Can Hospitals Enable DRG Recovery?

Can Hospitals Enable DRG Recovery?

The DRG system (Diagnosis-Related Group) is over 30 years old and hospitals still struggle with the fixed dollar amount allotted for patients covered only by Medicare. The rest of the challenge is understanding changes to the program dealing with reviews and audits,...

Hospital Transfer DRG Revenue Challenges

Hospital Transfer DRG Revenue Challenges

The Post-Acute-Care Transfer policy (PACT) is triggered when an inpatient claim has one of the 280 “Transfer DRGs,” the LOS is less that the geometric mean LOS for that DRG, and the patient is discharged to a qualifying post-acute care facility.