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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