Diagnosis-Related Group Inpatient Reimbursement
The Diagnosis-Related Group (DRG) inpatient reimbursement
methodology is a classification system that categorizes patients
according to their diagnoses and the severity of their illness to
APR-DRG grouper, version 30
The 3M All-Patient Refined (APR)-DRG grouper, version 30, is
effective for inpatient stays with discharge dates on or after
October 1, 2015. See IHCP Provider Bulletin BT201559
for related information.
The relative weights and average length of stays (ALOS)
associated with APR-DRG, version 30, are available here.
The level-of-care per diem rates effective October 1,
2015, are as follows:
||Per Diem Rate
Please see the IHCP provider reference
modules and IHCP provider
publications for specific information regarding the inpatient
hospital reimbursement methodologies and billing instructions.