A review for additional Medicare reimbursement is called

Question

Quizplus · Accepted Answer

A review for additional Medicare reimbursement for cases that require extended hospital stays or unusually costly medical services is called a day outlier review. DRG validation refers to checking the accuracy of the assigned DRG code, cost outlier review is a review of cases where the costs surpass a predetermined threshold, and procedure review is an assessment of the medical necessity and appropriateness of a particular procedure.

A Review for Additional Medicare Reimbursement Is Called