What if hospital billing is not Diagnostic Risk Group (DRG)-based?

0
Posted

What if hospital billing is not Diagnostic Risk Group (DRG)-based?

0

(Dong Siegel, Bureau of TennCare, State of TN) Answer: That is a problem right now because DRG is one of the required variables to use the tool. Therefore, if you do not have DRGs, you cannot run the tool. However, that may be something that needs to be incorporated into the tool in the future. Question: Does the tool allow for mapping at ZIP code or other medical service area level? (Margie Shofer, AHRQ) Answer: No, not right now. Presently you can only map within one State at a county level, so ZIP code and medical service areas are exactly the kinds of fields we want to offer to try to make this tool more useful to users. We are actively looking into adding zip code and medical service area fields, but we are not at the point where we can say that it is going to be implemented. Question: How does the software handle missing data in the file? (Dian Kahn, VT Dept Banking, Insurance, Securities and Health Care Administration) Answer: Multiple things will happen depending on how much da

Related Questions