WHAT ARE DRGS?
- Were DRGs and ICD codes developed so higher levels of care could be provided for sicker patients, or were they developed so finance departments could predict the cost of care?
- If a provider submits one version of DRG and the payer pays based on another version of DRG, which version should be submitted? What if no DRGs are provided at all?
- Is there a focus list of particular DRGs that are being reviewed?