Drggrouperscom 5 drggrouperscom drg faq 15 who buys

Info icon This preview shows pages 5–6. Sign up to view the full content.

DRGGroupers.Com - 5 - DRGGroupers.Com
Image of page 5

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

DRG FAQ 15. WHO BUYS THE OUR GROUPERS? Our market niche is batch grouping under UNIX or under MS-DOS and MS-Windows. Our clients are mostly health care consulting firms or the IS divisions of HMOs. Since we are not primarily a software house, we are not set up to provide any support beyond the basic installation and trouble-shooting. If the idea of a UNIX-style filter is unknown to you or is scarey to you, you don’t want to buy a grouper from us. On the other hand, if you want a grouper that returns all the DRG-related information about an inpatient stay and which provides a list of significant codes, then you might want to buy a grouper from us. Visit our Grouper products and prices page for more information. 16. WHO DEFINES DRGS? While we usually mean "US Federal DRGs" when we say "DRGs," there are many different governments which have defined their own version of DRGs. New York state defined their own. New Jersey defined their own for a while. France has their own, as does Portugal. Australia recently joined the club with their own version. 17. WHY SO MANY KINDS OF DRGS? The creators of the CMS (formerly HCFA) DRGs were constrained by the number of data elements CMS felt that they could reasonably expect any given hospital in the country to collect. Furthermore, their baseline population is all Medicare patients, which skews the results somewhat. As a result, the CMS DRGs are unambitious with respect to severity of illness and resource consumption and not appropriate to all hospital populations. Many groups have tried to extend the basic DRG concept to fix these flaws. 3M/HIS sells AP-DRGs ("All Payor" DRGs). Yale University’s School of Medicine came up with RDRGs ("Refined" DRGs). CMS itself is working on SDRGs ("Severity-adjusted" DRGs). DRGGroupers.Com - 6 - DRGGroupers.Com
Image of page 6
This is the end of the preview. Sign up to access the rest of the document.
  • Fall '18
  • Diagnosis-related group, DRGs

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern