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All HIM professionals began to follow the steps that were established by the POA. This helped to determine the impact of the MS-DRG and would give them lower payment options.

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Q: What mandated that all acute-care facilities that are reimbursed under MS-DRGs identify and report diagnoses that were present at the time of a patients admission?
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Are Diagnosis Related Groups based on the admission or discharge diagnosis?

No Here is a more descriptive answer for you. If the claim is being submitted after discharge, the DRG is based on the final diagnoses codes. If the claim is an interim claim (non-discharged), the DRG is based on admission diagnoses codes. Keep in mind that there are guidelines which limit the provider ability to submit interim claims, so most will be based on final diagnosis.


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