reported at the CMS ICD-10 Coordination and Maintenance meeting that the expected financial impact of the conversion to ICD-10 for a typical Medicare inpatient case mix […]

eGuide: Delivering value-added software to your EHR’s revenue cycle and analytic workflows

Effective revenue cycle workflows often depend on supplemental third-party software to fully manage regulatory and payment requirements. What’s missing from your outpatient revenue cycle system?

Case Study: Auburn Community Hospital

Using the power of data, Auburn Community Hospital implemented initiatives to reduce avoidable readmissions, increase case mix index, and improve documentation.

U.S. Healthcare Costs: Steps to Reduce Payment Variation and Increase Value

December 10th, 2014 / By Steve Delaronde

In 2003, health policy experts Gerard Anderson and Uwe Reinhardt, along with two Johns Hopkins doctoral candidates, published an article in Health Affairs provocatively titled “It’s The Prices, Stupid: Why […]

The Impact of ICD-10 on Reimbursement: What’s Realistic?

November 7th, 2014 / By Donna Smith, RHIA

On a beautiful fall day in upstate New York, I joined a group of healthcare financial executives at the HFMA Region 2 Fall Institute. Meeting hot topics included change management, […]

DIY ICD-10 conversion – Part 5

December 27th, 2013 / By Ron Mills, PhD

We’re still talking about converting policies – lists of ICD-9 codes or clusters that mean something that could be stated in English. These lists may be in documents, spreadsheets, the […]

Under the Streetlight

September 13th, 2013 / By Ron Mills, PhD

Towards midnight, a cop comes upon a guy crawling around on his hands and knees under a streetlight. The cop asks, “What are you doing?” “Looking for my car keys.” […]