DRG Codes definition

DRG Codes means Diagnosis Related Group codes. DRG's are universal grouping that are used to clarify the type of inpatient care received. The DRG code, along with a diagnosis code and the length of the inpatient stay, are used to determine payment and reimbursement for claims.
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Examples of DRG Codes in a sentence

  • B.4Valid Diagnosis Related Group (DRG) Codes ........................................

  • Figure 1: Inpatient Billing Errors$250,000 $200,000 $150,000 $100,000 $50,000$0 ($50,000)Incorrectly Billed as InpatientCredits Not Obtained or ReportedIncorrect Discharge StatusIncorrectly Billed DRG Codes Incorrectly Billed as Inpatient Medicare payments may not be made for items or services that “are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member” (the Act, § 1862(a)(1)(A)).

  • DRG Codes: 540-542, 560 Mom / Baby Match – Matching of moms and babies was done via a set of iterations.

  • The Hospital disputed 33 sample claims in categories A (Elective Procedures Billed as Inpatient) and B (Inpatient Claims Billed with High Severity Level DRG Codes), and 21 sample claims in category C (IRF Claims).been inadequate for the health and safety of its Medicare patients.

  • However, the Hospital disagreed that it incorrectly billed 16 claims for Inpatient Short Stays and 4 claims with High-Severity-Level DRG Codes and stated that it intends to appeal those 20 claims.

  • The high-risk categories are: Inpatient Short Stays, Inpatient Claims With High-Severity-Level DRG Codes, Inpatient Claims Paid in Excess of Charges, Medical Devices, Outpatient Claims Greater Than $25,000, and Inpatient Claims With Same Day Discharge and Readmission.

  • See Diagnosis Related Group (DRG) Codes, FIND-A-CODE, https://www.findacode.com/drg/drg-diagnosis- related-group-codes.html (last visited Apr.

  • DRG Codes Missing or Invalid – Hospitals contracted for payment based on DRG codes must include this information on the claim form.

  • Define responsibility for uploading any dictionaries for each installation – for example, loading of claim data, DRG Codes, MS-DRG codes, Cross Reference Codes, etc.

  • Israeli DRG Codes and PricingThe Israeli DRG list includes 2,022 DRG codes.

Related to DRG Codes

  • IMDG Code means the International Maritime Dangerous Goods Code, for the implementation of Chapter VII, Part A, of the International Convention for the Safety of Life at Sea, 1974 (SOLAS Convention), published by the International Maritime Organization (IMO), London;

  • Codes means the following including the latest amendments and/or replacements, if any:

  • Building Code Act means the Building Code Act, 1992, S.O. 1992, c.23, as amended;

  • JORC Code means the Australasian Code for Reporting of Exploration Results, Mineral Resources and Ore Reserves prepared by the Joint Ore Reserves Committee of the Australasian Institute of Mining and Metallurgy, Australian Institute of Geoscientists and Minerals Council of Australia, as amended;

  • Grid Code / “IEGC” or “State Grid Code” shall mean the Grid Code specified by the Central Commission under clause (h) of sub-section (1) of Section 79 of the Electricity Act and/or the State Grid Code as specified by the concerned State Commission referred under clause (h) of sub-section (1) of Section 86 of the Electricity Act, as applicable;

  • Building Code means the regulations made under Section 34 of the Act.

  • Sort code means the 6-digit code that identifies a particular bank and bank branch in the Republic of Ireland;

  • POPI Act means the Protection of Personal Information Act 4 of 2013 as may be amended from time to time;

  • Cookie Law means the relevant parts of the Privacy and Electronic

  • Data Protection Laws and Regulations means all laws and regulations, including laws and regulations of the European Union, the European Economic Area and their member states, Switzerland and the United Kingdom, applicable to the Processing of Personal Data under the Agreement.

  • STCW Code means the Seafarers’ Training, Certification and Watchkeeping Code as adopted by resolution 2 of the 1995 Conference of Parties to the STCW Convention, in its up-to-date version;

  • Security Codes are the credentials (such as codes and passwords) that are associated with you and used by us to verify the authenticity of Communications from you. Security Codes are used to access Accounts and to use the Services. The Security Codes include any supplemental or alternative method used to verify the authenticity of Communications that may be offered or presented to you by us from time to time. • “Service(s)” and “Online Banking” are the online banking interface and the banking services described in this Agreement.

  • IBC Code means Insolvency and Bankruptcy Code, 2016 as amended from time to time;

  • Statutes means the Companies Act, the Electronic Transactions Act 1999 of Bermuda, and every other act (as amended from time to time) for the time being in force of the Legislature of Bermuda applying to or affecting the Company, the Memorandum of Association and/or these presents;

  • Code of Ordinances means the Code of Ordinances of the City of Colfax, Iowa.

  • Uniform Network Code means the uniform network code as defined in Standard Special Condition A11(6) of National Grid’s transporters licence, as such code may be amended from time to time in accordance with the terms thereof.

  • Metering Code means the Metering Code prepared by the Board andapproved by the Commission, as from time to time revised, amended, supplemented or replaced with the approval of, or at the instance of, the Commission;

  • European Data Protection Laws means the EU General Data Protection Regulation 2016/679 (“GDPR”) and data protection laws of the European Economic Area (“EEA”) and their member states and the FADP.

  • EU Data Protection Laws means EU Directive 95/46/EC, as transposed into domestic legislation of each Member State and as amended, replaced or superseded from time to time, including by the GDPR and laws implementing or supplementing the GDPR;

  • Network Code means the document now known as the Network Code and formerly known as the Railtrack Track Access Conditions 1995;

  • SIC code means “Standard Industrial Classification code,” as assigned to a site by the United States Department of Transportation, Federal Highway Administration, based on the particular activities that occur on the site, as set forth in its publication “Standard Industrial Classification Manual,” incorporated by reference in Section 720.111(a).

  • Erasmus Code A unique identifier that every higher education institution that has been awarded with the Erasmus Charter for Higher Education receives. It is only applicable to higher education institutions located in Programme Countries. 5 Country code: ISO 3166-2 country codes available at: xxxxx://xxx.xxx.xxx/obp/ui/#search. 6 Any Programme Country enterprise or, more generally, any public or private organisation active in the labour market or in the fields of education, training and youth (training of staff members from Programme Country HEIs in Partner Country non-academic partners is not eligible).

  • Applicable Data Protection Law means all data privacy or data protection laws or regulations globally that apply to the Processing of Personal Information under this Data Processing Agreement, which may include Applicable European Data Protection Law.

  • Procurement Code means §13-1-101, et seq., XXXX 0000, as amended and supplemented from time to time.

  • EU Data Protection Law means (i) prior to 25 May 2018, Directive 95/46/EC of the European Parliament and of the Council on the protection of individuals with regard to the processing of Personal Data and on the free movement of such data ("Directive") and on and after 25 May 2018, Regulation 2016/679 of the European Parliament and of the Council on the protection of natural persons with regard to the processing of Personal Data and on the free movement of such data (General Data Protection Regulation) ("GDPR"); and (ii) Directive 2002/58/EC concerning the processing of Personal Data and the protection of privacy in the electronic communications sector and applicable national implementations of it (as may be amended, superseded or replaced).