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So, how does IPPS actually work? The process starts with classifying each patient into a **Diagnosis-Related Group (DRG)**. DRGs are categories that group together patients with similar diagnoses, treatments, and resource consumption. Think of it like sorting patients into different buckets based on their medical needs. Each DRG is assigned a relative weight, which reflects the average cost of treating patients in that group. This relative weight is then multiplied by a hospital's base payment rate to determine the payment for that particular case. There are a lot of factors that can influence the base payment rate, including things like the hospital's location, the types of patients they treat, and whether they're a teaching hospital.
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