Journal Article

Importance of coding co-morbidities for APR-DRG assignment: Focus on cardiovascular and respiratory diseases

Published by the Health Information Management Journal, May 2019,
by Julio Souza, João Vasco Santos, MD, Veronica Bolon Canedo, PhD, Amparo Betanzos, PhD, Domingos Alves, PhD, Alberto Freitas, PhD. 

The All Patient-Refined Diagnosis-Related Groups (APR-DRGs) system has adjusted the basic DRG structure by incorporating four severity of illness (SOI) levels, which are used for determining hospital payment. A comprehensive report of all relevant diagnoses, namely the patient’s underlying co-morbidities, is a key factor for ensuring that SOI determination will be adequate. In this study, we aimed to characterize the individual impact of co-morbidities on APR-DRG classification and hospital funding in the context of respiratory and cardiovascular diseases. 3M APR DRG Classification System has remained the healthcare industry’s leading methodology to measure inpatient severity of illness (SOI) and risk of mortality (ROM) for an individual patient or a patient population.

Read Article

Source: Souza J, Santos JV, Canedo VB, Betanzos A, Alves D, Freitas A. Importance of coding co-morbidities for APR-DRG assignment: focus on cardiovascular and respiratory diseases. Health Information Management Journal. 2019; doi: 10.1177/1833358319840575.