HTML has links - PDF has Authentication
296-23A-0520  <<  296-23A-0530 >>   296-23A-0540

PDFWAC 296-23A-0530

How does a case qualify for low outlier status?

To qualify as a low outlier, the allowed charges multiplied by that hospital's percent of allowed charges (POAC) factor must be less than ten percent of the statewide diagnosis-related-group (DRG) rate or five hundred dollars whichever is greater. The standard deviations for DRGs will be computed from all relevant cases in the historical database, excluding statistical outliers.
[Statutory Authority: RCW 51.04.020, 51.04.030 and 51.36.080. WSR 97-06-066, ยง 296-23A-0530, filed 2/28/97, effective 4/1/97.]
Site Contents
Selected content listed in alphabetical order under each group