Definitions for "Diagnosis Related Group"
Keywords:  drg, inpatient, pps, hospital, medicare
A method of classifying inpatient hospital services. It is used as a method of determining financing to reimburse various providers for services performed.
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.
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).
Keywords:  ecf, top, back
Back to the Top ECF