Apr drg 303

    • [DOC File]Division of Health Care Finance and Policy

      https://info.5y1.org/apr-drg-303_1_7c6e06.html

      The All Patient Refined DRGs (3M APR-DRG) are a severity/risk adjusted classification system that provide a more effective means of adjusting for patient differences. APR-Version 15.0 is the most current and year-2000 compliant version of the APR Grouper. ... 303 Renal Patient (Home) 304 Non-Routine Dialysis. 305 Hematology. 306 Bacteriology ...


    • [DOC File]Methodological Issues in the Transition to Using the APR ...

      https://info.5y1.org/apr-drg-303_1_bc2d25.html

      9 303 2 5.246702 3.138875 . 9 303 3 7.148608 4.103312 ... The APR-DRG grouper does not explain the variation in charges for psychiatric cases any better than the current methodology, and generally psychiatric cases in other states have not been paid on a per case basis because of the variability in their length of stay. The risk associated with ...


    • [DOC File]New Jersey MEDICAID STATE PLAN - NJ

      https://info.5y1.org/apr-drg-303_1_d29472.html

      10:52-4.1 Basis of payment; acute general hospitals reimbursed under the Diagnosis Related Groups (DRG) system--inpatient services (a) [The] For inpatient services with discharge dates prior to (the effective date of this amendment), the Division will reimburse acute care general hospitals for inpatient services based upon rates determined ...


    • Mass.gov

      “APR-DRG” or “DRG” for purposes of 130 CMR 450.233(D) refers to the All Patient Refined Diagnosis Related Group and Severity of Illness (SOI) assigned to a claim by the 3M APR-DRG Grouper. ... 130 CMR 450.208 and 450.303). c. An out-of-state acute inpatient hospital may be paid separate from the out-of-state APAD for an APAD carve-out ...


    • Mass.gov

      The discharge-specific MassHealth DRG Weight is assigned to the discharge based on information contained in a properly submitted inpatient Hospital claim and determined using the 3M APR-DRG grouper version 33 and Massachusetts weights (which are unchanged from RY16; see Chart 1 to Appendix C for the RY17 MassHealth DRG Weights).


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