HPR - Technical Report - Regional Tables 

Exclusions from Charge Analysis by DRG

 

 

DRG Description

 

 

 

DRG

 

Total # of Cases

# Transfer to other GAC

 

# LAMA

# Invalid Charge

 

# Invalid ASG

 

# Outliers

Total Excluded

N

%

Medical Heart Attack

121- 123

10,869

3,443

60

0

352

156

4,011

36.9%

Heart Failure and Shock

127

23,078

906

101

2

1,043

481

2,533

11.0%

Major Vessel Operations Except Heart

110

2,378

72

3

2

124

80

281

11.8%

Vascular Operations Except Heart

478

3,753

62

6

0

226

67

361

9.6%

Vascular Disorders Except Heart

130

3,446

144

18

0

182

108

452

13.1%

Stroke (Brain Attack)

14

10,179

292

21

4

684

291

1,292

12.7%

Adult Pneumonia

89

13,546

187

53

3

689

213

1,145

8.5%

Adult Lung Infections

79

4,879

71

9

2

333

100

515

10.6%

Lung Cancer

82

2,655

67

7

0

137

25

236

8.9%

Adult Diabetes

294

3,126

48

36

1

160

78

323

10.3%

Kidney Failure

316

3,013

104

24

2

156

75

361

12.0%

Adult Septicemia

416

6,568

186

16

4

348

183

737

11.2%

GI Bleeding

174

7,693

156

52

2

350

186

746

9.7%

Major Intestinal Procedures

148

5,447

61

5

7

298

189

560

10.3%

Hip Operations Except Replacements

210

3,557

29

2

5

173

106

315

8.9%