Read more about the article DRG Downgrades by Commercial Payers: Documentation Defense Tactics
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DRG Downgrades by Commercial Payers: Documentation Defense Tactics

In the current climate of cost containment, commercial payers are increasingly downgrading MS-DRGs after claims are submitted, not disputing the need for inpatient care, but questioning the clinical support for…

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July 8, 2025
Read more about the article Major MS-DRG Adjustments Found in Proposed IPPS Rule
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Major MS-DRG Adjustments Found in Proposed IPPS Rule

The Inpatient Prospective Payment System (IPPS) Proposed Rule for the 2021 fiscal year was published on May 11 by the Centers for Medicare & Medicaid Services (CMS). Comments are due…

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May 28, 2020