PREVALENCE OF INCORRECT BILLING
DRG claims present a unique set of challenges for payers‘ claims (APOSTROPE WAS IN THE WRONG PLACEMENT). Instead, correcting the errors requires a complex and technical approach of selecting potential errors based on guideline based criteria and a multitude of technical factors which may be suggestive of errors. Recommendations for correction are arrived at by applying The Official Guidelines for Coding and Reporting set forth by the four regulatory cooperating parties ICD-10 (CMS, AHA, AHIMA, and NCHS).