DRG relative weight definition

DRG relative weight means the average standardized costs for cases assigned to that DRG divided by the average standardized costs for cases assigned to all DRGs.
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DRG relative weight means the average cost or charge of a certain DRG classification divided by the average cost or charge, respectively, for all cases in the entire data base for all DRG classifications.
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DRG relative weight means the factor that is assigned to each DRG that represents the national average resources required for a DRG classification paid under the DRG reimbursement methodology, relative to the national average resources required for all DRG discharges paid under the DRG reimbursement methodology for the same time period;
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Examples of DRG relative weight in a sentence

  • The DRG relative weight is a numerical multiplier used to adjust payment based on the acuity of the patient.

  • The DRG relative weight is a weight assigned that reflects the typical hospital resources consumed in care of a patient.

  • The parameters include hospital base rate, DRG relative weight, policy adjustors, outlier loss threshold, outlier marginal cost percentage, hospital cost-to-charge ratios, hospital annual case mix values, and hospital annual Medicaid admission estimates.

  • For Hospitals reimbursed by DRG, the Base Rate is a dollar amount assigned to each hospital that gets multiplied by the DRG relative weight and policy adjustor in the calculation of DRG Base Payment.

  • A provider’s estimated annual case mix is the average of the DRG relative weight on all of the provider’s inpatient claims as calculated using the same historical claims used for setting the DRG base rate.

  • Inpatient services recorded on a claim that is grouped by the department to a DRG for which the department has not published an all patient DRG relative weight, except that claims grouped to DRGs 469 and 470 will be denied pay- ment.

  • The average Diagnosis Related Grouping (DRG) relative weight as determined from claims information filed with the Missouri Department of Health and Senior Services.

  • An I.D. Card may be revoked at any time at the sole discretion of the Court Administrator pursuant to the directives of the Circuit or Superior Courts.

  • The agency calculates the allowed amount for the inlier portion of the SAP DRG payment by multiplying the SAP DRG CF by the DRG relative weight and the maximum service adjustor.

  • Only base year claims grouped to a DRG classifi- cation that has a stable DRG relative weight are included in the DRG conversion factor calculation.


More Definitions of DRG relative weight

DRG relative weight means the average standardized costs for cases assigned to that DRG divided by
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Related to DRG relative weight

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