WebWhat EAPG relative weights are used to calculate EAPG payment? For FY 2024, DC Medicaid will utilize version 3.15 of the national relative weights with DC specific weights for EAPGs 269 (0.25633) and 493 (0.180232). The DC-specific weights for … WebApr 5, 2010 · The EAPG methodology defines Enhanced Ambulatory Patient Groups (EAPGs) as allowed outpatient procedures and ancillary services that reflect similar patient characteristics and resource utilization performed by ASCs. This will be a total all- inclusive reimbursement. Each group is assigned an EAPG-relative weight that reflects the …
Enhanced Ambulatory Patient Group (EAPG) for Outpatient Hospital
WebB. EAPG Codes and Relative Weights 1. AHCA utilizes EAPGs created by 3M Health Information Systems (HIS) for assigning classifications to services and materials identified on outpatient claims. 2. The EAPG relative weights utilized are national EAPG relative weights calculated by 3M HIS using a database c ontaining millions of hospital ... WebJan 2, 2024 · (12) "Relative weight" is a factor specific to each EAPG that represents that EAPG's relative cost compared to an average case. The relative weights for all EAPGs … phish concert schedule
Rule 5160-2-75 - Ohio Administrative Code Ohio Laws
WebOct 1, 2024 · Each EAPG has an assigned relative weight. This relative weight is adjusted by the various payment mechanisms as applicable such as discounting, packaging and consolidation. The adjusted relative weight is multiplied by a conversion factor or base rate to yield the EAPG payment amount. Please note that the EAPG payment may be further … WebThe EAPG relative weights shall be the weights determined and published periodically by DMAS and shall be consistent with applicable Medicaid reimbursement limits and … WebUpdated Process –Revenue Code 510 Receives an Invalid EAPG Revenue Code Procedure Code EAPG EAPG Type Base Rate EAPG Relative Weight Policy Adjuster Bundling Factor EAPG Base Payment Final Payment 0510 G0463 00999 08 $716.38 0.0000 0.5000 1.00 $0 $0 0636 90686 00414 04 $716.38 0.0409 1.0000 1.00 $29.30 … phish couch tour pillow