Describe the hospital inpatient prospective payment system (ms-drgs) including what determines the ms-drg and the relationship to icd-10-cm diagnosis codes.

The MS-Diagnosis-RelatedGroup System  is an inpatient prospective payment system used by physicians and other healthcare providers to identify, classify and standarize hospitals´ diagnoses and products provided to the hospitalized patient, since its admission up to its discharge, within 467 (originally) groups. The MS-DRG will  be assigned according to the patients´gender, discharge status and main and additional diagnosis, and the main and additional treatments using the ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) codes system to classify all diagnoses, symptoms and procedures managed and provided by hospitals in the United States.

Explanation:

MS-DRG is the Medicare patient classification system that standardizes prospective payment to hospitals and draws forth medication and treatment cost control and all charges related with an inpatient stay from admission to discharge. It is assigned to each inpatient according to its diagnosis, gender and discharge status and it aims to get a basic price for a given service, by first assigning a corresponding DRG weight and then multiplied by the hospital's payment rate per Medicare PPS case patient discharged.

The diagnoses in the ICD-10-CM  code is a system tool to group and identify illnesses, disorders, symptoms, poisonings, adverse effects of drugs and chemicals, injuries and other means for patient conditions.This codes are set in three, four, five, six, or seven characters. Headings categories are managed in three-character codes which can be enlarged to four, five, or six characters if more specific details regarding the diagnosis need to be added.

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