The additional payment on a claim that is associated with either a cost outlier or length of stay outlier.
Comments
Outlier payments compensate hospitals paid on a fixed amount per "diagnosis related group" discharge with extra dollars for patient stays that substantially exceed the typical requirements for patient stays in the same DRG category.
Outlier payments compensate hospitals paid on a fixed amount per "diagnosis related group" discharge with extra dollars for patient stays that substantially exceed the typical requirements for patient stays in the same DRG category.
SOURCE: T-MSIS Analytic File (TAF) Claims