Pa Medical Assistance Apr Drg

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Quick Tips - Department of Human Services

https://www.dhs.pa.gov/providers/Quick-Tips/Pages/default.aspx

202 - Version 34 of All Patient Refined-Diagnosis Related Group (APR DRG) Implementation; 201 - Medical Assistance (MA) Fee Schedule Updates for Certain Family Planning Services; 200 - Valid Zip Code On Electronic Claims and Encounters 199 - …

Version 36 of All Patient Refined-Diagnosis Related …

https://www.dhs.pa.gov/providers/Providers/Documents/MA/c_287385.pdf

The Department of Human Services (Department) implemented Version 36 of the APR DRG classification system on February 28, 2019, for Medical Assistance (MA) Program …

Regulations, Handbooks, Guides and Manuals

https://www.dhs.pa.gov/docs/For-Providers/Pages/Regulations-Handbooks-Guides-and-Manuals.aspx

Assistance; Children; Disabilities & Aging; Mental Health in PA; Mass Care and Emergency Assist; Other Services; Find a Document. Find a Document; For …

MA Fee Schedule - Department of Human Services

https://www.dhs.pa.gov/providers/Providers/Pages/Health%20Care%20for%20Providers/MA-Fee-Schedule.aspx

Licensing & Providers. Department of Human Services > For Providers > Providers > MA Fee Schedule. MA Fee Schedules. Search the Outpatient and Dental Fee Schedule …

OMAP-QTIP245-APR-DRG Updated with Billing Codes

https://www.dhs.pa.gov/coronavirus/Pages/OMAP-QTIP245-APR_DRG-Updated-Billing-Codes.aspx

Issued: April 30, 2020. The Department of Human Services (Department) will implement Version 37.1 R1 of the APR-DRG classification system for Medical Assistance (MA) …

Medical Assistance - Department of Human Services

https://www.dhs.pa.gov/Services/Assistance/Pages/Medical-Assistance.aspx

Telephone: Call the Consumer Service Center for Health Care Coverage at 1-866-550-4355. In-Person: You can contact your local county assistance office (CAO). On Paper: You can download an application and send to …

55 Pa. Code Chapter 1163. Inpatient Hospital Services

https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/055/chapter1163/chap1163toc.html

(1) A hospital shall complete form MA 336 (Financial Report for Hospital and Hospital-Health Care Complex Under the Medical Assistance Program of the Department of Human …

AS DHS MOVES FROM DRG TO APR DRG

https://www.dhs.pa.gov/providers/Quick-Tips/Documents/Qtip%20102.pdf

The APR DRG classification system utilizes many diagnosis and procedure codes and combinations thereof, to assign the most accurate APR DRG and Severity Level to a …

Rates - Department of Human Services

https://www.dhs.pa.gov/providers/Providers/Pages/Rates-Nursing%20Facilites.aspx

Managed Care Minimum Payment Rates - State Directed Payment. On December 30, 2022 the Centers for Medicare and Medicaid Services approved a state …

3M™ All Patient Refined Diagnosis Related Groups …

https://www.3m.com/3M/en_US/health-information-systems-us/drive-value-based-care/patient-classification-methodologies/apr-drgs/

3M APR DRGs are the only inpatient classification methodology that is suitable for all patient populations, including sick and healthy newborns, pediatrics and obstetrics. These …

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