Citations with the tag: DIAGNOSIS related groups
Results 1 - 50
- Medicare diagnosis-related groups.
// Health Care Financing Review; 1995 Supplement, Vol. 17 Issue 1, p60
Presents statistics on Medicare diagnosis-related groups (DRG) in the United States for the calendar year 1993. DRG as the cornerstone of PPS and the basis for payment; Classification of patients on the basis of principal diagnosis and other patie nt information; Discharges for the leading...
- Medicare diagnosis-related groups.
// Health Care Financing Review; 1996 Supplement, Vol. 18 Issue 1, p56
Discusses the statistics in 1994 illustrating the types of diagnosis-related group codes paid through Medicare. Types of diseases afflicting patients in diagnosis related group categories.
- How DRGs will affect your hospital--and you.
Lee, Anthony A. // RN; May84, Vol. 47 Issue 5, p71
Describes the experience of several hospitals in New Jersey with diagnosis-related groups. Saint Barnabas Medical Center; Jersey City Medical Center; Hackensack Medical Center. INSET: How DRGs are cutting costs.
- The real picture behind those DRGs.
Czurak, David // Grand Rapids Business Journal; 05/06/96, Vol. 14 Issue 19, p3
Reports on the results of a survey on the median charges for selected diagnosis related groups in Michigan hospitals and Grand Rapids, Michigan hospitals. Michigan hospitals surveyed; Dollar difference between the two groups; Percentage difference between the two groups.
- RAC Red Flags.
Czurak, David // H&HN: Hospitals & Health Networks; Jul2009, Vol. 83 Issue 7, p10
The article describes the commonly diagnosis-related groups (DRGs) that affect hospital documentation.
- Back to the future.
Forster, Barbara // Business Journal Serving Southern Tier, CNY, Mohawk Valley, Fing; 6/13/94, Vol. 10 Issue 12, p1
Reports on the government policy on reimbursement of hospitals for Medicare patients in the United States. From per diems to Diagnostic Related Groups (DRG); Hospitals' abuse of DRG; Commercial insurers' and health maintenance organizations' call for re-introduction of per diems.
- Project reports.
Forster, Barbara // Health Care Financing Review; Spring90, Vol. 11 Issue 3, p149
Presents an abstract of the report `Learning From and Improving Diagnosis-Related Groups for End Stage Renal Disease Patients.'
- Procedure codes: Potential modifiers of diagnosis-related groups.
Hughes, John S.; Lichtenstein, Jeffrey // Health Care Financing Review; Fall90, Vol. 12 Issue 1, p39
Examines several potential procedures that could be developed as diagnosis-related groups (DRG) modifiers. Advantages and disadvantages of using non-operating room procedures as modifiers of medical DRG; Development of criteria for when and how it should be used.
- Medicaid prospective payment: Case-mix increase.
Baker, Samuel L.; Kronenfeld, Jennie J. // Health Care Financing Review; Fall90, Vol. 12 Issue 1, p63
Presents a partial assessment of how much case-mix change actually occurred for South Carolina Medicaid when the diagnosis related group (DRG) based payment systems was introduced. DRGs for delivery and newborn hospitalizations with Medicaid weights; Percent of newborn hospitalization in...
- Explaining resource consumption among non-normal neonates.
Schwartz, Rachel M.; Michelman, Thomas // Health Care Financing Review; Winter91, Vol. 13 Issue 2, p19
Explores a method designed to improve case-mix classification for newborns through the use of birth weight in combination with diagnosis-related groups (DRGs) to adjust the unexplained case-mix severity. Information about neonatal DRGs and its limitations; National Association of Children's...
- Disability, clinical complexity, and diagnosis-related groups in old patients.
Rozzini, Renzo; Sabatini, Tony; Ranhoff, Anette; Trabucchi, Marco // Age & Ageing; Jul2007, Vol. 36 Issue 4, p472
A letter to the editor is presented in response to the article "People Admitted to Hospital With Physical Disability Have Increased Length of Stay: Implications for Diagnosis Related Group Re-Imbursement in England," by I. Carpenter et al in the 2007 issue.
