Hospital Lengths of Stay
Diagnosis-Related Groups 89, 90 - Pneumonia Hospital B - Syracuse, New York
Nursing dependency,
Diagnosis-Related Groups and length of hospital stay.
Heterogeneity of European DRG systems and potentials for a common EuroDRG system: Comment on "Cholecystectomy and
Diagnosis-Related Groups (DRGs): patient classification and hospital reimbursement in 11 European countries".
Acute Care Length of Stay Distribution Characteristics
Diagnosis-related Group 89.90 - Pneumonia Selected Metropolitan Areas
Diagnosis-Related Groups (DRGs) and hospital quasi prices
According to the AHA, reviews that are the most difficult to manage and track--RAC complex reviews for medical necessity--will not begin until early 2010; with
diagnosis-related group (DRG) and coding reviews late this year.
Currently, the Centers for Medicare and Medicaid Services (CMS) pays hospitals the same amount--about $5,700--under its
diagnosis-related group (DRG) payment system for treating a stroke patient, regardless of whether TPA is used.
Using claims filed under the
diagnosis-related group for congestive heart failure, Dr.
Table 1 Means and cutoff points for patients within major diagnostic category 15, by
diagnosis-related group (DRG) Geometric mean length Outlier DRG of stay (1) cutoff 385 Neonate, died or transferred 3.7 22 386 Neonate, extreme immaturity 17.9 36 387 Prematurity with major problems 13.3 31 388 Prematurity without major problems 8.6 27 389 Full-term neonate with major problems 7.4 25 390 Neonates with other significant problems 4.2 20 391 Normal newborn 3.1 7 (1) Federal Register (1987).
The
diagnosis-related group (DRG) system for hospitals and the resource-based relative value scale (RBRVS) for physicians were the new payment methods of the 1980s, but they are being replaced rapidly by capitation and other forms of prepayment (e.g., package prices).
Gertman, P.M., and Lowenstein, S.: A research paradigm for severity of illness: Issues for the
diagnosis-related group system.