Description

This course presents a primer on DRGs including the history, grouping logic, common DRG systems, and the role of case mix in the hospital.

 

Objectives:

Lesson 1: Introduction to Inpatient Code-Based Reimbursement

  • Identify payers who utilize DRG Systems for Reimbursement
  • Recognize the role of a DRG relative weight
  • Detect factors that impact case mix

Lesson 2: Medicare Severity Diagnosis Related Groups (MS-DRGs)

  • Recognize the impact of surgical procedures on MS-DRG assignment
  • Utilize the DRG Definitions Manual to assign a provisional MS-DRG
  • Identify discharge dispositions that influence MS-DRG reimbursement under the post-acute care transfer provision

Lesson 3: All Patient Refined Diagnosis Related Groups (APR-DRGs)

  • Identify differences between MS-DRGs and APR-DRGs
  • Recognize uses for severity of illness data
  • Analyze APR-DRG case complexity

Target Audience

  • Inpatient Facility Coders
  • Clinical Documentation Improvement Professionals
  • Revenue integrity professionals
  • Coding compliance managers

CE Credits

AHIMA
This program has been approved for 1 continuing education units for use in fulfilling the continued education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.

  • Domain: Revenue Cycle Management

AAPC
This program has the prior approval of the American Academy for Professional Coders (AAPC) for 1 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

  • Specialty CEUs: COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPMA, CPPM, CPRC, CRC, CRHC, CSFAC, CUC, CVBA, FMC, RCMS

Purchasing Details

  • Upon purchase, you will have a 6-month subscription to this course. This will allow you the opportunity to complete and review as often as you like for 6 months.
  • Courses are accessed through www.haugenacademy.com.
  • Visit our FAQ page for technical requirements and additional details.

264 reviews for Revenue Cycle: DRG Reimbursement and Case Mix

4.3
4.3 out of 5 paws (based on 264 reviews)
Top dog!61%
Doggone good!15%
It was OK.22%
It was a bit RUFF.1%
Bad to the bone.1%

 

June 19, 2025

Regarding selection of MS-DRGs, I had gone back and repeated steps prior to final. I either appear to have missed a step, or misunderstood instruction. Clinically I knew what I had to select, though the process was not clear to me.

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Haugen Academy Learner
March 26, 2025

This was an excellent presentation, with focused demonstrations and sharing of resources. Outstanding opportunity to learn and build a foundation of knowledge.

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Wendy

Response from Haugen Consulting Group

RC_DRG

November 25, 2024

Is very hard to manage the course, the letters are too small and not zoom options available. The information is good.

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Michelle
November 22, 2024

I really liked this narrator

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Carla
November 21, 2024

I would recommend more practices on how to assign the correct MS-DRG codes based the diagnosis and procedures.

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Haugen Academy Learner
August 22, 2024

Very good and informative course.

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Agnes
March 17, 2024

This one was really tough

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Haugen Academy Learner
February 25, 2024

Thank you

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Haugen Academy Learner
February 23, 2024

A simple step by step presentation that was easy to understand and retain.

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Haugen Academy Learner
February 18, 2024

Nicely broken down for a very complicated system.

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Haugen Academy Learner
March 28, 2023

This was an amazing refresher course definitely enjoyed it.

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Haugen Academy Learner

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