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Healthcare Management vocabulary · Health Insurance and Reimbursement

DRG

Meaning in healthcare management, with examples

/ˌdiː ɑːr ˈdʒiː/abbreviationCommon term

In healthcare management, DRG means: Short for diagnosis-related group: a category of hospital cases with similar diagnoses and procedures, used to pay hospitals a fixed amount per case.

In Turkish: teşhis ilişkili grup (TİG), tanı ilişkili grup

How it is used

DRG systems began in the US and are now used in many countries. Each DRG has a weight that reflects the expected use of resources. Because payment depends on coding, accurate documentation directly affects a hospital's income.

Example sentences

  1. Under the DRG system, we receive the same payment for a hip replacement whether the patient stays four days or six.

  2. Incomplete coding put many cases into a DRG that pays less.

Common collocations

  • DRG system
  • DRG payment
  • DRG weight
  • DRG coding
  • clinical codingThe process of turning the diagnoses and procedures in a patient's record into standard codes, which are used for payment, statistics and planning.
  • ICDShort for International Classification of Diseases: the World Health Organization's standard system of codes for diagnoses and causes of death.
  • reimbursementThe money that an insurer or public payer pays a hospital or doctor for care already given to a patient, according to agreed rules and prices.
  • fee-for-serviceA payment method in which providers are paid separately for each visit, test or procedure they carry out.
  • length of stayThe number of days a patient spends in hospital from admission to discharge; the average across many patients is a key efficiency measure.

More terms: Health Insurance and Reimbursement

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This page explains English vocabulary for learners. It is not medical advice.