Definition · Claims & Coding

iDRG (Indonesian Diagnosis Related Groups)

iDRG (Indonesian Diagnosis Related Groups) is Indonesia's diagnosis-related-group casemix system for grouping inpatient episodes into payment tariffs, developed to succeed INA-CBGs (Indonesian Case Based Groups). Like its predecessor it bundles each admission into a tariff package driven by diagnosis and procedure coding plus documented severity, so the grouped tariff — and the payment — still depends on the accuracy and completeness of the clinical record.

iDRG is the next-generation casemix grouper Indonesia is moving toward as it standardizes hospital reimbursement; during the transition, facilities work with INA-CBGs grouping today while preparing data and coding practices for the iDRG framework. The mechanics that matter most for revenue are unchanged: undercoding leaves money unpaid and miscoding triggers denials, so the leverage sits upstream in the documentation.

That is why Micromeet treats claim accuracy as a documentation problem rather than a coding-screen problem: Claim Readiness works on structured clinical documentation so grouping and completeness checks run on a record that already contains the variables, with the clinician confirming the output. AI writes. Doctors decide.

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