approval_ind assigned_dttm confidential_ind cost_outlier_amt desc |
grouper_review_cd grouper_version_id outlier_days_qty outlier_reimbursement_amt outlier_type_cd |
Class steward is Patient Administration
A broad categorization, based primarily upon included procedures and diagnoses, that applies to the Healthcare event as a whole. Used for grouping and evaluating Healthcare encounters with respect to duration of care and cost.
An indication that the DRG assignment has been or has not been approved by a reviewing entity.
Rationale: DG1^9 was retained in v2.3 for backward compatibility only. This field isan indicator and the definition should clearly reflect that.
The date and time the DRG was assigned to the encounter.
|DRG^2^00769^DRG Assigned Date/Time |
An indication as to whether the DRG assigned to this encounter contains a confidential diagnosis.
|DG1^18^00767^Confidential Indicator| |DRG^10^00767^Confidential Indicator|
The amount of the encounter cost that is beyond the standard cost amount for the assigned DRG.
Rationale: DG1^13 was retained for backward compatibility only.
A description providing additional information about the assignment of the DRG to the encounter.
A code indicating that the grouper results have been reviewed and approved.
Rationale: DG1^10 was retained for v2.3 for backward compatibility only.
The version and type of the grouper used to derive the DRG.
Rationale: DG1^14 was retained for v2.3 for backware compatibility only and the DRG reference should be used.
|URS^4^00055^R/U What User Qualifier|
The number of days beyond the standard day count for the assigned DRG.
Rationale: DG1^12 was retained for v2.3 for backward compatibility only
The portion of the total reimbursement amount designated for reimbursement of outlier days or costs.
|DRG^9^00771^Outlier Reimbursement|
A code depicting the type of outlier (day, cost) associated with the encounter DRG.
Rationale: This is the v2.3 reference
|DG1^11^00385^Outlier Type| |DRG^5^00385^Outlier Type|