2017 drg list


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2017 drg list

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FY – CMS.gov

www.cms.gov

Aug 11, 2017 No new MS-DRGs will be added to the list of MS-DRGs subject to the post-acute
care transfer policy and special payment policy. See Table 5 of the FY 2017 IPPS
/LTCH PPS Final Rule for a listing of all Post-acute and Special Post-acute MS-
DRGs at http://www.cms.gov/Medicare/Medicare-Fee-for-Service-.

Acute Care Hospital Inpatient Prospective Payment System – CMS.gov

www.cms.gov

Diagnosis-Related Group (DRG) Relative Weights. 8 …. weight for the DRG. The
relative weight is specific to each of. 757 DRGs (for FY 2017), and each DRG
weight represents the average resources required to care for cases in that
particular. DRG …. for operating and capital payment rates The MS-DRG weights
are.

(FY) 2018 Inpatient Prospective Payment System (IPPS) – CMS.gov

www.cms.gov

Oct 18, 2017 (ICD-10) MS-DRG Grouper, Version 35.0, software package effective for
discharges on or after. October 1, 2017. The GROUPER assigns each case into a
MS-DRG on the basis of the reported diagnosis and procedure codes and
demographic information (that is age, sex, and discharge status). The ICD-10 …

September 2017 Agenda and Handouts – CMS.gov

www.cms.gov

Sep 12, 2017 effect along with DRG changes. Final addendum available on web pages as
follows: Diagnosis addendum – http://www.cdc.gov/nchs/icd/icd10cm.htm.
Procedure addendum – http://www.cms.gov/Medicare/Coding/ICD10/. October
2017. There were not any new procedure codes discussed at the.

CMS Manual System – CMS.gov

www.cms.gov

Aug 4, 2017 However, CMS updated the ICD-. 10- CM/PCS code set as of October 1, 2017.
These updates affect the ICD-10-CM/PCS codes which underlie the IPF PPS MS-
DRG categories, the IPF PPS comorbidity categories and the IPF PPS code first
list. The updated FY 2018 MS-DRG code lists are available on the …

Federal Register/Vol. 82, No. 191/Wednesday, October 4, 2017

www.gpo.gov

Oct 4, 2017 2017 MS–DRG relative weights to total payments using the FY 2018 MS–DRG
relative weights. Additionally, the FY. 2018 MS–DRG relative weights are used
when determining total payments for purposes of all other budget neutrality
factors and the final outlier threshold, which are discussed in this section …

Federal Register/Vol. 82, No. 155/Monday, August 14, 2017/Rules …

www.gpo.gov

Aug 14, 2017 II. Changes to Medicare Severity Diagnosis-. Related Group (MS–DRG)
Classifications and Relative Weights. A. Background. B. MS–DRG
Reclassifications. C. Adoption of the MS–DRGs in FY 2008. D. FY 2018 MS–DRG
Documentation and. Coding Adjustment. VerDate Sep<11>2014 23:27 Aug 11,
2017.

81 FR 56761 – US Government Publishing Office

www.gpo.gov

Aug 22, 2016 II. Changes to Medicare Severity Diagnosis-. Related Group (MS–DRG)
Classifications and Relative Weights. A. Background. B. MS–DRG
Reclassifications. C. Adoption of the MS–DRGs in FY 2008. D. FY 2017 MS–DRG
Documentation and. Coding Adjustment. 1. Background on the Prospective MS–
DRG.

3M All Patient Refined Diagnosis Related Groups (APR DRGs)

www.forwardhealth.wi.gov

Oct 17, 2016 3M Confidential. 2 types of APR DRG's. Discharge APR DRG – classification of
the reason for admission, severity of illness and risk of mortality of a patient at
discharge. • Uses all the ICD codes on the record to account for classification. •
Used for prospective payment , risk adjustment in quality reporting.

