Inpatient Facility Coding & Compliance Alert

You Be the Coder:

Know What Can Reduce the DRG Payment

Question: What are the factors that can reduce a MS-DRG payment? Illinois Subscriber Answer: MS-DRG payments can be reduced when: The beneficiary’s LOS (length of stay) is at least one day less than the geometric mean LOS for the MS-DRG; The beneficiary is transferred to another hospital covered by the Acute Care Hospital IPPS or, for certain MS-DRGs, discharged to a post-acute [...]
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