What is 3M APR DRG?
Definition. The 3M APR DRG methodology classifies hospital inpatients according to their reason for admission, severity of illness and risk of mortality. Typical customer. 3M APR DRGs are used by payers, hospitals and researchers.
How is APR DRG calculated?
Just as with MS-DRGs, an APR-DRG payment is calculated by using an assigned numerical weight that is multiplied by a fixed dollar amount specific to each provider. Each base APR-DRG, however, considers severity of illness and risk of mortality instead of being based on a single complication or comorbidity.
Did 3M create DRG?
3M IR-DRGs are designed specifically for international health care, but are not limited to any particular country. While developed by 3M based on the DRG classifications in the United States, this classification system is geographically agnostic and can support the diverse coding classification systems used worldwide.
What are APR DRGs used for?
All Patients Refined Diagnosis Related Groups (APR DRG) is a classification system that classifies patients according to their reason of admission, severity of illness and risk of mortality.
When did APR DRG start?
APR-DRG Versions Since the original December 1990 release of the APR- DRGs, there have been regular major clinical updates.
What are APR DRG codes?
How many APR DRG codes are there?
There are 315 base APR-DRGs (version 27.0). Each APR-DRG is subdivided into four severity of illness subclasses and four risk of mortality subclasses. In addition there are two error APR-DRGs (955,956) that are not subdivided into subclasses.
What is APR DRG used for?
What is APR in medical billing?
What is 3M for coding?
3M™ Health Record Management (HRM) Software—Provides a comprehensive data abstracting and management tool for collecting and reporting on all inpatient coded, interfaced, abstracted, special study and reimbursement data.
Who created Apr-DRGs?
3M Health Information Systems
APR-DRGs were developed by 3M Health Information Systems and the National Association of Childrens Hospitals and Related Institutions (NACHRI). According to 3M, APR-DRGs have been licensed by over 20 state and federal agencies and by 1,600 hospitals.
What do the weights on the APR DRG mean?
ForwardHealth applies the 3M™ APR DRG grouper and corresponding 3M™ national weights to each APR DRG. These weights reflect the relative resource consumption of each inpatient stay.
How many base 3M APR DRGs are there?
Each of the 332 base 3M APR DRGs classifies patients based on clinical similarities and their use of hospital resources. Further, each base 3M APR DRG is divided into four levels of severity of illness, for a total of 1,330 3M APR DRGs (including 2 error DRGs).
When does forwardhealth apply 3M eapg National Weights?
The EAPG reimbursement methodology applies to fee-for-service members enrolled in BadgerCare Plus, Wisconsin Medicaid, and the Wisconsin Chronic Disease Program. Effective January 1, 2017, ForwardHealth applies the 3M EAPG national weights.
What are the base DRGs for 3M pneumonia?
For example, 3M APR DRG 139-1 is Other Pneumonia, severity of illness 1 (minor) while 3M APR DRG 139-4 is Other Pneumonia, severity of illness 4 (extreme). Each base DRG also has four risk-of-mortality levels.