One of the biggest priorities in hospital care today is identifying the risks of and avoiding preventable readmissions. In 2011, readmissions cost the healthcare system $41.3 billion according to one estimate, a figure that has almost certainly increased in recent years. CMS keeps track of readmission rates for all diagnosis-related group (DRG) codes, which define the total reimbursement a hospital receives for
The majority of the top 20 DRG codes involve surgical care, as indicated by “OR Proc” in many of their descriptions. Given the number of potential complications from surgery (infections, medical errors, improper healing or wound reopenings), it’s not surprising the procedures would have higher rates of readmission. There are a few exceptions. Peripheral nerve disorders or neuropathies are commonly associated with other health conditions such as diabetes, especially in elderly populations, and likely contribute to greater readmission rates. Liver conditions also ranked highly, often due to complications of cirrhosis,
To learn more, download the Definitive List: Top 20 DRGs by Highest Readmission Rates by filling out the form.
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