Livanta National Medicare Claim Review Contractor

Higher Weighted DRG (HWDRG)

• Click here to download the February 2022 Livanta Claims Review Advisor
  • Topic: Physician Queries


• Click here to download the April 2022 Livanta Claims Review Advisor
  • Topic: Principal Diagnoses


• Click here to download the June 2022 Livanta Claims Review Advisor
  • Topic: Higher-Weighted DRG Review Sampling Strategy


• Click here to download the August 2022 Livanta Claims Review Advisor
  • Topic: Higher-Weighted Diagnosis Related Groups (HWDRG) Validation - Sepsis DRGs


• Click here to download the October 2022 Livanta Claims Review Advisor
  • Topic: Higher-Weighted Diagnosis Related Groups (HWDRG) Validation - Encephalopathy


• Click here to download the December 2022 Livanta Claims Review Advisor
  • Topic: Higher-Weighted Diagnosis Related Groups (HWDRG) Validation - Anemia and GI Bleeding


• Click here to download the February 2023 Livanta Claims Review Advisor
  • Topic: Higher-Weighted Diagnosis Related Groups (HWDRG) Validation - First Year Review Findings


• Click here to download the April 2023 Livanta Claims Review Advisor
  • Topic: Higher-Weighted Diagnosis Related Groups (HWDRG) Validation - Malnutrition


• Click here to download the June 2023 Livanta Claims Review Advisor
  • Topic: Higher-Weighted DRG Review Sampling Strategy


• Click here to download the August 2023 Livanta Claims Review Advisor
  • Topic: Higher-Weighted Diagnosis Related Groups (HWDRG) Validation - Cerebral Edema


• Click here to download the October 2023 Livanta Claims Review Advisor
  • Topic: Higher-Weighted Diagnosis Related Groups (HWDRG) Validation - Appealing Livanta's Determinations


• Click here to download the December 2023 Livanta Claims Review Advisor
  • Topic: Higher-Weighted Diagnosis Related Groups (HWDRG) Validation - Physician Queries Revisited


• Click here to download the February 2024 Livanta Claims Review Advisor
  • Topic: Higher-Weighted Diagnosis Related Groups (HWDRG) Validation - Second Year Review Findings


• Click here to download the April 2024 Livanta Claims Review Advisor
  • Topic: Higher-Weighted DRG Review - Sampling Strategy


• Click here to download the June 2024 Livanta Claims Review Advisor
  • Topic: Higher-Weighted Diagnosis Related Groups (HWDRG) Validation - Neoplasms


• Click here to download the August 2024 Livanta Claims Review Advisor
  • Topic: Higher-Weighted Diagnosis Related Groups (HWDRG) Validation - Hypertension


• Click here to download the October 2024 Livanta Claims Review Advisor
  • Topic: Higher-Weighted Diagnosis Related Groups (HWDRG) Validation - Type 2 Myocardial Infarction

Short Stay Review (SSR)

• Click here to download the March 2022 Livanta Claims Review Advisor
  • Topic: Short Stay Claim Review Guidelines


• Click here to download the May 2022 Livanta Claims Review Advisor
  • Topic: Short Stay Review Sampling Strategy


• Click here to download the July 2022 Livanta Claims Review Advisor
  • Topic: Short Stay Review Chest Pain Case Scenarios


• Click here to download the September 2022 Livanta Claims Review Advisor
  • Topic: Short Stay Review (SSR) Atrial Fibrillation Case Scenarios
  
  
• Click here to download the November 2022 Livanta Claims Review Advisor
  • Topic: Short Stay Review Congestive Heart Failure Case Scenarios


• Click here to download the January 2023 Livanta Claims Review Advisor
  • Topic: Short Stay Review Transient Ischemic Attack Case Scenarios
  
  
• Click here to download the March 2023 Livanta Claims Review Advisor
  • Topic: Short Stay Review (SSR) - Review Findings from Year One


• Click here to download the May 2023 Livanta Claims Review Advisor
  • Topic: Short Stay Review - Sampling Strategy


• Click here to download the July 2023 Livanta Claims Review Advisor
  • Topic: Short Stay Review - Claim Review Guideline Steps 4 & 6


• Click here to download the September 2023 Livanta Claims Review Advisor
  • Topic: Short Stay Review - The "Case-by-Case" Review Process


• Click here to download the November 2023 Livanta Claims Review Advisor
  • Topic: Short Stay Review - Documentation in Short Stay Medical Records


• Click here to download the January 2024 Livanta Claims Review Advisor
  • Topic: Short Stay Review - Electrolyte Abnormalities


• Click here to download the March 2024 Livanta Claims Review Advisor
  • Topic: Short Stay Review - Second Year Review Findings


• Click here to download the May 2024 Livanta Claims Review Advisor
  • Topic: Short Stay Review - Sampling Strategy: Decreasing Medicare's Paid Claims Error Rate


• Click here to download the July 2024 Livanta Claims Review Advisor
  • Topic: Short Stay Review - Further Evaluation and Treatment


• Click here to download the September 2024 Livanta Claims Review Advisor
  • Topic: Short Stay Review - Syncope

Orientation and Review Results Slides

• Click here to download the Claim Review Orientation Slide Deck


• Click here to download First Year Review Findings for HWDRG


• Click here to download First Year Review Findings for SSR