Encore: Understanding Inpatient Cost Outlier Claims

This webinar was held on 1/31/2024.

What is an outlier? How does it benefit the facility? What payment methodology does an outlier affect? When does Medicare consider an inpatient claim an outlier?

This webinar answers those questions and explains acute inpatient prospective payment system outliers. The webinar focuses on:
• Defining what an outlier claim is
• Provide coding instructions
• Answer your questions

Survey
https://cmsmacfedramp.gov1.qualtrics....

Resources
Direct Data Entry (DDE) Manual
https://med.wpsgha.com/guides-resourc...

Direct Data Entry (DDE) Overview
https://med.wpsgha.com/guides-resourc...

CMS Outlier Payments page
https://www.cms.gov/Medicare/Medicare...

Medicare Claims Processing Manual, Chapter 3 - Inpatient Hospital Billing
https://www.cms.gov/Regulations-and-G...