What is “MDC adjusted mean” in medical billing?

MDC Adjusted Mean in Medical Billing

MDC stands for Major Diagnostic Category, and the adjusted mean refers to the average cost or payment for services within a specific category after adjustments for factors like location or patient severity.

MDC Adjusted Mean in Medical Billing Explained

In medical billing, MDC adjusted mean values help determine reimbursement rates for groups of similar diagnoses. This ensures that hospitals are paid fairly based on the complexity of the patient’s condition and the resources used during treatment.

For example, a hospital reviews the MDC adjusted mean for cardiovascular procedures to understand how much they will be reimbursed for a heart surgery.

Discover common acronyms and abbreviations in Medical billing glossary.

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