DCS stated that since the DRG assignment does not directly affect the reimbursement of an individual claim, an error in the DRG assignment should not result in a payment error. DCS said it is up to the Health Services Cost Review Commission, which sets rates of Maryland hospitals, to determine how DRG changes would affect a hospital’s aggregate reimbursement.
Read the Maryland Hospital Association report on Diversified Collection Services.
Read more coverage of RACs:
– Region A RAC Sending Demand Letters on Therapy Untimed Codes
– RACs Starting to Audit Physicians’ E/M Codes
– Hospitals Asked to Complete RACTrac survey
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.
