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MSDRGMedicare Severity Diagnosis Related Groups (Medicare Reimbursement)
MSDRGMedical Systems Development Research Group
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He explains the elements of PPS, including cost reports, adjudication features and processes, relative weights, and payment processes, as well as the features and documentation requirements for Medicare Severity Diagnosis Related Groups (MS-DRGs), the Medicare Ambulatory Payment Classifications (APCs), Medicare Home Health Prospective Payment System (HH-PPS), Medicare Skilled Nursing Resource Utilization Groups (RUGs), and private third-party paters.
Under the HAC-POA program, no Medicare discharge can be assigned to a higher severity (and thus higher paid) Medicare severity diagnosis related group (MS-DRG) based solely on the presence of a qualifying preventable complication if that complication was acquired during the hospital stay.
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