HCFA, now CMS, implemented what as a new approach to paying hospitals for inpatient care?
The DRG method was the first payment system to
What part of the Social Security Amendments of 1983 is the DRG system?
The DRG system was designed in the ______ at _______ University?
What is the definition of Prospective Payment System?
Hospitals receive a ______ _______ for each discharge based upon the DRG assignment.
A given discharge is assigned to a ____ ____ ____ and then to a ___ ____ ____, through the reimbursement rate is determined?
All possibel principal diagnoses were first divided into __ areas and how many were added later?
Most MDC's were divided into ____ and ____ sections?
What is the computer program that assigns discharges to a DRG based upon certain variables?
What are the variables in which Grouper assignes discharges to a DRG?
How would you select a DRG?
If the case does not meet any of the criteria in the flow chart, how do you select a DRG?
What does selection of a DRG depend on?
When selecting a DRG, what is a case considered if no procedure was performed?
When selecting a DRG, if a case is medical, the selection is made upon the ______ _______.
When selecting a DRG, if the case if surgical, the selection is made upon_________.
What is an additional condition that arises AFTER the intital hosptial observation and treatment?
What is a pre-existing condition called?
By how much is a patient's length of stay prolonged if a complication or a comorbidity is involved?
What are the two sources by which payment determined?
True or False: Weights are updated every 3 months.
What was changed as part of the Balanced Budget Act of 1997?
What kind of cases are considered outliers?
In 2007, the CMS expanded the DRG system to include the severity of the patient's condition. What is that new system called?
How many MS-DRG's are there since the system has been changed?
There has to be over 700 MS-DRG's because ___________.
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