Medicare Severity Diagnosis Related Groups: MS-DRG
Medicare Severity Diagnosis Related Groups: MS-DRG
Exam (elaborations)
Medicare Severity Diagnosis Related Groups: MS-DRG Terminology-Lesson 1: Review Questions And Answers Latest Updates
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Medicare Severity Diagnosis Related Groups: MS-DRG
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Medicare Severity Diagnosis Related Groups: MS-DRG
The sum of all MS-DRG weights, divided by the total number of Medicare discharges for
the same time period. - ️️case mix index (CMI)
Complications and comorbid conditions defined by Medicare to have a higher severity of
illness impact on a patient. - ️️major complication/comorbid conditi...
Medicare Severity Diagnosis Related
Groups: MS-DRG Terminology-Lesson 1:
Review
The sum of all MS-DRG weights, divided by the total number of Medicare discharges for
the same time period. - ✔️✔️case mix index (CMI)
Complications and comorbid conditions defined by Medicare to have a higher severity of
illness impact on a patient. - ✔️✔️major complication/comorbid condition (MCC)
A numeric factor defined by Medicare that considers the geographic location of
hospitals. This factor is used in the reimbursement calculations for facilities to account
for geographic differences. - ✔️✔️hospital wage index
A pre-existing condition which, because of its presence, causes an increase in length of
stay by at least one day in approximately 75% of the cases. - ✔️✔️comorbid condition
A software program designed to determine MS-DRGs and typically contains Medicare
code edits. - ✔️✔️grouper
When patients who were considered inpatients at healthcare facilities leave the facility
to go to another location. The status indicates the new location of the patient. -
✔️✔️discharge status
A condition that arises during the hospital stay which prolongs the length of stay by at
least one day in approximately 75% of the cases. - ✔️✔️complication
A broad classification of conditions typically grouped by body systems diseases. -
✔️✔️major diagnostic category (MDC)
A method to identify various situations based upon assigned ICD-10-CM codes. -
✔️✔️medicare code edits
A type of discharge status in which a patient chooses to leave the facility even though
all medical personnel recommend the patient stays for treatment. - ✔️✔️against
medical advice
Abbreviation for complications and comorbid conditions. - ✔️✔️CC
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