Question

Fatima is calculating the MS-DRG for an inpatient admission. She has determined that the encounter does not qualify for Pre-MDC assignment. What is the next step in the MS-DRG assignment process?

Answer 1

Answer:

Determine the MDC for the principal diagnosis

Explanation:

MS-DRGs are abbreviated as Medicare Severity Diagnosis Related Groups.

DRGs assignment :

• DRGs are th groups of diagnoses determined by the medicare to be related clinically and have similar resource consumption.
• Many different diagnoses exist within one DRG
• One DRG per hospitalization, assigned at discharge.
• Derived from all diagnoses and procedures listed.
• Groups the patients into categories that consume similar resources
• Measures case mix index