Who typically assigns the DRG for the patient's case?
A) The coder
B) The physician
C) The coding supervisor
D) The DRG grouper

Question

Quizplus · Accepted Answer

The DRG (Diagnosis-Related Group) grouper is a software program that assigns DRGs based on the patient's diagnosis, treatment, age, sex, and other factors. It is typically used by hospital coders or billing specialists to determine the appropriate payment for a patient's care, as DRGs are often used by insurance companies and Medicare/Medicaid for reimbursement. While physicians may be responsible for providing accurate diagnosis and treatment information that is used to assign a DRG, they typically do not assign DRGs themselves. Coding supervisors and coders may also be involved in the DRG assignment process, but ultimately it is the DRG grouper that determines the final DRG for a patient's case.

Who Typically Assigns the DRG for the Patient's Case