A key objective is to enable updates to the MS-DRG payment rates that are no longer dependent on gross charges billed by hospitals that are reduced to cost using hospitals' cost report data. Included ...
Connolly Healthcare, the Recovery Audit Contractor (RAC) for 17 states, posted 35 new issues and removed four older issues on its “approved issues” Web page last week. The postings continued a pattern ...
States affected: Conn., D.C., Del., Mass., Maine, N.H., N.J., N.Y., Pa., R.I. and Vt. Description: MS-DRG Validation for MS-DRGs 533, 534, 537, 538, 562 and 563 MS ...
The majority of the issues that three of the four Recovery Audit Contractors (RACs) posted last week targeted hospitals. In RAC Region B, CGI Federal posted three issues for MS-DRG validation that ...
Diagnostic-related groups (DRGs) are how Medicare and some other health insurance companies categorize hospital costs to determine how much to pay for a hospital stay. With DRGs, the payment amount ...
Hospitals decide how much to bill Medicare for your care based on your diagnostic-related group (DRG). They then charge Medicare based on your DRG tier instead of separately for each of your medical ...
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