Certified Inpatient Coding (CIC) Practice Exam

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What does the acronym MS-DRG stand for?

Medicare Specialty-Diagnosis Related Groups

Medicare Severity-Diagnosis Related Groups

The acronym MS-DRG stands for Medicare Severity-Diagnosis Related Groups. This classification system is crucial in the healthcare industry, specifically in inpatient coding and billing for Medicare reimbursements.

The "Medicare" component indicates that this system is used primarily for services covered under the Medicare program. The term "Severity" reflects the emphasis on the varying levels of patient severity within diagnosis categories, which allows for a more accurate reimbursement model that accounts for the complexity and resources required for different patient conditions. "Diagnosis Related Groups" refers to the method of grouping patients based on their diagnoses, procedures, and the expected cost of care, which helps in determining payment rates for hospitals.

Overall, the MS-DRG system enhances the understanding and management of healthcare costs while promoting efficient resource utilization within hospitals and improving care quality for patients.

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Medicare Standard-Diagnosis Reference Guidelines

Medicare Severity-Disease Related Groups

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