|
|
|
National Payment Error Data
|
 |
|
| Payment error data, including projected national payment error statistics and payment errors by DRG. The data presented here may not match estimates presented in the
"Improper Medicare Fee for Service Payments Report" as the data
represent only short-term, acute-care inpatient claims, the reporting
time frame may be different, and the method of calculating the error
rate may slightly differ. |
|
|
|
|
Top 20 DRGs - 1-Day stays for Short-Term Acute-Care Hospitals
|
|
|
| The below link provides a listing of the top 20 DRGs by volume of discharges for one-day stays for short-term, acute-care, PPS hospitals. The data are aggregated at the national level. One-day stays occur when a patient is admitted as an inpatient on one day and discharged either the same day or on the following day. When the patient dies, leaves against medical advice, or is transferred to another short-term acute-care PPS hospital (patient status codes 20, 07, or 02), or when the one-day stay has prior observation (revenue code 760 or 762) of greater than 24 hours (as reported on the claim), these claims are not included in the data. These data represent discharges occurring through the second quarter of FY 2008 (October 1, 2007 through March 31, 2008). |
|
|
|
|
Top 20 DRGs - Medical DRG 1-Day Stays- Short-Term Acute-Care Hospitals
|
|
|
| The below link provides a listing of the top 20 DRGs by volume of discharges for medical DRG one-day stays for short-term, acute-care, PPS hospitals. The data are aggregated at the national level. One-day stays occur when a patient is admitted as an inpatient on one day and discharged either the same day or on the following day. When the patient dies, leaves against medical advice, or is transferred to another short-term acute-care PPS hospital (patient status codes 20, 07, or 02), or when the one-day stay has prior observation (revenue code 760 or 762) of greater than 24 hours (as reported on the claim), these claims are not included in the data.These data represent discharges occurring through the second quarter of FY 2008 (October 1, 2007 through March 31, 2008). |
|
|
|
|
Top 50 DRGs - Long-Term Acute-Care Hospitals
|
|
|
| The below link provides a listing of the top 50 DRGs by volume of discharges for long-term acute-care hospitals. The data are aggregated at the national level. The data include the number of discharges, the average length of stay for each DRG, and number and percentage of discharges that are short-stay outliers for FY 2008 through the second quarter (October 1, 2007 through March 31, 2008). |
|
|
|
|
Target Area Analysis - Short-Term, Acute-Care Hospitals
|
|
|
| The below link provides national-level statistics for areas identified as at-risk for payment errors in short-term acute-care hospitals. The data include number of discharges for the numerator and denominator for each target area, proportion for each target area, average payment for a claim for each target area, and the sum of total payments for each target area. For more information on the areas identified as at-risk for payment errors, please see the Short-Term PEPPER User's Guide. |
|
|
|
|
Target Area Analysis - Long-Term, Acute-Care Hospitals
|
|
|
| The below link provides national-level statistics for areas identified as at-risk for payment errors in long-term acute-care hospitals. The data include number of discharges for the numerator and denominator for each target area, proportion for each target area, average payment for a claim for each target area, and the sum of total payments for each target area. For more information on the areas identified as at-risk for payment errors, please see the Long-Term PEPPER User's Guide. |
|
|
|
|
LTCH Peer Group Report
|
|
|
| The purpose of the LTCH Peer Group Report is to allow hospitals to compare PEPPER information for their hospital to a peer group of hospitals.
|
|
|
|
|
|
|