Diagnosis Related Groups

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Page 2 I. Introduction The rising cost of medical care in the United States has been a concern for quite some time. Beginning in the 1960s with the advent of Medicare, a system has been needed that will balance cost with services provided within acceptable parameters. In 1982, the US Congress placed a cap on operating expenses for each Medicare case treated in a hospital, as a protective measure to insure adequate payment within reasonable limits. A …

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…introduction to the series. The Journal of the American Medical Association, 264(15), 1953-1956. McMahon, L.F., Hayward, R.A., Bernard, A.M. (1992, May). APACHE-L: A new severity of illness adjuster for inpatient medical care. Medical Care, 30(5), 445-452. McManus, S.M. Pearson, J.V. (1993). Nursing at a crossroads: Managing without facts. Health Care Management Review, 18(1), 79-90. Rogowski, J. R., Byrne, D. J. (1990, December). Comparison of alternative weight recalibration methods for diagnosis-related groups. Health Care Financing Review, 12(2), 87-102.