DRG Upcoding Sample Clauses

DRG Upcoding. (a) From January 1, 1992 through December 31, 1998, Xxxxx and the Settling Hospitals listed in Exhibit 2 allegedly submitted or caused to be submitted claims to Medicare that assigned diagnosis codes for inpatient discharges that were not supported by physician documentation in the patient’s medical records or were otherwise improper for the following diagnosis related groups (“DRG’s”): 79, 106, 124, 415, 416, 475 and 483; and,
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Related to DRG Upcoding

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