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 determine reimbursement.
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.
For a table of relative weights and average lengths of stay, see the APR-DRG, Version 30, Relative Weights and Average Length of Stays (ALOS) document.
The level-of-care per diem rates effective October 1, 2015, are as follows:
|Service||Per Diem Rate|
Please see the IHCP provider reference modules and other IHCP provider publications for specific information regarding the inpatient hospital reimbursement methodologies and billing instructions.