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 ...
CMS created three new MS-DRGs whose relative weights will be calibrated to account for hemodialysis costs and will therefore be excluded from additional ESRD payments. A version of this article was ...
Connolly Healthcare posted approvals Friday for the review of medical necessity for the same 29 MS-DRGs already cited earlier this month by two other Recovery Audit Contractors (RACs). Unlike those ...
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 ...
Effective April 1, 2020 through September 30, 2020, a new diagnosis code U07.1 was added to the ICD-10-CM code set for the novel coronavirus COVID-19: U07.1. The ICD-10-CM Official Coding and ...
DCS Healthcare, the recovery audit contractor for Region A, posted the following CMS-approved audit issues on February 9-11. 1. MS-DRG validation for joint procedures. MS-DRG validation requires that ...
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 ...
DCS Healthcare, the recovery audit contractor for Region A, posted the following CMS-approved audit issues on February 9-11. 1. MS-DRG validation for joint procedures. MS-DRG validation requires that ...
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