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 ?
Mean Resource Consumption Diagnosis Related Group 121 - Complicated Acute Myocardial Infarction Hospital C - Syracuse, New York
4) The Health Care Financing Administration created a metric that accurately reflects relative hospital resource consumption by diagnosis related group.
Diagnosis Related Groups (DRGs) have been successfully implemented in the United States and have been widely applied in medical planning and medical cost containment since their development as part of a prospective payment system in Medicare (Burik & Nackel 1981; Paul & Julie 1982).
Because payment for each Diagnosis Related Group is a fixed amount regardless of the extent of care, hospitals continue to strive for shorter lengths of stay.
and provides Diagnosis Related Group (DRG) hospital claims validations for VA's National DRG Recovery Audit Program.
The Premier healthcare alliance has launched a set of reimbursement calculators to help member hospitals compare the individual hospitals' costs to the reimbursement offered under the Medicare Severity Diagnosis Related Group (MS-DRG) system.
The Diagnosis Related Group (DRG) and Recovery Program analyzes thousands of claims nationwide for coding errors, generating millions of dollars in savings for VA and federal health agencies.
Francis from the diagnosis related group (DRG) recalibration.
The changes to CMS' Inpatient Prospective Payment System (IPPS), which include revisions to the relative weights associated with each Diagnosis Related Group (DRG), will be phased in over three years, starting October 1, 2006.
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.
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.