DRG Insights | Sumble

What is DRG?

DRG stands for Diagnosis Related Group. It is a system used by Medicare and other health insurers to classify hospital cases into one of approximately 500 groups, expecting hospitals to be paid a predetermined sum for each case within that group. DRGs are used for inpatient services and are based on the patient's diagnosis, procedures, age, sex, and the presence of complications or comorbidities. This system encourages hospitals to control costs since they receive a fixed payment regardless of the actual cost of care.

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What other technologies are related to DRG?

DRG Competitor Technologies

MS-DRG

MS-DRG is a similar classification system used for inpatient prospective payment, directly competing with the original DRG system.

mentioned alongside DRG in 3% (59) of relevant job posts

DRG Complementary Technologies

ICD-9

ICD-9 codes (International Classification of Diseases, 9th revision) were previously used for diagnosis coding, and DRGs rely on ICD codes for classification. Therefore, they are complementary.

mentioned alongside DRG in 5% (292) of relevant job posts

ICD-10

ICD-10 is the 10th revision of the International Classification of Diseases. DRGs rely on diagnosis codes from ICD-10 and are therefore complementary. Note that this refers to all versions of ICD-10.

mentioned alongside DRG in 2% (612) of relevant job posts

ICD-10-CM/PCS

ICD-10-CM/PCS (Clinical Modification/Procedure Coding System) is the current standard for diagnosis and inpatient procedure coding in the US. DRGs rely on ICD-10-CM/PCS codes for classification and payment.

mentioned alongside DRG in 7% (150) of relevant job posts