OMFS Update for Inpatient Hospital Services (Effective for …

www.dir.ca.gov

Dec 1, 2017 For discharges occurring on or after December 1, 2017, use FY. 2018 GAF, which
can be found in the Impact File for FY 2018: 1. Capital outlier factor = $26,537 x
Capital CCR/CCR x FY. 2018 GAF iii. Hospital-specific outlier factor = operating
outlier factor + capital outlier factor. 5. DRG Relative Weights: …

APR-DRG Assignment

www.lni.wa.gov

Facilities Fee Schedule. APR-DRG Assignment. Effective July 1, 2017. APR-DRG
Assignment. Effective for Dates of Service on or After. July 1, 2017. To Skip The
Keys. &. Go To The Fees. Click Here. L&I uses … Descriptions supplied by 3M
Health Information Systems. Chemical Dependency APR-DRG. CHEM DEP.

APR-DRG and PPC versions for ICD-10 and Submission of Case …

hscrc.maryland.gov

Sep 11, 2015 2. Table 1: 3M APR-DRG Groupers for ICD-10 Transition. Report. Year. Base
Year. Performance. Year. APR-DRG/PPC Grouper Version. Grouper Logic. FY
2016. CY 2014. CY 2014. Version 32. (July – Sept 2015). ICD-9 Logic. Version 33
. (Oct 2015 – June 2016). Replication of. ICD-9 Logic v32. FY 2017.

AHCCCS Implementation of APR-DRG Payments

www.azahcccs.gov

Sep 10, 2014 average resource requirements for each DRG o DRG relative weight of 1.0
indicates average resource requirements (relative to all other inpatient services).
• APR-DRG relative weights are based on the “National. Weights” calculated
annually by 3M using a national dataset of 15 million inpatient claims. 17.

Medical Fee Schedule Effective January 1, 2017 – Maine.gov

www1.maine.gov

Jan 1, 2017 Medicare Severity-Diagnosis Related Group (MS-DRG): Medicare's grouping
methodology for determining payment for inpatient services. Medicare assigns
services to an MS-DRG based on patient demographics, diagnosis codes, and
procedure codes which is then given a relative weight. 15. Modifier: A …

ms-drg 215 (other heart assist system implant) – Reginfo.gov

www.reginfo.gov

IPPS MS-DRG PROPOSED RULE – MOST SIGNIFICANT REDUCTION. 4. >10%
Reduction. N=27. MS-DRG. MS-DRG Title. FY 2018. Proposed. Weights
compared to FY. 2017 Weights (%. Change). 215 OTHER HEART ASSIST
SYSTEM IMPLANT. -35%. 780. FALSE LABOR. -28%. 332. RECTAL
RESECTION W MCC.

ESC with Detailed Descriptions December 18, 2017 – Pennsylvania …

www.dhs.pa.gov

266 INSUFFICIENT NUMBER OF VALID TOOTH SURFACE CODES …. VALUE
CODES AND VALUE AMOUNTS ARE INCONSISTENT WITH THE DEDUCTIBLE
AND COINSURANCE AMOUNTS FOR PRIVATE INSURANCE AND / OR …. 710
ENCOUNTER REPORTED DRG (DIAGNOSTIC RELATED GROUP) IS INVALID.

NC Medicaid Bulletin October 2017 – State of North Carolina

files.nc.gov

Oct 1, 2017 Institutional Claims. On Oct. 1, 2017, NCTracks will implement the Diagnosis-
Related Group (DRG) Grouper 35, along with the associated rates for inpatient
institutional claims with dates of discharge between Oct. 1, 2017, and Sept. 30,.
2018. A copy of the DRG Grouper Version 35 weights and thresholds …

Pricing Inpatient Hospital Claims

www.michigan.gov

Pricing Inpatient Hospital Claims Revised 06/15/2017. Page 1 of 4. Pricing
Inpatient … gender, admission date, discharge status, revenue codes, PCS codes
, diagnosis codes, newborn weight, present on … Computation: Claims APR-DRG
Base Rate (calculated above) + [(Total Covered Charges X. Cost to Charge Ratio
) …







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