What is “DRG” in medical billing?

DRG in Medical Billing

DRG stands for Diagnosis-Related Group, a classification system used to determine payment for hospital inpatient services under Medicare.

DRG in Medical Billing Explained

In medical billing, DRGs are used to categorize patients based on their diagnosis, treatment, and other factors. Each DRG has a fixed reimbursement rate, which means hospitals are paid a set amount based on the patient’s DRG, regardless of the actual cost of care.

For example, a patient hospitalized for pneumonia would be assigned a specific DRG, and the hospital would receive a predetermined payment for their treatment.

Discover common acronyms and abbreviations in Medical billing glossary.

  • Years in Business
  • Social Signals

Leave a Reply

Your email address will not be published. Required fields are marked *

error: Content is protected !!
This site uses cookies to offer you a better browsing experience. By browsing this website, you agree to our use of cookies.