Jeremy Kreyling

Recent Posts

Understanding the True Costs of NICU Care: Overlooked Variables That Could be Skewing Your Data

Posted by Jeremy Kreyling on Jul 8, 2020 2:52:07 PM

Infants admitted to a hospital’s Neonatal Intensive Care Unit (NICU) are understood to be those born prematurely or with medical complexities, warranting care that, by definition, is more intensive and also more costly than that provided to a healthy newborn. However, accepting the accuracy of this scenario may lead to a significant misinterpretation regarding your NICU population. Specifically, what happens to your analysis when the care of healthy newborns is being billed as NICU services?

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Topics: NICU care management, NICU cost, NICU length of stay

NICU Cost Containment in DRG Environments: What ProgenyHealth Sees that Health Plans May Be Missing

Posted by Jeremy Kreyling on Jul 22, 2019 10:28:25 AM

Medical costs for newborns are some of the fastest growing in healthcare - mostly driven by infants requiring NICU services. Such cases represent a small percentage of the newborn population (approx. 15%) but consume a large percent of the total cost of care for this group (>40%). The increasing costs are partially attributed to cases where claims are submitted for the newborn’s NICU admission with a single revenue code level that reflects a higher resource use intensity than is documented in the records for the duration of care, resulting in higher than expected costs to the health plan.

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Topics: NICU case management, NICU length of stay, utilization management, APR DRG