What does 3M grouper do?

3M™ Grouper Plus Content Services leverages web technology to deliver content with improved timeliness and reduced maintenance. This solution provides up-to-date, secure access to grouping, reimbursement, editing and pay-for-outcomes classifications. The content can be viewed from many different workflows.

What is APR DRG grouper?

All Patients Refined Diagnosis Related Groups (APR DRG) is a classification system that classifies patients according to their reason of admission, severity of illness and risk of mortality.

Who owns APR DRG?

3M™
3M™ All Patient Refined Diagnosis Related Groups (APR DRGs) | 3M.

How is APR DRG reimbursement calculated?

Just as with MS-DRGs, an APR-DRG payment is calculated by using an assigned numerical weight that is multiplied by a fixed dollar amount specific to each provider. Each base APR-DRG, however, considers severity of illness and risk of mortality instead of being based on a single complication or comorbidity.

How does a DRG grouper work?

The DRG-Grouper is used to calculate payments to cover operating costs for inpatient hospital stays. Payment weights are assigned to each DRG based on average resources used to treat Medicare patients in that DRG.

What is 3M CGS?

3M Core Grouping Software is a computerized application that sets a new standard for efficiently and effectively processing claims data. Evaluate the accuracy and completeness of clinical data. Review coding accuracy. Monitor and control costs.

What are the 3 DRG options?

In cases like this, there may be three different DRGs, known as a DRG triplet:

• A lower-paying DRG for the principal diagnosis without any comorbid conditions or complications.
• A medium-paying DRG for the principal diagnosis with a not-so-major comorbid condition.

What is MS DRG stand for?

Medicare Severity Diagnosis Related Groups
Defining the Medicare Severity Diagnosis. Related Groups (MS-DRGs), Version 37.0. Each of the Medicare Severity Diagnosis Related Groups is defined by a particular set of patient attributes which include principal diagnosis, specific secondary diagnoses, procedures, sex and discharge status.

What is difference between a DRG and a MS DRG?

In 1987, the DRG system split to become the All-Patient DRG (AP-DRG) system which incorporates billing for non-Medicare patients, and the (MS-DRG) system which sets billing for Medicare patients. The MS-DRG is the most-widely used system today because of the growing numbers of Medicare patients.

How is DRG determined?

DRGs are defined based on the principal diagnosis, secondary diagnoses, surgical procedures, age, sex and discharge status of the patients treated. Through DRGs, hospitals can gain an understanding of the patients being treated, the costs incurred and within reasonable limits, the services expected to be required.

What is the highest number DRG?

What is the highest number DRG? Is L03. 311 (Cellulitis of abdominal wall) an MCC or CC? Numbering of DRGs includes all numbers from 1 to 998.