Add or Edit Schedule Data in a DRG Weight Table
When you want to add data to a DRG weight table, you may either add codes manually or import codes from another file.
Use this procedure to manually add data to a DRG weight table.
Procedure
- Access the Edit Schedule page.
- Select Go To > Contract Loading > Lookup Table Management. The Lookup Table Management page opens.
- Click a link in the Table Name field of a table that is checked out to you. The Edit Lookup Table page opens.
- Select DRG Weight for the Table Type.
- Select Checked out by me for the Check Out Status, and then click Refresh View. A list of available tables appears.
- Click the Edit Schedule link. The Edit Schedule page opens.
- Specify the data to add to the table, and then click Add.
- or -
Click Edit to change existing data, alter the data, and then click Update. - Optionally, you can perform one of the following functions:
- Click Clear to delete the data you entered and return each field to its default value.
- Click Edit, and then click Delete to delete an entry.
Field Descriptions
The following table describes the fields on the Edit Schedule page for DRG weight tables
|
Field |
Description |
|
Capital Amount |
Equipment and facilities costs for a particular DRG
|
|
Differential |
The difference between the DRG reimbursement and the prevailing rate at the time of the patient's admission.
|
|
Disp. Share |
Reimbursement based on Disproportionate Share Hospital operating costs (if applicable); for facilities with a disproportionately high percentage of Medicaid and Medicare SSI patients
|
|
DRG |
Diagnosis Related Group code
|
|
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
|
|
Edit |
Link for editing an item |
|
High Charge Amount |
Amount of the most recent DRG high charge outlier in the current contract document; i.e., the point at which additional payment due to high cost of care is allowed. National average length of stay for patients with this DRG.
|
|
High Trim Days |
Fewest number of days a patient must stay in the hospital for the hospital to receive full insurance reimbursement
|
|
Indirect Medical Ed./Education |
Reimbursement for Indirect Medical Education costs
|
|
Low Trim Days |
Day the account is eligible for the outlier
|
|
No. |
Sequential reference number of the item |
|
Standard Days |
National average length of stay for patients with this DRG
|
|
Type |
Type of modifier to apply (percentage or units)
|
|
Updated |
Date, time and user information of when the lookup table was last updated
|
|
Weight |
DRG weight factor, established by Medicare for each DRG
|
Links on the Edit Schedule Page
- Lookup Table Management displays the Lookup Table Management page. For more information, refer to Manage Lookup Tables .
- Edit Lookup Table displays the Edit Lookup Table page. For more information, refer to Edit a Lookup Table.
- Import Schedule displays the Import Lookup Table Schedule page. For more information, refer to Add or Edit Schedule Data in a Table.
- Edit Schedule by Range displays the Edit Schedule by Range page. For more information, refer to Edit Schedule by Range.