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.

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A “new and improved” normal: Changes for April 1 update announced

Dec. 15, 2021 / By Rhonda Butler

Last year, the Centers for Medicare & Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) jointly finalized a proposal to make the April 1 update of ICD-10-CM/PCS […]

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

Dec. 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 […]

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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 […]

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What a government shutdown looks like for this cog

Jan. 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 […]

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HIMagine That: Non-OR procedures

Aug. 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 […]

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ICD-10 and good government

Aug. 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 […]

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ICD-10 financial impact update

Aug. 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 […]