Itemized  ·  Glossary  ·  MS-DRG

MS-DRG.

Medicare Severity Diagnosis-Related Group.

How Medicare classifies inpatient hospital stays for payment. Each MS-DRG bundles a primary diagnosis, procedures, and patient severity into a single code that determines what Medicare pays. Hospitals also publish negotiated rates with private insurers by MS-DRG for inpatient cases.

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Other terms.

CPT Code HCPCS Code Deductible Coinsurance Copay Out-of-pocket maximum EOB MRF Chargemaster Negotiated rate