606: Real World Repayment Dilemmas: DRG Validation┬áv. Clinical Validation v. Quality Measures v. Government Audit Findings  


Tracy M. Field, Partner, Parker Hudson Rainer & Dobbs LLP

Nancy Hirschl, VP HIM Services, Streamline Health Inc.

  • Background: Understanding Metrics for DRG Validation compared to Clinical Validation, Quality Metrics, Government Audits and how conflicting interpretations arise
  • Practical Considerations when faced with reported discrepancies including paradigms for conducting internal reviews and addressing potential repayment issues
  • Case reviews and examples

Presentation & handouts

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