Inside Angle

From 3M Health Information Systems

Tag: MS-DRGs

DRGs (Diagnosis Related Groups) is a methodology for classifying patients based on the amount and type of hospital resources needed to treat them. The DRG classification system is used to determine reimbursement (CMS’s Prospectiv Payment System) and funding and to measure the quality of care provided by hospitals. DRGs link clinical and financial data, and provide an operational means to define case mix (the range and type of patients a hospital treats). On October 1, 2007 CMS made changes to the DRG system. To differentiate it, the newly resequenced DRGs are now known as MS-DRGs.

Blog Post

More COVID-19 diagnosis and procedure codes: ICD-10-CM/PCS and MS-DRGs updated for January 1, 2021

December 1, 2020 / By Rhonda Butler

In response to the national emergency declared for the COVID-19 pandemic, the CDC has implemented six new ICD-10-CM diagnosis codes and CMS has implemented 21 new ICD-10-PCS procedure codes for […]

Blog Post

CMS announces new ICD-10-PCS codes to capture COVID-19 therapeutics — effective August 1

July 31, 2020 / By Rhonda Butler

Update: On August 6, CMS added two files to the ICD-10-PCS COVID-19 update posted on July 30. They are: 1) the xml file icd10pcs_tables_2021.xml containing the combined complete FY 2021 […]

Blog Post

What a government shutdown looks like for this cog

January 24, 2018 / By Rhonda Butler

Note: I started this blog on Monday morning, when an agreement to end the shutdown was still being worked out. Now that government is funded, the blog looks like old […]

Blog Post

HIMagine That: Non-OR procedures

August 22, 2016 / By Sue Belley, RHIA, Donna Smith, RHIA

Donna: Hi Sue. Have you had a chance to read through the FY 2017 Final Rule since our last chat? Sue: I haven’t read all 2,434 pages if that’s what […]

Blog Post

ICD-10 and good government

August 15, 2016 / By Rhonda Butler

My years of posting blog diatribes against the politics behind the ICD-10 implementation saga may have sent a confusing message regarding government (as distinguished from politics), so I would like […]

Blog Post

ICD-10 financial impact update

August 28, 2015 / By Ron Mills, PhD

Back in March, I reported at the CMS ICD-10 Coordination and Maintenance meeting that the expected financial impact of the conversion to ICD-10 for a typical Medicare inpatient case mix […]

Knowledge Lab Post

Article: Low-Cost Outliers as Alternatives to the Two-Midnight Rule

With Richard Averill, MS, Richard Fuller, MS

Does the CMS two-midnight rule create an adversarial dynamic between physicians and hospitals? 3M authors discuss an alternative approach using low-cost outliers in this Healthcare Financial Management article.