- Comparison of alternative weight recalibration methods for diagnosis-related groups.
Rogowski, Jeannette Roska; Byrne, Daniel J. // Health Care Financing Review; Winter90, Vol. 12 Issue 2, p87
Examines the alternative methodologies for calibration of diagnosis related group (DRG) weights in the United States. Congruence of data, cost, and charged-based weights with 1981 and 1984 data; Differences in cost and charge-based weight in previous studies; Higher payments of charge weights to...
Rogowski, Jeannette Roska; Byrne, Daniel J. // Modern Healthcare; 12/22/2008 Supplement, p64
A chart is presented that ranks the most frequently billed Medicare diagnosis related groups (DRG) in the U.S. in 2006.
Rogowski, Jeannette Roska; Byrne, Daniel J. // Materials Management in Health Care; Apr2002, Vol. 11 Issue 4, p30
Presents charts depicting the ancillary service costs in diagnosis related groups in U.S. Mortality rates; Cost differences between hospitals in high and low managed care area; Average inpatient procedure cost.
- What really makes nurses angry.
Rogowski, Jeannette Roska; Byrne, Daniel J. // RN; Jan86, Vol. 49 Issue 1, p55
Focuses on several problems faced by nurses. Impact of the establishment of diagnosis related groups on the staffing of nurses; Reaction of nurses on the competition surrounding the health-care industry; Details of the paperwork problems of nurses. INSET: How nursing ills can be cured: "It's...
- ProPAC undecided on subacute payments.
Burns, John // Modern Healthcare; 10/24/94, Vol. 24 Issue 43, p32
Reports on the Prospective Payment Assessment Commission's (ProPAC) September 13, 1994 meeting on the Medicare payment of subacute care. Pressures to add a new level of Medicare reimbursement for subacute care; Commission's difficulty in defining subacute care; ProPAC member Judith Lave's...
- DRG benckmarking study establishes national coding norms.
Vaul, Joanne H. // hfm (Healthcare Financial Management); May98, Vol. 52 Issue 5, p52
Focuses on the National Medicare Provider Analysis and Review Diagnostic Related Group (DRG) Benchmarking Study conducted by QuadraMed Corp. to establish national norms for hospital coding and case mix based on DRG. Analysis of three different types of DRG; Inclusion of three related DRG pairs;...
- Making the Most of DRGs.
Tarantino, David // Physician Executive; Nov/Dec2002, Vol. 28 Issue 6, p50
Focuses on the Diagnosis Related Group (DRG) system of hospital reimbursement in the U.S. Description on the DRG system; DRG relative weight and hospital base rate factors of hospital payment; DRG coding. INSET: Coding Counts.
- Most frequently billed Medicare DRGs.
Tarantino, David // Modern Healthcare; 7/28/2008, Vol. 38 Issue 30, p38
This section presents a chart that ranks the most frequently billed diagnosis related groups (DRG) of Medicare.
- By The Numbers: MOST FREQUENTLY BILLED MEDICARE DRGs.
Tarantino, David // Modern Healthcare; 1/2/2012, Vol. 42 Issue 1, p33
A chart is presented that lists the most frequently billed Medicare diagnosis-related groups (DRG) in the U.S. in 2010 including psychoses, major joint replacement or reattachment of lower extremity, and rehabilitation.
- Hospital employment under revised medicare payment schedules.
Appelbaum, Eileen; Granrose, Cherlyn Skromme // Monthly Labor Review; Aug86, Vol. 109 Issue 8, p37
Analyzes medicare payments based on diagnosis related groups and its effect on hospital employment in the U.S. Cost of health care; Marketing and labor force strategies at hospitals; Shift of nurses and ward clerks from inpatient to outpatient care.
- By The Numbers.
Appelbaum, Eileen; Granrose, Cherlyn Skromme // Modern Healthcare; 4/23/2007, Vol. 37 Issue 17, p31
A table is presented showing the number of most frequently billed Medicare diagnosis related groups (DRGs) in the U.S.
- An evaluation of diagnosis-related group severity and complexity refinement.
