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AHA Coding Clinic® for ICD-9 - 1984 May - June

DRG Software Packages- Uses and misuses

by Patricia E. Brooks, RRA, Medical Review Specialist, Office of Health Financing Integrity, Office of Inspector General, U.S. Department of Health and Human Services The prospective payment system has caused the rapid growth of a new and specialized industry-diagnosis-related group (DRG) software packages. There is a need for each hospital to monitor its revenues and the costs incurred in generating its revenues. To do so adequately under prospective payment, a hospital needs to determine how much it "costs" to treat a patient within a particular DRG. The many DRG software packages on the market convert ICD-9-CM codes and...

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