WAC 296-23A-0530

WAC 296-23A-0530. How does a case qualify for low outlier status?

Last amended: 1997Year: 2026Length: 57 wordsOfficial source
To qualify as a low outlier, the allowed charges multiplied by that hospital's percent of allowed charges (POAC) factor must be less than ten percent of the statewide diagnosis-related-group (DRG) rate or five hundred dollars whichever is greater. The standard deviations for DRGs will be computed from all relevant cases in the historical database, excluding statistical outliers.
WAC 296-23A-0530: WAC 296-23A-0530. How does a case qualify for low outlier status? | Justis AI