diagnosis-related group

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di·ag·no·sis-re·lat·ed group (DRG),

a program in the U.S. for billing for medical and especially hospital services by combining diseases into groups according to the resources needed for care, arranged by diagnostic category. A dollar value is assigned to each group as the basis of payment for all cases in that group, without regard to the actual cost of care or duration of hospitalization of any individual case, as a mechanism to motivate health-care providers to cut costs.

diagnosis-related group (DRG)

a group of patients classified for measuring a medical facility's delivery of care. The classifications, used to determine Medicare payments for inpatient care, are based on primary and secondary diagnosis, primary and secondary procedures, age, and length of hospitalization. See also prospective payment system.

diagnosis-related group

Managed care A prospective payment system used by Medicare and other insurers to classify illnesses according to diagnosis and treatment; DRGs are used to group all charges for hospital inpatient services into a single 'bundle' for payment purposes. See DRGs.

di·ag·no·sis-re·lat·ed group

(DRG) (dī-ăg-nō'sis-rĕ-lā'tĕd grūp)
A classification of patients by diagnosis or surgical procedure (sometimes including age) into major diagnostic categories (each containing specific diseases, disorders, or procedures) for the purpose of determining payment of hospitalization charges, based on the premise that treatment of similar medical diagnoses generates similar costs.

di·ag·no·sis-re·lat·ed group

(DRG) (dī-ăg-nō'sis-rĕ-lā'tĕd grūp)
U.S. billing program for medical and especially hospital services by combining diseases into groups according to the resources needed for care, arranged by diagnostic category.
References in periodicals archive ?
As mentioned in the article, diagnosis related group expenditures were estimated using Hospital Cost and Utilization Project data' and resource intensity data published in the Federal Register.
Performance assessment of inpatient service in Beijing: a horizontal comparison with risk adjustment based on Diagnosis Related Groups.
7 /PRNewswire/ -- The Centers for Medicare and Medicaid Services' Diagnosis Related Groups (DRG) Grouper software and the Medicare Code Editor (MCE) software, formerly distributed by 3M, are now available from the National Technical Information Service.
SDIS), a subsidiary of NHI, has integrated the 3M(TM) International Refined Diagnosis Related Group (IR-DRG) grouper software into NHI's NetCare7.
SDIS), a subsidiary of NHI, has integrated the Australian Refined Diagnosis Related Group (AR-DRG) grouper software into NHI's NetCare7.
Primary credit concerns include light profitability for the rating category, rising expense pressures, increased competition, potential revenue pressures from the proposed Medicare diagnosis related group (DRG) recalibration.
However, these increases will be marginally offset by pressure on sales of beraprost (Toray/Yamanouchi's Dorner) in Japan following the forthcoming introduction of the Diagnosis Related Group (DRG) payment system, with physicians 'trading down' to cheaper treatments.
These reductions include (1) the diagnosis related group ("DRG") re-weighting rules issued in August 2005 that resulted in an aggregate reduction in payments of approximately 4.
The recent German Health Reform or "Gesundheitsreform 2000" will introduce a German Diagnosis Related Group or G-DRG system in the hospital sector planned to be fully operational by 2003.
As background, Averill explains that under the Medicare prospective payment system, hospitals are paid a fixed amount based on the Diagnosis Related Group to which a patient is assigned.
APR-DRGs, on the other hand, are much more restrictive when assuming a patient has been on mechanical ventilation according to the All-Patient Refined Diagnosis Related Groups (APRDRGs) Methodology Overview (3M Health Information Systems 2007).
The effects of policy alienation are then studied with respect to resistance to change among midwives implementing a structural ultrasound policy and health care professionals implementing diagnosis related groups.