MS-DRG terminology Questions And Answers Rated 100% Correct!!
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Course
MS-DRG terminology
Institution
MS-DRG Terminology
medicare code edits - ️️a method to identify various situations based upon
assigned ICD-10-CM codes
hospital wage index - ️️a numeric factor defined by medicare that considers the
geographic location of hospitals. this factor is used in the reimbursement calculations for
facilities to a...
MS-DRG terminology
medicare code edits - ✔️✔️a method to identify various situations based upon
assigned ICD-10-CM codes
hospital wage index - ✔️✔️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
CC - ✔️✔️abbreviation for complications and comorbid conditions
comorbid condition - ✔️✔️a pre-existing condition which, because of it's presence,
causes an increase in length of stay by at least one day in approximately 75% of the
cases
grouper - ✔️✔️a software program designed to determine MS-DRGs ad typically
contains Medicare code edits
major complication/comorbid condition (MCC) - ✔️✔️complications and comorbid
conditions defined by Medicare to have a higher severity of the illness impact on a
patient
case mix index (CMI) - ✔️✔️the sum of all MS-DRG weights, divided by the total
number of Medicare discharges for the same time period
major diagnostic category (MDC) - ✔️✔️a broad classification of conditions typically
grouped by body systems diseases
discharge status - ✔️✔️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
volume - ✔️✔️the number of patients in each MS-DRG
surgical hierarchy - ✔️✔️ordering of surgical cases from the most to least resource
intensive
relative weight (RW) - ✔️✔️a number assigned to each MS-DRG reflecting an average
patient's resource consumption
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