AR-DRG Classification - Diagnosis Related Group - KSA

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DRG impact on quality
of care

DRG impact on the case mix index (CMI) & hospital’s revenue

Based on real life
case studies

Full knowledge on how
to calculate DRG

The Australian Refined Diagnosis Related Grouping (AR-DRGs) course, designed for the healthcare professional looking to understand the AR-DRG and its role in healthcare data and reimbursement.  The content covers essential information to:
  • Explore the evolution of the DRGs from their historical roots through to AR-DRG V9.0 (as used in KSA)  
  • Discuss key concepts of data collection and methodologies, including the role of quality documentation, clinical coding and DRG allocation through comparative cases studies
  • Evaluate different healthcare funding models with particular attention to Accountable Care Organizations, healthcare financing reforms and the road to Value-based healthcare
  • Introduce continuous analysis activities and audit programs to support the transformation
  • Explain the AR-DRG and its role in healthcare by understanding the sources of information required to identify the appropriate AR DRGs 
  • Identify the differences between nomenclatures, terminologies and classifications and explain their individual and collective value
  • Discuss the importance of clinical documentation and accurate clinical coding
  • Recognize the drivers of AR-DRGs and their impact on patient complexity levels
  • Define and use appropriate terminology associated with AR-DRGs in an ABF/M funding environment
  • Benefit from the value of DRGs in an insurance funding model
  • Gain the knowledge of implementing continuous analysis and audit

Module 1: Introduction to DRGS 

Module 2: Nomenclatures, Classifications and Terminologies 

Module 3: Coding, Documentation and DRGs 

Module 4: DRG’s and Healthcare Funding 

Module 5: Casemix and Calculation

Module 6: Analysis and Audit