View the DRG Lookup Table
The DRG Lookup Table page displays the FinThrive DRG code definition. Use this procedure to access the DRG Lookup Table page.
- Access the DRG Lookup Table page.
- Select Go To > Contract Research > Contract Profiles. The Contract Profile page opens.
- Select the contract name from the Profiles list. For more information about searching for a contract profile, refer to Select Contract Profile Research Criteria.
- Click Display Profile. The View Contract Profile page opens.
- Click a link in the Service Type column. The DRG Lookup Table page opens.
- View the DRG information.
- The termination date for the DRG code, if any, appears above the table.
- If there are multiple DRG grouper versions present, all versions display. The version is indicated in the Version column.
The following table describes each of the fields on the DRG Lookup Table page.
|
Field |
Description |
|
DRG Code |
Numeric Diagnosis Related Group code
|
|
DRG Description |
Meaning of the DRG code |
|
DRG Payment |
Payment consisting of the DRG weight multiplied by the conversion factor. Includes pass-through amounts |
|
DRG Severity Code |
The Severity of Illness code (1-5) associated with the DRG. |
|
DRG Weight |
DRG weight factor, established by Medicare for each DRG |
|
High Trim |
Fewest number of days a patient must stay in the hospital for the hospital to receive full insurance reimbursement |
|
Low Trim |
Day the account is eligible for the outlier |
|
Outlier/High Charge |
Point at which additional payment due to high cost of care is allowed |
|
Standard Days |
National average length of stay for patients with this DRG |