Recovery Audit Finding: Minor Surgery and Other Treatment Billed as Inpatient Stay
Recovery Audit Finding: Respiratory System Diagnosis Related Group (DRG) 076, Medicare Severity Diagnosis Related Groups (MS-DRGs) 166,167, 177, 178, and 179
Recovery Audit Finding: Chronic Obstructive Pulmonary Disease (COPD) Medicare Severity Diagnosis Related Group (MS-DRGs) 190, 191, and 192 (Medical Necessity Review and MS-DRG Validation)—Inappropriate and Insufficient Documentation
Recovery Audit Finding: Overutilization of Positive Airway Pressure (PAP) and Respiratory Assist Device (RAD) Accessories—Improperly Billed Quantities
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