DRG Reporting Overview

Section 48-120.04 of the Nebraska Workers Compensation Act requires covered hospitals, workers’ compensation insurers, self-insured employers, and risk management pools to report claim and stop-loss threshold counts by Diagnostic Related Group (DRG) to the court. Recent changes to the reporting statute also require reporters to identify bills that dealt with trauma services. Hospitals and payors may report for themselves, or they may allow a third party to report for them.