Question

Trace the origin of DRGs and describe its system of classification.

Answer 1

DRG = Diagnostic Related Groups

Origin:

DRGs first introduced United States private health care system in the 1983. Initially it established for price setting and quality healthcare in hospitals.

1. DRGs prospective payment established on the basis of medicare hospital reimbursement system.

2. DRGs originated for monitoring quality care and utilization service in hospital setting.

Describe it system:

I. Primary DRG inside U.S:

1. Medicare or HCFA- DRG

2.All patient DRG- AP- DRG

3.All patient refined DRG- APR-DRG

4. Medicare severity adjusted MS- DRG

II. Medicare DRG outside U.S:

1.Australian DRG

2. Nord DRG

3.HBCs

4. French DRG

5. German DRG

6. International refined DRG

7. OTHER DRGs