Outlier cases definition
Outlier cases means those DRG cases, including transfer cases, in which the hospital's adjusted operating cost for the case exceeds the hospital's operating outlier threshold for the case.
Outlier cases means those DRG cases, including transfer cases, in which the hospital’s adjusted operating cost for the case exceeds the hospital’s operating outlier threshold for the case.
Outlier cases means those DRG cases, including transfer cases, in which the hospital’s adjusted
Examples of Outlier cases in a sentence
Any singular term in this Quality Agreement shall be deemed to include the plural, and any plural term the singular.
For Outlier cases, DOC shall base its payment to the Facility using an Outlier Allowable Fee plus the MS-DRG Allowable Fee.
Outlier cases will be highlighted and discussed with appropriate management personnel and billing office directors.