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RTI International is a registered trademark and a trade name of Research Triangle Institute. IR-DRG Guidelines. Parameter Calculation. Nicole M. Coomer, PhD. paymentbasics. CMS annually reviews the MS–DRG definitions to ensure that each group continues to include cases with clinically similar conditions requiring In this DRG prospective payment system, Medicare pays hospitals a flat rate per case for inpatient hospital care so that efficient hospitals are rewarded for their Sep 7, 2001 - An example of a DRG display is included at the end of this tutorial, and each element of the DRGs results is explained. Page 2. Before Assigning ICD-10-CM and Oct 17, 2016 - A diagnosis-related group (DRG) is a patient classification system that year due, concurrent with changes to the ICD coding manual, the payment schedule is All Patient DRG Definitions Manual (Version 23.0). St. Paul, MN: 3M MedPAC (2009). Rehabilitation Facilities (Inpatient) Payment System: Payment Basics. – Higher complexity DRGs (with CC) are formed based on resource intensity and do not address severity of illness nor risk of mortality. – Medicare addressed – Higher complexity DRGs (with CC) are formed based on resource intensity and do not address severity of illness nor risk of mortality. – Medicare addressed