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District of Columbia Medicaid Outpatient Hospital Payment Method
Web• EAPG is an outpatient visit-based patient classification system designed by 3M o EAPG assigns a classification to each claim detail line (574 different EAPGs under version 3.14) o Services within each EAPG have similar clinical characteristics and similar resource requirements • EAPGs encompass the full range of ambulatory settings and WebEAPG: Early American Pattern Glass: EAPG: Enhanced Ambulatory Patient Group (various locations) EAPG: European Association for Philanthropy and Giving (UK) EAPG: Entente … reactivemay
Enhanced Ambulatory Patient Groups (EAPGs) - Nebraska …
WebApr 12, 2024 · The Enhanced Ambulatory Patient Groups (EAPG) system was implemented by ForwardHealth on April 1, 2013, to classify and calculate reimbursement for outpatient … WebJan 1, 2012 · (1) The average inflated cost per case within each EAPG; divided by (2) The average inflated cost per case across all EAPGs. (3) A budget neutrality factor is applied to all EAPGs in each EAPG type: (a) Significant procedures are increased by 1.517; (b) Physical therapy and rehabilitation procedures are increased by 1.221; WebJan 2, 2024 · flag by the EAPG grouper under default EAPG settings. (5) "EAPG base rate" is the dollar value that shall be multiplied by the final EAPG weight for each EAPG on a claim to determine the total allowable medicaid payment for a visit. (6) "Hospital peer groups" are for the purposes of setting rates and making payments under the reactivejparepository