Cost outlier definition
Cost outlier means cases which have an extraordinarily high cost as established in 79.1(5)“f,” so as to be eligible for additional payments above and beyond the initial DRG payment.
Cost outlier means services provided during a single visit that have an extraordinarily high cost as established in paragraph “g” and are therefore eligible for additional payments above and beyond the base APC payment.
Cost outlier means cases which have an extraordinarily high cost as established in paragraph
More Definitions of Cost outlier
Cost outlier means cases which have an extraordinarily high cost as established in 79.1(5)“f,” so as to be eligible for additional payments above and beyond the initial DRG payment. “Critical access hospital” or “CAH” means a hospital licensed as a critical access hospital by the
Cost outlier means cases which have an extraordinarily high cost as established in 79.1(5)“f,” so as to be eligible for additional payments above and beyond the initial DRG payment. “Diagnosis-related group (DRG)” shall mean a group of similar diagnoses combined based on pa-
Cost outlier means cases which services provided during a single visit that have an extraordinarily high cost as established in paragraph “g” and, thus, are therefore eligible for additional payments above and beyond the base APG APC payment.
Cost outlier means an additional payment for unusually high cost cases that exceeds the cost outlier thresholds as set forth in ARM 37.86.2916.