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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.

Differences that Impact MS-DRGs: Obstetrics and Complete Coding for ICD-10

April 8th, 2013 / By Rhonda Butler

Since MS-DRGs get used for all kinds of things beyond their intended use, which is prospective payment for Medicare recipients, one of the most commonly discussed differences between ICD-9 and […]

Differences that Impact MS-DRGs: Crohn’s Disease with Intestinal Abscess

March 6th, 2013 / By Rhonda Butler

In my last blog, I got to indulge myself and say the things people love to hear about ICD-10 and potential MS-DRG shifts: the problem lies in ICD-9, bad ICD-9 […]

ICD-10: Translating Headers

February 11th, 2013 / By Ron Mills, PhD

In a few days, it will have been a year since HHS made the announcement that a delay in ICD-10 was in the wind. I imagine a lot of folks […]

Differences that Impact MS-DRGs: Esophageal Hemorrhage Doesn’t Just Happen

January 21st, 2013 / By Rhonda Butler

In my first blog for 2013, I laid out what I plan to write about for the next little while, and why: What—information that gets lost in translation from ICD-9 […]

ICD-10 MS-DRG shifts, Part 3 – Top DRGs

November 19th, 2012 / By Ron Mills, PhD

We talked earlier about the CC/MCC shifts that affect nearly all DRGs. Now we’ll change our point of view to the DRGs themselves and rank them by their shiftiness. That […]