What does medical insurance drg mean?

Medical insurance drg is the English abbreviation of medical insurance disease diagnosis related grouping scheme. A simple understanding is to group a case, which can be more convenient to manage. China has a large coverage of medical insurance, and a large number of people pay medical insurance. In order to strengthen the management of medical insurance, medical insurance drg was introduced.

In fact, medical insurance drg is to group medical records, then divide sick patients into multiple groups, and then treat and manage each group.

Because the patients in each group are grouped according to the treatment of cases, ages and complications, the patients in each group are basically the same, so they can be better managed and provide treatment plans for patients faster.

What is the scope of application and non-application of medical insurance drg?

Scope of application of medical insurance drg: Medical insurance drf is essentially a set of management tools aimed at dividing the output of medical services. Medical insurance drg is more suitable for acute hospitalized cases, which can get faster management and better treatment.

Medical insurance DRGS are not applicable to: outpatient medical records, because outpatient medical records are more complicated, with many causes and different symptoms; Restore history, because everyone has a different recovery period; Cases requiring long-term hospitalization; The diagnosis and treatment are the same, but the results are quite different.