DRG rate definition

DRG rate means the product of the relative weight multiplied by the base amount. It is the amount paid to reimburse hospitals for routine and ancillary costs of providing care for an inpatient stay.
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DRG rate means the product of the relative weight multiplied by the base amount. It is the amount paid to reimburse
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DRG rate means the all inclusive dollar amount applied to the appropriate DRG Weight which results in the Anthem Rate, if the reimbursement methodology as set forth in the PCS is on a DRG basis.
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Examples of DRG rate in a sentence

  • The per diem rate is determined by dividing the appropriate DRG rate by the geometric mean LOS for the specific DRG to which the case is assigned.

  • Contractors are required to pay HAF hospitals at the enhanced Medicaid rates for HAF eligible services detailed below:  HAF eligible hospitals  Contracted providers: MCEs shall pay 100% of the enhanced (HAF) rates, which is 100% of the fee schedule rate multiplied by the HAF factor OR 100% of the Inpatient APR DRG rate multiplied by the HAF factor.

  • House Bill 71, Second Extraordinary Session of 2009, requires that the Mississippi Division of Medicaid develop and publish a set of reimbursement rates that are at least equal to those allowed under Medicare for the identical or closely related Medicare Diagnosis Related Groups (DRG) rate.

  • The historical DRG rate increases were 1.1%, 1.5% and 2.0% for Federal fiscal years 1995, 1996 and 1997, respectively.

  • For example, the PSI Software reports the low-mortality DRG rate for all the included DRGs and separately by DRG type: adult medical, adult surgical (with and without an operating room procedure), pediatric medical, pediatric surgical (with and without an operating room procedure), and obstetric and psychiatric.

  • Contracted providers: MCEs shall pay one hundred percent (100%) of the enhanced (HAF) rates, which is one hundred percent (100%) of the fee schedule rate multiplied by the HAF factor OR one hundred percent (100%) of the Inpatient APR DRG rate multiplied by the HAF factor.

  • The per diem rate is determined by dividing the appropriate DRG rate by the geometric mean Length Of Stay (LOS) for the specific DRG to which the case is assigned.

  • Contractors are required to pay HAF hospitals at the enhanced Medicaid rates for HAF eligible services detailed below: ▪ HAF eligible hospitals • Contracted providers: MCEs shall pay 100% of the enhanced (HAF) rates, which is 100% of the fee schedule rate multiplied by the HAF factor OR 100% of the Inpatient APR DRG rate multiplied by the HAF factor.

  • The claim should be treated as if the beneficiary was admitted on 05/10/1992, and the base DRG rate calculated.

  • Non-contracted providers: MCEs shall pay one hundred percent (100%) of the enhanced (HAF) rates, which is one hundred percent (100%) of the fee schedule rate multiplied by the HAF factor OR one hundred percent (100%) of the Inpatient APR DRG rate multiplied by the HAF factor.


More Definitions of DRG rate

DRG rate means the product of the relative weight multiplied by the base amount. It is the amount paid to reimburse hospitals for routine and ancillary costs
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Related to DRG rate

  • CMS Rate means the applicable swap rate for swap transactions in the Reference Currency with a maturity of the Designated Maturity, expressed as a percentage, which appears on the Relevant Screen Page as at the Specified Time on the relevant Interest Determination Date in question, all as determined by the Calculation Agent.

  • Base Rate means a fluctuating interest rate per annum in effect from time to time, which rate per annum shall at all times be equal to the highest of:

  • Reference Rate means the rate specified as such hereon.

  • EURIBOR Rate has the meaning specified in the definition of “Eurocurrency Rate”.