Files > INPATIENT INTERIM DRG

name

INPATIENT INTERIM DRG

number

356.93

location

^IBT(356.93,

description

This file holds interim DRGs computed by the Claims Tracking Module for display in Claims Tracking and on Reports. The computed ALOS is based upon 1992 HCFA average lengths of stay and not VA averages. The purpose is to help utilization review personnel determine if the the ALOS approved by an insurance company is within industry standards. Per VHA Directive 10-93-142, this file definition should not be modified.

Fields

#	Name	Location	Type	Details	Index	Description
.01	name(+)	0;1	POINTER	80.2	B	Enter the DRG that best describes this inpatient case.
.02	admission movement	0;2	POINTER	405		This field should point to the admission movement of the inpatient episode that this interim DRG is for.
.03	date	0;3	DATE-TIME			Enter the date that this DRG was computed.
.04	estimated length of stay	0;4	NUMERIC			This is the estimated length of stay in the medical center for UR or Insurance purposes. This is not related to the average length of stays for PTF. It is the estimated LOS for this admission for this patient for this DRG. It is used to help determine if for billing purposes that this patient has exceeded his length of stay.
.05	days remaining	0;5	NUMERIC			This is the days remaining that this patient has for this DRG. It is the ELOS minus the number of days the patient has already been treated for this episode.