Resource Utilization Group (RUG) Code RUB10: Probe Medical Review Results
The J15 Part A Medical Review department performed a service-specific probe review on Resource Utilization Group Code (RUG) RUB10 in Kentucky from March through May 2013. Based on a 28.8 percent error rate and the percentage of medical necessity denials, this edit will be advanced to a complex edit review. For detailed results of the medical review, click HERE.
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