cms drg 462 gmlos outlier

March 23, 2007 BY ELECTRONIC FILING AND OVERNIGHT MAIL ...
length of stay plus one standard deviation for the same DRG under IPPS. Cases with . on whose behalf a Medicare outlier payment was made at the referring hospital are not counted toward . LOS < (GMLOS - 1) . 462 REHABILITATION .
http://greisguide.com/wp-content/uploads/2008/12/51.pdf

SC-Post Acute Report-Exhibit E CV Data
on PPS and Medicare Transfer DRGs beginning on Page Six of this Report. SC completed an Analysis . depending on the patients actual LOS and the GMLOS for that DRG. It is impossible for a . The outlier threshold for transfer cases is equal to the fixed- loss outlier . Rehabilitation Diagnosis and DRG 462. Below is a .
http://www.seniorconsulting.net/uploads/Senior_Consulting__LLC-Medicare_Transfer_DRGs-Improving_Post_Acute_Discharges_with_exhibits.pdf

• 24-hour Respiratory Therapists
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• Dedicated Wound Care Specialists
• Diagnostic Radiology
• ICU
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• Laboratory Services
• Multi-specialty Medical Staff
• Patient / Family Education
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STATE AGENCY ACTION REPORT
providers to include limited "outlier" payments for long-stay acute care patient s in . providers. Through this system, termed LTC DRGs, CMS is recognizing the . 2004 DRG- specific Medicare geometric mean length of stay (GMLOS) as an . there were need for between 122 and 462 LTCH beds in District 6, it would be .
http://ahca.myflorida.com/MCHQ/CON_FA/Batching/pdf/9755-57.pdf

Section 149.100 Basic Methodology for Determining DRG ...
The Department will utilize the DRG Grouper, as described in Section 149.5(c)(1) , . groups (DRGs) as defined by federal regulation for the Medicare Program (42 CFR . DRG 436, alcohol/drug dependence with rehabilitation therapy; DRG 462, . receive applicable outlier adjustments, in accordance with Section 149.105; .
http://www.ilga.gov/commission/jcar/admincode/089/089001490001000R.html

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DRG RELATIVE WEIGHT/PRICE TABLE FOR FFY 2008 Peer DRG ...
DRG. DRG. Relative. Geometric. Trim. Outlier. Group. Code. Price. Weight . 462. $9755.39. 3.0993. 3.9. 31. $2501.38. 01. 463. $12469.26. 3.9615. 12.3. 37 .
http://www.nhmedicaid.com/Downloads/Bulletins/RAT2008_v3.pdf

DRG PLUS! 2009
Medicare Severity Diagnosis Related Groups, commonly referred to as MS-. DRGs, are a . (AMLOS) and geographic mean length of stay (GMLOS). Following each . the hospital is eligible for an additional payment as an outlier case. This . 461, 462. 00.70 08. 466, 467, 468. 00.70 10. 628, 629, 630. 00.70 21. 907, 908 .
http://lib.store.yahoo.net/lib/pmiconline/DRGPLUS-SAMPLE.PDF

A L C Healthcare Network, Inc. - Centers for Medicare & Medicaid ...
(very short stay outlier), which is equal to or less than the IPPS DRG GMLOS plus one standard deviation. In the RY 2007 proposed rule, CMS proposed the .
http://www.cms.gov/eRulemaking/downloads/Comments%201-70.pdf

March 23, 2007 BY ELECTRONIC FILING AND OVERNIGHT MAIL ...
length of stay plus one standard deviation for the same DRG under IPPS. Cases with . on whose behalf a Medicare outlier payment was made at the referring hospital are not counted toward . LOS < (GMLOS - 1) . 462 REHABILITATION .
http://greisguide.com/wp-content/uploads/2008/12/51.pdf