Reducing the Risk of Upcoding in DRG Grouping Through a Two-Stage DRG Grouper Based on Machine Learning.
In the implementation of diagnosis-related groups (DRGs), hospitals respond to price changes by incorporating more patients into the more profitable DRGs, thereby providing evidence for upcoding. This study proposes a two-stage DRGs grouper (ML-DRG) to alleviate the risk of upcoding. The ML-DRG empl...
| Published in: | Inquiry (00469580) Vol. 62; pp. 1 - 10 |
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| Main Authors: | , , , , |
| Format: | equations & formulas research tables/charts Journal Article |
| Published: |
Sage Publications Inc.
11/5/2025
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| Online Access: | View this record in EBSCOhost |