Examples of DRG cases in a sentence
As stipulated in 12VAC30-70-231, operating payments for DRG cases that are not transfer cases shall be determined on the basis of a hospital specific operating rate per case times relative weight of the DRG to which the case is assigned.
As stipulated in 12 VAC 30-70-231, operating payments for DRG cases that are not transfer cases shall be determined on the basis of a hospital specific operating rate per case times the relative weight of the DRG to which the case is assigned.
For DRG cases involving third party liability (TPL), a hospital will be reimbursed the lesser of the billed amount minus the TPL payment and other appropriate deductible amounts, or the applicable allowed amount (basic payment) for the case minus the TPL payment and other appropriate deductible amounts.
Table 16Model summary – Task-based OC normalised by cases, 2010–2013 * Variables: Predictors (constant), Labour in active care / DRG cases (log), Material costs in active care / DRG cases (log).
The voting activity must be documented by the RMC Chairperson and results communicated to all RMC voting members (in writing).
Within each DRG, cases shall be eliminated if (i) their standardized costs per case are outside of 3.0 standard deviations of the mean of the log distribution of the standardized costs per case and (ii) their standardized costs per day are outside of 3.0 standard deviations of the mean of the log distribution of the standardized costs per day.
Table 4 Number of DRG cases and sum of DRG points, 2010–2013 YearNumber of DRG casesSum of DRG points in total active care (thousand) Source: NHIF.
Data are normalised by the number of DRG cases or by the number of active beds.Source: Here and in the following tables, own calculations.
These factors were calculated so that per diem cases will be reimbursed the same percentage of cost as DRG cases based on the data used for rate calculation.
For the purposes of calculating the base year standardized operating costs per case, base year claims data for all DRG cases, including outlier cases, shall be used.