McGuire, Thomas E. // Health Care Financing Review; Summer91, Vol. 12 Issue 4, p49
Examines severity class adjustment of the all-payer prospective payment system under a New Jersey project. Alternative strategies for refining diagnosis-related groups; Distribution of severity levels for study diagnosis-related groups; Computerized severity index and Yale model reports.
- An evaluation of pediatric-modified diagnosis-related groups.
Payne, Susan M.C.; Schwartz, Rachel M. // Health Care Financing Review; Winter93, Vol. 15 Issue 2, p51
Evaluates pediatric-modified diagnosis-related groups (PM-DRG) for use in prospective payment systems (PPS). Assessment of data from pediatric discharges in five states; Variation in resource use at the discharge and hospital levels; Improvement in the classification of neonatal discharges by...
- Use of diagnosis-related groups by non-Medicare payers.
Carter, Grace M.; Jacobson, Peter D. // Health Care Financing Review; Winter94, Vol. 16 Issue 2, p127
Describes how non-Medicare third party payers for hospital care use diagnosis-related groups (DRGs) criteria and systems. Users from 21 State Medicaid programs; Workers' compensation systems; Civilian Health and Medical Program of the Uniformed Services; Blue Cross and Blue Shield Association...
- Patient-level costing for the Thai Diagnosis Related Group in Thailand: a micro-costing approach.
Khiaocharoen, O.; Pannarunothai, S.; Zungsontiporn, C.; Riewpaiboon, A. // BMC Health Services Research; 2011 Supplement 1, Vol. 11 Issue Suppl 1, p1
An abstract of the article "Patient-level costing for the Thai Diagnosis Related Group in Thailand: a micro-costing approach," by O. Khiaocharoen and colleagues is presented.
- DRG coding practice: a nationwide hospital survey in Thailand.
Khiaocharoen, O.; Pannarunothai, S.; Zungsontiporn, C.; Riewpaiboon, A. // BMC Health Services Research; 2011 Supplement 1, Vol. 11 Issue Suppl 1, p290
The article presents a study that compared the characteristics of Summary and Coding Audit Database (SCAD) and Non-SCAD hospitals in Thailand. A questionnaire survey was conducted in many hospitals which reports Diagnosis Related Group (DRG) miscoding. Findings suggested that SCAD and Non-SCAD...
- Krankenhausfinanzierung 2012 - Relevantes für die Internistische Rheumatologie.
Fiori, W.; Lakomek, H.-J.; Buscham, K.; Lehmann, H.; Fuchs, A.-K.; Bessler, F.; Roeder, N. // Zeitschrift für Rheumatologie; Apr2012, Vol. 71 Issue 3, p231
The following article presents the major general and specific changes for the financing of rheumatology in Germany for 2012. Besides relevant changes in the German diagnosis-related groups (G-DRG) classification system and for the coding, the new legislation and the resulting incentives are...
- diagnosis-related group.
Fiori, W.; Lakomek, H.-J.; Buscham, K.; Lehmann, H.; Fuchs, A.-K.; Bessler, F.; Roeder, N. // Taber's Cyclopedic Medical Dictionary (2009); 2009, Issue 21, p636
A definition of the term "diagnosis-related group" which refers to an indexing or classification system used to standardize prospective payment for medical care is presented.
- Diagnosis Related Groups (Book).
Fiori, W.; Lakomek, H.-J.; Buscham, K.; Lehmann, H.; Fuchs, A.-K.; Bessler, F.; Roeder, N. // American Journal of Law & Medicine; Summer83, Vol. 9 Issue 2, p259
Reviews the book 'Diagnosis Related Groups: A Practitioner's Guide,' by Paul L. Grimaldi and Julie A. Micheletti.
- Performance evaluation of inpatient service in Beijing: a horizontal comparison with risk adjustment based on Diagnosis Related Groups.
Weiyan Jian; Yinmin Huang; Mu Hu; Xiumei Zhang // BMC Health Services Research; 2009, Vol. 9, Special section p1
Background: The medical performance evaluation, which provides a basis for rational decision-making, is an important part of medical service research. Current progress with health services reform in China is far from satisfactory, without sufficient regulation. To achieve better progress, an...
