· This Session Will Provide the Attendee with an Understanding of: The development of APR-DRGs The use of severity to define and compare a patient population Application by. The 3M APR DRG logic uses claims data to assign patients to one of base 3M APR DRGs that are determined either by the principal diagnosis or, for surgical patients, the most important surgical procedure. All Patient Refined Diagnosis Related Groups (APR DRGs), 3M™ Enhanced Ambulatory Patient Groups (EAPGs), and 3M relative weights. Appendix B offers resources for further information. provider manual updates, etc. April - June. April - June. Annual payment method update effective. July 1 ; July 1.
CA Medi-Cal DRG 3M Grouper Settings SFY Page. 1. Medi-Cal DRG 3M Grouper Settings for CA State Fiscal Year (7/1/) T. his document provide. s the setup parameters for the 3M Health Information System (3M™) All Patient Refined Diagnosis Related Group (APR-DRG) Core Grouping Software (CGS) desktop. Effective for discharges on or after October 1, , version 33 of the 3M All Patient Refined Diagnosis Related Groups (APR-DRG) will be utilized for Medicaid, Workers Compensation and No-Fault. Since there are no changes to the APR-DRGs in v33 as compared to v31 and v32, the APR-DRG weights and outlier thresholds that were effective July 1. Underlying Principle of 3M™ APR DRGs Severity of illness (SOI) and risk of mortality (ROM) are dependent on the patient's underlying problem. High severity of illness and risk of mortality are characterized by multiple serious diseases and the interaction among those diseases. 3M™ APR DRG Assignment is Driven by: Principal diagnosis.
The development of the 3M™ APR DRG Classification System, Version , involved the participation of many individual contributors. 3M HIS consultants Ruth Shaber, M.D., Warren Strauss, M.D., Stephen Wittenberg, M.D., David Earle, M.D., James Flink, M.D. The 3M APR DRG logic uses claims data to assign patients to one of base 3M APR DRGs that are determined either by the principal diagnosis or, for surgical patients, the most important surgical procedure. The developement of the APR-DRGs, Version , involved the participation of many individual contributors. 3M HIS consultants Ruth Shaber, M.D., Warren Strauss, M.D., Stephen Wittenberg, M.D., David Earle, M.D., James Flink, M.D., James Slaughter, M.D.
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