DRG Errors

Clyde B. Schechter; M. Matthew Klionsky; David C. Hsia; W. Mark Krushat

doi:10.1056/NEJM198809153191118

DRG Errors

Clyde B. Schechter, M. Matthew Klionsky, David C. Hsia, W. Mark Krushat

Research output: Contribution to journal › Letter › peer-review

1 Scopus citations

Abstract

To the Editor: Hsia et al. (Feb. 11 issue)* have made a serious accusation in claiming to have uncovered “evidence of a systematic trend” of errors in coding diagnosis-related groups (DRGs) that result in overpayments to hospitals. This claim rests on the assumption that random coding errors would result in overpayment 50 percent of the time. This assumption is fallacious a priori and would require a detailed analysis of the distribution of DRGs to support it. Consider a discharge for which the correct DRG happens to be at the 40th percentile in a list of DRGs ordered according to relative.

Original language	English (US)
Pages (from-to)	726-727
Number of pages	2
Journal	New England Journal of Medicine
Volume	319
Issue number	11
DOIs	https://doi.org/10.1056/NEJM198809153191118
State	Published - Sep 15 1988
Externally published	Yes

ASJC Scopus subject areas

Medicine(all)

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10.1056/NEJM198809153191118

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abstract = "To the Editor: Hsia et al. (Feb. 11 issue)* have made a serious accusation in claiming to have uncovered “evidence of a systematic trend” of errors in coding diagnosis-related groups (DRGs) that result in overpayments to hospitals. This claim rests on the assumption that random coding errors would result in overpayment 50 percent of the time. This assumption is fallacious a priori and would require a detailed analysis of the distribution of DRGs to support it. Consider a discharge for which the correct DRG happens to be at the 40th percentile in a list of DRGs ordered according to relative.",

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AU - Klionsky, M. Matthew

AU - Hsia, David C.

AU - Krushat, W. Mark

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Y1 - 1988/9/15

N2 - To the Editor: Hsia et al. (Feb. 11 issue)* have made a serious accusation in claiming to have uncovered “evidence of a systematic trend” of errors in coding diagnosis-related groups (DRGs) that result in overpayments to hospitals. This claim rests on the assumption that random coding errors would result in overpayment 50 percent of the time. This assumption is fallacious a priori and would require a detailed analysis of the distribution of DRGs to support it. Consider a discharge for which the correct DRG happens to be at the 40th percentile in a list of DRGs ordered according to relative.

AB - To the Editor: Hsia et al. (Feb. 11 issue)* have made a serious accusation in claiming to have uncovered “evidence of a systematic trend” of errors in coding diagnosis-related groups (DRGs) that result in overpayments to hospitals. This claim rests on the assumption that random coding errors would result in overpayment 50 percent of the time. This assumption is fallacious a priori and would require a detailed analysis of the distribution of DRGs to support it. Consider a discharge for which the correct DRG happens to be at the 40th percentile in a list of DRGs ordered according to relative.

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DRG Errors

Abstract

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