$5\mathrm{.}12$ Fraud trend analysis

Competency V$.3$

In your role as revenue cycle manager, you are looking at the following data to determine how your organization's coding of COPD as a principal diagnosis compares with other local facilities and on the state and national levels.

$\backslash$table$[[$MS$-$DRG $190,$discharges$],[$Hospital X$,38],[$Hospital Y$,112],[$Hospital Z$,89],[$State$,8,300],[$Nation$,315,400]]$

MS$-$DRG $191$ discharges

$\backslash$table$[[$Hospital X$,23],[$Hospital Y$,104],[$Hospital Z$,31],[$State$,7,912],[$Nation$,290,565]]$

MS$-$DRG $192$ discharges

$\backslash$table$[[$Hospital X$,18],[$Hospital Y$,67],[$Hospital Z$,17],[$State$,2,214],[$Nation$,93,214]]$

Create tables to illustrate the comparison of three hospitals, with the state and national percen for the distribution of MS$-$DRGs $190$ through $192.$

Predict how each hospital might react to analysis of these tables.

Hospital $x$ represents your facility's information. Do those results raise any concerns for you