How Do Diagnosis-Related Groups (DRGs) Affect Reimbursement?
Diagnosis-Related Groups (DRGs) are a system used to classify hospital cases into one of several hundred groups, intended to have similar hospital resource use. This system affects hospital reimbursement by determining the fixed amount paid to hospitals for each patient's care, regardless of the actual costs incurred. Nurses need to be aware of DRGs as accurate coding and documentation are essential for appropriate reimbursement.
