MS-DRG TERMINOLOGY QUESTIONS AND ANSWERS 2024/2025
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Course
MS-DRG
Institution
MS-DRG
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
hospital wage index
→ a numeric factor defined by medicare that considers the geographic location of
...
MS-DRG TERMINOLOGY QUESTIONS
AND ANSWERS 2024/2025
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
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)
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