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DRGs
- Diagnostic Related Groups
Each DRG is only one of 503 possible classifications of diagnoses
in which patients with similar lengths of stay and resource use
are grouped together for billing purposes. The patient's actual
diagnosis is converted into a DRG that is used to calculate the
hospital's reimbursement.
In
1983, DRGs were implemented in all acute care, non-specialty hospitals
throughout the United States. They were implemented to contain the
costs for the Medicare Program. Instead of hospital reimbursement
being based on retrospective charges (after the delivery of care),
the reimbursement system changed to a DRG fixed payment or "prospective
payment" system, meaning
hospitals are compensated for a patient's care based on the qualifying
DRG
Definition
found at: http://hospitalguide.mhcc.state.md.us/
Definitions/define_drgs.htm.

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