Severity-Adjusted DRGs Overview

Relate Costs with Outcomes

Use APS-DRGs to validate why some patients stay in the hospital longer than others, why treating certain patients requires more resources, and why outcomes vary among patients hospitalized for similar conditions.

• Reward providers delivering effective patient care
• Identify best practices for care delivery and coding
• Improve clinical documentation that leads to clean claims

System Transparency

APS-DRGs provide the industry with a practical severity-adjusted reimbursement system, since the methodology’s casemix grouping and severity-adjustment rules are disclosed for evaluation. This reduces software acquisition, training and service costs, and increases access to qualified consultants.

Updated Annually

This system is updated annually to keep in sync with Medicare DRG changes, as well as ICD-9-CM revisions.