- Dynamic Changes of Neuroskeletal Proteins in DRGs Underlie Impaired Axonal Maturation and Progressive Axonal Degeneration in Type 1 Diabetes.
Kamiya, Hideki; Weixian Zhang; Sima, Anders A. F. // Experimental Diabetes Research; 2009, Special section p1
We investigated mechanisms underlying progressive axonal dysfunction and structural deficits in type 1 BB/Wor-rats from 1 week to 10 month diabetes duration. Motor and sensory conduction velocities were decreased after 4 and 6 weeks of diabetes and declined further over the remaining 9 months....
- Do you know what those swabs and bandages cost?
Arbeiter, Jean S.; Cook, Elisabeth A. // RN; Mar85, Vol. 48 Issue 3, p20
Provides news briefs concerning the nursing profession in the U.S. as of April 1985. Effort of many hospitals to invest in training programs that teach human relations skills to staff nurses; Attributions to the increasing cases of hepatitis B infections despite the introduction of a vaccine in...
- Avoiding Traps for the Unwary: Understanding U.S. Government Reimbursement Rights.
Kohn, Steven M.; Davies, Colleen T. // Defense Counsel Journal; Apr99, Vol. 66 Issue 2, p193
Analyzes the United States government's hospital reimbursement rights. How the Medical Care Recovery Act (MCRA) and the Medicare Secondary Payer Statute (MSP) works; Challenges presented by MCRA and MSP for counsels; Conclusions.
- Getting started with subacute.
Pick, Eli // Nursing Homes: Long Term Care Management; Jul/Aug93, Vol. 42 Issue 6, p11
Discusses the effective ways in which a nursing home administrator managed to implement changes within its system when the Diagnosis Related Groups were implemented in 1980. Roles of medical staff in acute settings; Lessons learned from program implementation.
- DRG assignment patterns differ with hospital ownership.
Pick, Eli // hfm (Healthcare Financial Management); Jul98, Vol. 52 Issue 7, p102
Reports on an analysis of the Center for Healthcare Industry Performance Studies' Inpatient Compliance Assessment database which shows that voluntary, not-for-profit hospitals exhibit different diagnosis related group (DRG) assignment patterns. Data describing DRG assignments for DRG pairs...
- DRG Reimbursement Cost Identifier Inpatient Los Per Diem.
Brannen, Tyler J. // hfm (Healthcare Financial Management); Apr99, Vol. 53 Issue 4, p42
Focuses on the use of managed care organizations of the diagnosis related group (DRG) hospital payment method. One of the limitations of the system; Development of an inpatient risk-sharing model by the Blue Cross Blue Shield of New Hampshire (BCBSNH); Information on the model.
- In Brief...
Brannen, Tyler J. // hfm (Healthcare Financial Management); Jan2000, Vol. 54 Issue 1, p12
Presents updates on health in the United States. Letter requesting an increase in reimbursement to hospitals for photocopying expenses from the Healthcare Financial Management Association (HFMA) and other healthcare groups; Department of Defense's update of TRICARE diagnosis-related group (DRG)...
- INPATIENT ACTIVITY.
Solovy, Alden // H&HN: Hospitals & Health Networks; 01/05/97, Vol. 71 Issue 1, p22
Presents best practice targets for 20 diagnosis related to group (DRG) at hospitals in markets with high and low managed care penetration. Includes description; Length of stay; Charges.
- Ensuring Compliant Malnutrition Coding.
Bryant, Gloryanne // Journal of AHIMA; Oct2011, Vol. 82 Issue 10, p78
The article discusses the improvement of compliance with the codes for reporting malnutrition. It states that the International Classification of Disease-9-Clinical Modification (ICD-9-CM) has separated malnutrition from other codes to capture the specific type and degree of malnutrition. It...
- Reshuffling the DRG deck.
DoBias, Matthew; Becker, Cinda // Modern Healthcare; 10/10/2005, Vol. 35 Issue 41, p6
This article discusses issues concerning Medicare's diagnosis-related groups (DRG) in the U.S. On the surface, the U.S. Centers for Medicare & Medicaid Services added 16 DRG, deleted at least 10 and tweaked the rest in an attempt to better align Medicare reimbursements with types of practices...
