Revenue Cycle: DRG Reimbursement and Case Mix

(56 customer reviews)



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



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

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.

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.

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
  • Visit our FAQ page for technical requirements and additional details.

56 reviews for Revenue Cycle: DRG Reimbursement and Case Mix

  1. Haugen Customer

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  5. Kimberly

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  13. Haugen Customer

    As an introductory class for DRGs this is great. Got a lot from it and will revisit it for more understanding and to compare with real life DRG assigning.

  14. Haugen Customer

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  24. Michelle

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  28. Muthusamy

  29. Diana


  30. Yun

  31. Mirjana

  32. Haugen Customer

    great learning experience

  33. Kushant

  34. Sherie

    Great and easy to understand

  35. Kathy

  36. Beverly

    I really enjoyed learning about the case mix index with DRGs and how they affect hospital payments.

  37. Fatoumata

  38. Haugen Customer

  39. Molly

  40. Emily

  41. Deirdre

    This was informative and fun.

  42. Haugen Customer

  43. Lavonne

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  45. Pamela

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  47. Virginia

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  49. Jackie

  50. Haugen Customer

  51. Haugen Customer

  52. Olivia

  53. Haugen Customer

  54. Sherri

    nicely done for a basic explanation of DRGs

  55. Nicole

  56. Haugen Customer

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