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History and Overview
DRGs as One of Nine Approaches to Case Mix in Transition
Relative Intensity Measures RIMs and the State of the
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administrators admission allocation amount applications areas average basis beneficiaries billing budget Carolyne K case-mix changes classification system clinical developed diagnosis related groups Diagnosis-Related Groups diagnostic categories diem director of nursing disease DRG rates DRG system educa efficiency federal fiscal functions graduate HCFA HMOs home health hospital costs hospital product hospital-specific rate hospital's implementation incentive increased information system inpatient institution Jersey hospitals length of stay Medicaid medical record medical records department Medicare ment method monitoring nurs nurse executive nurse managers nursing cost nursing department nursing education nursing resource nursing service nursing staff outliers payers percent personnel physical therapy physician planning practice procedures professional professional review organizations programs prospective payment system prospective reimbursement quality assurance rate setting reduce reports RIMs role skills staffing teaching TEFRA tion treatment unit utilization review variables