- MTM TIP OF THE MONTH.
Hogue, Michael // Pharmacy Today; Nov2005, Vol. 11 Issue 11, p20
The article focuses on the medication therapy management (MTM) services. With Medicare patients, pharmacist-provided MTM services will continue to be covered under the Diagnosis Related Groups payment structure. Medicare Part D prescription drug plans will define which MTM services they will...
- Fix the Spine and the Bottom Line.
Runy, Lee Ann // H&HN: Hospitals & Health Networks; Oct2004, Vol. 78 Issue 10, p22
Reports that reimbursement from orthopedic diagnostic related groups (DRG) can contribute to the financial gains of hospitals according to the 2004 Medicare Provider Analysis and Review. Description of DRG; Averages for selected orthopedic DRG for 2003; List of the most profitable orthopedic DRG.
- Justice goes after Tenet again.
Rose, Joan R. // Medical Economics; 3/7/2003, Vol. 80 Issue 5, p18
Reports that the U.S. Department of Justice is suing for-profit hospital chain, Tenet Healthcare Corp., alleging that its hospitals violated the False Claims Act by upcoding inpatient diagnostic related groups. Other allegations facing Tenet.
- Evaluating the Problem Gambling Severity Index.
Holtgraves, Thomas // Journal of Gambling Studies; Mar2009, Vol. 25 Issue 1, p105
A large, integrated survey data set provided by the Ontario Problem Gambling Centre was used to investigate psychometric properties of the Problem Gambling Severity Index (PGSI). This nine-item self-report instrument was designed to measure a single, problem gambling construct. Unlike its...
- Regression tree construction by bootstrap: Model search for DRG-systems applied to Austrian health-data.
Grubinger, Thomas; Kobel, Conrad; Pfeiffer, Karl-Peter // BMC Medical Informatics & Decision Making; 2010, Vol. 10 Issue 1, Special section p1
Background: DRG-systems are used to allocate resources fairly to hospitals based on their performance. Statistically, this allocation is based on simple rules that can be modeled with regression trees. However, the resulting models often have to be adjusted manually to be medically reasonable...
- Hospitalisation for the surgical removal of impacted teeth: Has Australia followed international trends?
George, Roslind Preethi; Kruger, Estie; Tennant, Marc // Australasian Medical Journal; Aug2011, Vol. 4 Issue 8, p425
Background The aim of the study was to undertake a six-year analysis from 1999/00 to 2004/05, of the demographic characteristics of hospitalisations for the surgical removal of impacted teeth in Western Australia under general anaesthesia. Method Data for the current analysis was obtained from...
- Medicare short-stay hospital services by diagnosis-related groups.
Latta, Viola B.; Helbing, Charles // Health Care Financing Review; Summer91, Vol. 12 Issue 4, p105
Examines Medicare short-stay hospital services by diagnosis-related groups. Diagnosis-related group assignment; Prospective payment system payment mechanism; Discharges specific to major diagnostic categories; Average length of stay of Medicare beneficiaries.
- A clinically based service limitation option for alternative model rural hospitals.
Moscovice, Ira; Wellever, Anthony // Health Care Financing Review; Winter93, Vol. 15 Issue 2, p103
Presents a clinically based service limitation for alternative model rural hospitals, such as the rural primary care hospital. Limit on length of stay; Analysis of Medicare discharges from rural hospitals; Key aspects of alternative proposal; 72-hour evaluation period; Diagnosis related...
- Refinement of the Medicare diagnosis-related groups to incorporate a measure of severity.
Edwards, Nancy; Honemann, Dorothy // Health Care Financing Review; Winter94, Vol. 16 Issue 2, p45
Presents a system under consideration by the Health Care Financing Administration (HCFA) for incorporating a measure of severity of illness into the Medicare diagnosis-related groups (DRGs). Role of DRG assignments in the determination of payments made for Medicare beneficiaries; Formula used...