Medicare: short-stay hospital services, by leading diagnosis-related groups, 1983 and 1985.
Assigning a code from any of the diagnosis-related groups to a short-stay hospital discharge covered by Medicare is tantamount to the Medicare payment to the hospital, subject to certain statutory adjustments. Therefore, diagnosis-related groups are the backbone of the prospective payment system implemented October 1, 1983. However, methods employed in the assignment of diagnosis-related groups have changed since the prospective payment system was introduced. The focus of this article is to note some of these changes in methods of assigning diagnosis-related groups, which may have caused some of the migrations, or shifts, from one diagnosis-related group to another during the period 1983-85.
D003953:Diagnosis-Related Groups / Q000706:statistics & numerical data*; D005249:Fees and Charges / Q000706:statistics & numerical data; D006760:Hospitalization / Q000706:statistics & numerical data*; D007902:Length of Stay / Q000706:statistics & numerical data; D006278:Medicare / Q000706:statistics & numerical data*; D015442:Medicare Assignment; D011445:Prospective Payment System / Q000706:statistics & numerical data*; D014481:United States