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What is a DRG in documentation?

A diagnosis-related group (DRG) is a case-mix complexity system implemented to categorize patients with similar clinical diagnoses in order to better control hospital costs and determine payor reimbursement rates.

What does DRG stand for?

Diagnosis-related group (DRG) is a system to classify hospital cases into one of originally 467 groups, with the last group (coded as 470 through v24, 999 thereafter) being Ungroupable.

What is DRG 946?

DRG 946 REHABILITATION WITHOUT CC/MCC. PRINCIPAL DIAGNOSIS.

What is DRG validation?

Validating DRGs ensures that the documented and coded are clinically valid and aligned with coding guidelines, reducing the risk of costly denials. Compliance and Audit Readiness: Physicians are held to high standards of care and documentation.

What is a DRG validation?

R1 DRG Validation delivers a comprehensive review of patient demographics, clinical documentation, diagnosis coding, procedure details, charge entries and physician billing, identifying DRG shifts and New Technology Add-On Payment (NTAP) opportunities that other solutions miss.