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Old 11-20-2017, 03:16 PM
WhosOnFirst WhosOnFirst is offline
Join Date: Mar 2015
Posts: 171

One thing I forgot to mention. This assumes that you've categorized the two populations in the same way. In other words, you identified the conditions in the benchmark population that had the longest LOS and classified all incidents of that condition as the same severity. For example, if diabetes is one of your conditions and it was a Severity 4 then it is a Severity 4 regardless of the LOS for the actual claim. What I'm hoping you did was look at the ALOS for each condition that you have and lumped the longest 25% into one category, the next 25% into a second, etc. That is as fine a way as any to do this grouping and then make your case adjustment. If you are using the LOS to assign severity then your analysis will be flawed as you will be trying to adjust the ALOS based upon what the ALOS is.
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