Developing an Effective Compliance Audit Process Appendix D: Sample Indicators for DRG Evaluation
DRG pair 079/089
Numerator = all (Medicare) claims with DRG 079 Denominator = the sum of all (Medicare) claims with DRG 079 plus all claims with DRG 089
DRG pair 087/127
Numerator = all (Medicare) claims with DRG 087 Denominator = the sum of all (Medicare) claims....
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