Choosing the correct DRG code sets the stage for correct medical billing. DRG stands for "diagnostic related group" and is a billing code used in a larger medical billing and tracking system that pinpoints a doctor's diagnosis. This larger system allows hospitals to bill health insurance plans and Medicare for inpatient services. DRG codes are combined with a CPT code and the length of the hospital stay to decipher the total claim payment and reimbursement required. It is easy to understand how placing the wrong DRG code into a billing statement could misdirect a reimbursement.
Take an online medical billing course. Lessons in DRG coding will be included in the curriculum for most Medical Insurance Coding and Billing courses. If the course is not clearly named as a DRG class, check the syllabus to ensure it includes DRG coding.
Inquire about training within the hospital or clinical setting you may be working in or being hired to work in. Most medium- to large-sized facilities provide training or pay for training of employees.
Enroll in a local school offering medical billing certificates, such as community colleges and schools designed specifically for medical administrative and billing training provide courses that teach DRG coding. These schools may require a high school diploma or the equivalent before allowing students to enroll.
Read books about the DRG classification system. Comprehensive guides and reference books can be found in libraries and bookstores specializing in medical reference publications. If you know basic medical coding practices, being able to reference the DRG codes will help improve billing accuracy.
Work in a medical administrative position. Placing yourself into this type of environment may provide opportunities to learn about DRG coding. Express your desire to learn more about billing and medical coding and seek a training opportunity with your employer.