WebThe “MassHealth EAPG weight” is the MassHealth relative weight developed by MassHealth for each unique EAPG. The “APEC outlier component” equals the marginal cost factor in effect for in-state acute hospitals on the date of service, multiplied by the difference between the episode-specific case cost and the episode-specific outlier ... WebList of RY21 EAPGs and MassHealth EAPG Weights EAPG Description MassHealth EAPG Weight 250 COCHLEAR DEVICE IMPLANTATION 40.7327 251 …
Hospital Outpatient EAPG Billing and Payment Questions
WebEAPG Listing (version 3.17) Effective October 1, 2024 EAPG EAPG Description National Weights v3.17 DC EAPGs: FY23 Relative Weights v3.17 with Two DC-Specific … WebList of RY21 EAPGs and MassHealth EAPG Weights EAPG Description MassHealth EAPG Weight 250 COCHLEAR DEVICE IMPLANTATION 40.7327 251 OTORHINOLARYNGOLOGIC FUNCTION TESTS 0.5068 252 LEVEL I FACIAL AND ENT PROCEDURES 3.0221 253 LEVEL II FACIAL AND ENT PROCEDURES 2.6810 florida license by endorsement application
RELATIVE WEIGHTS FOR VISITS ON OR AFTER APRIL 1, 2024
WebApr 1, 2024 · This spreadsheet version of the Relative Weight Tables is provided for use in calculations by providers. Great care has been taken to ensure accuracy. However, it is … WebPay utilizing one set of payment weights that reflect the relativity of costs for all services in the payment ... • Multiple medical visit indicators with separate dates will result in the same final EAPG associated with the principal diagnosis. All other lines with a medical visit indicator will receive the same final EAPG and get packaged. ... WebApr 10, 2024 · Historic EAPG State-Specific Weight Calculation Prior to January 1, 2024, eligible date of payment State Fiscal Year (SFY) 2013, SFY2014, and SFY2015 outpatient claims data were used to calculate the cost for each individual EAPG. The EAPGs are discrete and service-specific, so each line on a claim will group to a separate EAPG. florida license book