Welcome to Standard DRG Claims!
Have you ever wondered why a DRG claim paid the way that it did?
The ability to calculate payments for Diagnosis Related Groups (DRG) is an important part of your job. It is essential that correct codes and calculations are used in order to receive fair and adequate compensation from every payer.
If you work with claims in a Washington D.C. or Northern Virginia hospital, this learning module is for you.
There are several types of DRG claims calculations. In this module, you will learn how to calculate standard DRG payments, the most common type.
The Standard DRG Claims module takes about 10 minutes to complete, including the knowledge check questions at the end. After completing the lessons, you should be able to:
- Define DRG pricing and standard-base rate
- Recognize claims that qualify for DRG pricing
- Calculate a DRG claim by using three required elements
- Analyze DRG claims payment scenarios to determine how a DRG group impacts claims payment
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