IR-DRG Classification - Diagnosis Related Group - UAE

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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 IR-DRG course is a guide to understand the classification and dimensions of related groups, principles, components, assignment logic and calculation of the DRGs. It also explores how DRGs impact a patient’s quality of care in standardizing medical data and accurately capturing the patient’s severity of illness, risk of mortality, resource weight, average length of stays, optimal maximal reimbursement and will know the severity drivers using case studies. The course also looks at how clinical documentation improvement will impact DRGs and the case mix index (CMI) for the hospital.

  • By the end of this module, you should be able to:
    • Know what Diagnostic Related Groups (DRGs) are
    • Understand the dimensions of IR- DRG classification
    • Understand the basic principles of DRG
    • Know the generic components of IR-DRG
    • Know how to calculate DRG
    • Understand the DRG Assignment Logic
    • Understand the conceptual framework of IR-DRG classification
    • Know the definition of principal and secondary diagnosis in the context of coding guidelines
    • Understand patient severity levels for the level of care provided in the context of clinical documentation 
    • Know the procedure hierarchy
    • Know Dubai IR-DRG – Parameters
    • Understand the Case Mix Index (CMI) and how it is impacted by Clinical Documentation Improvement (CDI)
    • Understand the importance of CDI in capturing accurate patient severity of illness, risk of mortality, and length of stays
    • Understand examples of IR-DRG and CDI Impact on severity of illness, risk of mortality, length of stay, resource weight and reimbursements
    • Assess case studies

Module 1 – Basics of IR-DRG

Module 2 – Advanced IR-DRG