Diseases disorders of the kidney urinary tract 12

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Diseases & Disorders of the Kidney & Urinary Tract 12 Diseases & Disorders of the Male Reproductive System 13 Diseases & Disorders of the Female Reproductive System 14 Pregnancy, Childbirth & the Puer- perium 15 Newborns & Other Neonates with Condtn Orig In Perinatal Period 16 Diseases & Disorders of Blood, Blood Forming Organs, Immunolog Disord DRGGroupers.Com - 4 - DRGGroupers.Com
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DRG FAQ 17 Myeloproliferative Diseases & Disor- ders, Poorly Differentiated Neoplasm 18 Infectious & Parasitic Diseases, Sys- temic or Unspecified Sites 19 Mental Diseases & Disorders 20 Alcohol/drug Use & Alcohol/drug Induced Organic Mental Disorders 21 Injuries, Poisonings & Toxic Effects of Drugs 22 Burns 23 Factors Influencing Hlth Stat & Othr Contacts with Hlth Servcs 24 Multiple Significant Trauma 25 Human Immunodeficiency Virus Infec- tions 13. IS THERE AN OFFICIAL GROUPER? In the United States of America, the "official" is the one defined by CMS (formerly HCFA). Strictly speaking, the CMS grouping algorithm is public, and anyone can implement it in software. (There are books published so that one could even do without the software and assign DRGs by hand.) However, CMS has blessed Health Information Systems (a division of 3M) as the distributor of the reference grouper, which is written in IBM 360 Mainframe assembler. If you have an IBM 360-compatible com- puter, you can buy that grouper through 3M-HIS and run that. (Historical Note: Ron Mills also founded a company which became Health Systems International, which became HIS when it was bought by 3M.) 14. WHAT ARE RDRGS®? Since DRGGroupers.com is constantly asked about RDRGs®, we asked the nice folks at HSC to give us a blurb to put on our website to answer this question. Here is their reply: The RDRG severity-of-illness software is a product of Health Systems Consultants, Inc. in New Hav en, Connecticut. The software groups inpatient hospital discharge data into DRGs and into severity classes within DRGs. The DRGs produced are identical to those of the pub- lic domain DRG grouper from the Health Care Financing Administration (HCFA--now CMS). The software assigns patients to 511 DRGs and to 1198 Refinement Group (RGN) numbers and is updated each year to conform to the CMS DRGs. Since the software system can predict hospital resource use, it can be used to improve hospital casemix analysis, ana- lyze hospital performance, evaluate physician performance, measure quality, dev elop bud- gets, and to reimburse hospitals. The RDRG severity-of-illness software was developed from a Yale University study funded by CMS (formerly HCFA) entitled, "DRG Refinement with Diagnostic Specific Comorbidi- ties and Complications: A Synthesis of Current Approaches to Patient Classification." The study, completed in 1989, was designed to adjust the DRG system for the severity of a patient’s illness. For information about the RDRG software, please contact Karen Schneider at [email protected] or call Health Systems Consultants at (203) 785-0650.
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  • Fall '18
  • Diagnosis-related group, DRGs

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