Inside Angle

From 3M Health Information Systems

Tag: MS-DRGs

DRGs (Diagnosis Related Groups) is a methodology for classifying patients based on the amount and type of hospital resources needed to treat them. The DRG classification system is used to determine reimbursement (CMS’s Prospectiv Payment System) and funding and to measure the quality of care provided by hospitals. DRGs link clinical and financial data, and provide an operational means to define case mix (the range and type of patients a hospital treats). On October 1, 2007 CMS made changes to the DRG system. To differentiate it, the newly resequenced DRGs are now known as MS-DRGs.

Blog Post

CMS announces new ICD-10-PCS codes to capture COVID-19 therapeutics — effective August 1

July 31st, 2020 / By Rhonda Butler

Update: On August 6, CMS added two files to the ICD-10-PCS COVID-19 update posted on July 30. They are: 1) the xml file icd10pcs_tables_2021.xml containing the combined complete FY 2021 […]

Knowledge Lab Post

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.

Blog Post

What a government shutdown looks like for this cog

January 24th, 2018 / By Rhonda Butler

Note: I started this blog on Monday morning, when an agreement to end the shutdown was still being worked out. Now that government is funded, the blog looks like old […]

Blog Post

HIMagine That: Non-OR procedures

August 22nd, 2016 / By Sue Belley, RHIA, Donna Smith, RHIA

Donna: Hi Sue. Have you had a chance to read through the FY 2017 Final Rule since our last chat? Sue: I haven’t read all 2,434 pages if that’s what […]

Blog Post

ICD-10 and good government

August 15th, 2016 / By Rhonda Butler

My years of posting blog diatribes against the politics behind the ICD-10 implementation saga may have sent a confusing message regarding government (as distinguished from politics), so I would like […]

Blog Post

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 […]

Blog Post

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 […]

Knowledge Lab Post

Article: Low-Cost Outliers as Alternatives to the Two-Midnight Rule

With Richard Averill, MS, Richard Fuller, MS

Does the CMS two-midnight rule create an adversarial dynamic between physicians and hospitals? 3M authors discuss an alternative approach using low-cost outliers in this Healthcare Financial Management article.

Blog Post

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.” […]

Blog Post

HIMagine That! Coding Variance from ICD-9 to ICD-10

August 12th, 2013 / By Sue Belley, RHIA, Donna Smith, RHIA

Donna: Sue, I have been reviewing data files with ICD-9 codes translated to ICD-10 to determine if there are DRG changes between the two coding systems. Sue: Well, Donna, what […]

Blog Post

What No Map Can Tell You about ICD-10: Coronary Angioplasty and MS-DRGs, Part 2

May 3rd, 2013 / By Rhonda Butler

Last time I exhausted my blog space and myself and probably a few readers describing in principle how the differences in the language of ICD-9 and ICD-10 impact the MS-DRG […]

Blog Post

What No Map Can Tell You about ICD-10: Coronary Angioplasty and MS-DRGs, Part 1

May 1st, 2013 / By Rhonda Butler

Everyone on the planet knows what a coronary angioplasty is, since it makes the news every time someone in public office gets their coronaries reamed out.  Angioplasties happen—a lot—and when […]