5.12 Fraud trend analysis Competency V.3 In your role as revenue cycle manager, you are looking at the data below to determine how your organization's coding of COPD as a principal diagnosis compares with other local facilities as well as on the state and national levels. B 1. Create tables to illustrate the comparison of three hospitals, with the state and national percentages for the distribution of MS-DRGs 190-192 using the data below. 2. Predict how each hospital might react to analysis of these tables. 3. Hospital X represents your facility's information. Do those results raise any concerns for you? G MS-DRG 190 discharges Hospital X 38 Hospital Y 112 Hospital Z 89 State 8,300 Nation 315,400 MS-DRG 191 discharges Hospital X 23 Hospital Y 104 Hospital Z 31 State 7,912 Nation 290,565 MS-DRG 192 discharges Hospital X 18 Hospital Y 67 Hospital Z 17 State 2,214 Nation 93,214 Resources Casto, A. B. 2018. Medicare-Medicaid Prospective Payment Systems for Inpatients. Chapter 6 in Principles of Healthcare Reimbursement, 6th ed. Chicago: AHIMA. Hunt, T. J. and K. Kirk. 2020. Reimbursement Methodologies, Chapter 7 in Health Information Management: Concepts, Principles, and Practice, 6th ed. Chicago: AHIMA. McNeill, M. H. 2020. Healthcare Statistics. Chapter 14 in Health Information Management Technology: An Applied Approach, 6th ed. N. B. Sayles and L. Gordon, eds. Chicago: AHIMA