HSP_ACCT_MULT_DRGS

Description: |
This table contains multiple diagnosis related group information for hospital accounts.

Primary Key

Column Name | Ordinal Position |
--- | --- | ---
HSP_ACCOUNT_ID | 1 |
LINE | 2 |

Column Information

| Name | Type | Discontinued? |
--- | --- | --- | --- | ---
1 | HSP_ACCOUNT_ID | NUMERIC | No |
The hospital account ID with associated Single Billing Office information.
2 | LINE | INTEGER | No |
The line number for the information associated with this record. Multiple pieces of information can be associated with this record.
3 | DRG_ID_TYPE_ID | NUMERIC | No |
From the list of diagnosis-related group (DRG) filed to the hospital account, the unique ID of DRG code set for this row.
4 | DRG_ID_TYPE_ID_ID_TYPE_NAME | VARCHAR | No |
The name of the ID Type.
5 | DRG_MPI_CODE | VARCHAR | No |
This column extracts the Master Patient Index (MPI) IDs of diagnosis-related group (DRG) codes entered in the Multiple DRG grid of Hospital Billing - Coding for each Hospital Account. The MPI IDs shown here will be the IDs that correspond to the DRG MPI Type extracted in the DRG_ID_TYPE_ID column.
6 | DRG_REIMBURSEMENT | NUMERIC | No |
From the list of diagnosis-related groups (DRGs) filed to the hospital account, the expected reimbursement amount for the DRG in this row.
7 | DRG_MDC_VALUE | VARCHAR | No |
From the list of diagnosis-related group (DRG) filed to the hospital account, the Major Diagnostic Category value for the DRG in this row.
8 | DRG_WEIGHT | NUMERIC | No |
From the list of DRGs filed to the hospital account, the weight for the DRG in this row.
9 | DRG_PS_NAME | VARCHAR | No |
From the list of diagnosis-related groups (DRGs) filed to the hospital account, the severity of illness (SOI) category ID associated with the DRG in this row.
May contain organization-specific values: No
Category Entries:
Refinement not possible
Minor
Moderate
Major
Extreme
Principal Dx Used for SOI/ROM Calc
Excluded
Duplicate Diagnosis
Excluded Complication of Care
10 | DRG_ROM_NAME | VARCHAR | No |
The Risk of Mortality (ROM) category ID associated with the DRG is in this row. Epic Released Entries: 0- Refinement not possible 1- Minor 2- Moderate 3- Major 4- Extreme 5- Principal Dx Used for SOI/ROM Calc 6- Excluded 7- Duplicate Diagnosis 8- Excluded Complication of Care
The category values for this column were already listed for column: DRG_PS_NAME
11 | DRG_SHORT_LOS | VARCHAR | No |
The unique identifier for the treatment plan record.
12 | DRG_LONG_LOS | VARCHAR | No |
From the list of diagnosis-related group (DRG) filed to the hospital account, the long length of stay for the DRG in this row.
13 | DRG_AMLOS | VARCHAR | No |
From the list of DRGs filed to the hospital account, the arithmetic mean length of stay for the DRG in this row.
14 | DRG_GMLOS | VARCHAR | No |
From the list of diagnosis-related group (DRG) filed to the hospital account, the geometric mean length of stay for the DRG in this row.
15 | DRG_CST_OTLR_THRSH | NUMERIC | No |
The diagnosis-related group (DRG) cost outlier threshold for the hospital account.
16 | DRG_DAY_OTLR_THRSH | NUMERIC | No |
The diagnosis-related group (DRG) day outlier threshold for the hospital account.
17 | DRG_NRM_PT_RMB_AMT | NUMERIC | No |
The normal patient reimbursal amount for diagnosis-related group (DRG) on the hospital account.
18 | DRG_TG_FED_BLND_RT | NUMERIC | No |
The target fed blended rate for DRG on the hospital account.
19 | DRG_COND_CODE | NUMERIC | No |
The diagnosis-related group (DRG) condition code on the hospital account.
20 | DRG_FORMULA | NUMERIC | No |
The diagnosis-related group (DRG) formula information on the hospital account.
21 | DRG_LOS | INTEGER | No |
The diagnosis-related group (DRG) LOS for the hospital account.
22 | DRG_PAT_STATUS | VARCHAR | No |
The patient status for the diagnosis-related group (DRG) on the hospital account.
23 | DRG_ISP_SHR_AJ_AMT | NUMERIC | No |
The dispensed share adjustment amount for the diagnosis-related group (DRG) on the hospital account.
24 | DRG_INDIR_MED_AMT | NUMERIC | No |
The indirect medicated monetary amount for the diagnosis-related group (DRG) on the hospital account.
25 | DRG_CAPITAL_AMT | NUMERIC | No |
The capital monetary amount for the DRG on the hospital account.
26 | DRG_OTLR_RMB_AMT | NUMERIC | No |
The outlier reimbursement monetary amount for the diagnosis-related group (DRG) on the hospital account.
27 | DRG_CHG_CLM_AMT | NUMERIC | No |
The total diagnosis-related group (DRG) charges on claim for this DRG on this hospital account.
28 | DRG_OUTLIER_TYPE | INTEGER | No |
The outlier type for the diagnosis-related group (DRG) on the hospital account.
29 | DRG_OUTLIER_DAYS | INTEGER | No |
The number of outlier days for the diagnosis-related group (DRG) on the hospital account.
30 | DRG_OTLR_CST_AMT | NUMERIC | No |
The monetary outlier cost for the diagnosis-related group (DRG) on the hospital account.
31 | DRG_OUTLIER_REIMB | NUMERIC | No |
The outlier reimbursement for the diagnosis-related group (DRG) on the hospital account.
32 | DRG_CMT | VARCHAR | No |
The comment associated with the diagnosis-related group (DRG) on the hospital account.
33 | DRG_QLFR_C_NAME | VARCHAR | No |
Additional diagnosis-related group (DRG) Qualifier for the DRG Type and Code.
May contain organization-specific values: Yes
Category Entries:
HAC Dx Included
Analyzed DRG
Admission DRG
PPC DRG
PPC Admit DRG
34 | DRG_BILLING_FLAG_YN | VARCHAR | No |
Indicates the diagnosis-related group (DRG) that is the primary Billing DRG for the hospital account.
May contain organization-specific values: No
Category Entries:
No
Yes
35 | DRG_ECCS | NUMERIC | No |
The ECCS (episode clinical complexity score) associated with the DRG.
36 | DRG_IS_CMI_EXCLUD_YN | VARCHAR | No |
Indicates whether a DRG code from a DRG type is excluded from CMI calculation.
The category values for this column were already listed for column: DRG_BILLING_FLAG_YN