This field displays the Medicare -Severity Diagnosis Related Group (MS-DRG) Grouper Version for the Inpatient or Skilled Nursing Facility (SNF) claim.
Comments
This field is not populated prior to 2021. GROUPER is the software that determines the DRG from data elements reported by the hospital. Once determined, the DRG code is one of the elements used to determine the price upon which to base the reimbursement to the hospitals under prospective payment. Nonpayment claims (zero reimbursement) may not have a DRG present.
This field is not populated prior to 2021. GROUPER is the software that determines the DRG from data elements reported by the hospital. Once determined, the DRG code is one of the elements used to determine the price upon which to base the reimbursement to the hospitals under prospective payment. Nonpayment claims (zero reimbursement) may not have a DRG present.
Source: NCH