Comorbidity Measures For Use With Administrative

Acute Care Hospital Inpatient Prospective Payment System

for applicable hospitals with the worst-performing quartile of risk-adjusted quality measures for . reasonably preventable HACs. To determine an IPPS payment: 1. The hospital submits a bill to their Medicare Administrative Contractor (MAC) for each Medicare patient treated. Based on the billing information, the MAC categorizes the case into a DRG.

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