Hospitals decide how much to bill Medicare for your care based on your diagnostic-related group (DRG). They then charge Medicare based on your DRG tier instead of separately for each of your medical ...

Diagnostic-related groups (DRGs) are how Medicare and some other health insurance companies categorize hospital costs to determine how much to pay for a hospital stay. With DRGs, the payment amount ...

A key objective is to enable updates to the MS-DRG payment rates that are no longer dependent on gross charges billed by hospitals that are reduced to cost using hospitals' cost report data. Included ...

San Diego, CA - The Centers for Medicare and Medicaid Services (CMS) held a conference call yesterday to discuss the recently approved recovery auditor contractor prepayment review that is going into ...

Sens. Chuck Grassley (R-IA) and Max Baucus (D-MT) are asking CMS to delay planned changes to Medicare payments. In April, CMS proposed changes to the diagnostic-related groups (DRGs), the system used ...

Andrew Webber grabbed a message pad and sketched an impromptu graph. First the health-care analyst drew a line representing the use of Diagnostic Related Groups, a 2-year-old reimbursement system that ...

The CMS said it has identified a number of errors in its proposed fiscal 2008 hospital inpatient prospective payment system, or IPPS, and as a result, has revised the relative weights of its DRGs.