Sepsis Upcoding Is Costing Health Plans a Fortune
Sepsis is one of the most frequently diagnosed DRGs. It’s also one of the most expensive. The condition has been a hotly contested issue among providers, payors, and regulatory agencies for decades, and remains a continued source of disagreement today.
Sepsis Coding Issues Support Enhanced Payment Integrity
OIG recommends continued vigilance and targeted clinical reviews to ensure proper documentation.