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
