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Medicare Inpatient Pricer Now Available

Ronald Hirsch, MD, FACP, CHCQM-PHYADV, CHRI  | Published on 1/27/2021

The data may allow you to better understand the intricacies of hospital payments.
When I teach Medicare regulations to physician advisors, case managers, and utilization review professionals, it is always interesting to see the reactions when I explain how Medicare calculates how much to pay for an inpatient admission. Most are aware of the Medicare Severity Diagnosis-Related Group (DRG) system and the DRG triads and dyads...


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