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what year did texas start using apr-drg

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what year did texas start using apr-drg

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http://www.hhsc.state.tx.us/reports/2012/potentially-preventable-readmissions.pdf

Potentially Preventable Readmissions in the Texas Medicaid …

Jan 11, 2012 … Comparison between Fiscal Year 2009 and Fiscal Year 2010. …. B.3.3

Validation of APR-DRG Assignments. …. The public version does … adjustments

will become effective beginning September 1, 2012. … in casemix-adjusted PPR

rates—the Texas hospitals with the highest rates had rates four times …

https://www.tha.org/HealthCareProviders/Issues/FinanceandReimburse098F/THA%20Medicaid%20Program%20flyer.pdf

Hospitals' Participation In the Texas Medicaid Program Fast Facts

Over the years, Congress has transformed Medicaid from a narrowly-defined …

allows states to cover children in families with incomes that are modest (up to …..

beginning in state fiscal year 2012. … to the base APR-DRG payment for

enrollees under …. mandate assures access to care, EMTALA does not address

how to …

http://www.medicaid.ms.gov/wp-content/uploads/2014/03/100113_APR-DRG-FAQ.pdf

APR-DRG Frequently Asked Questions – Mississippi Division of …

Oct 1, 2013 … What DRG algorithm and version does the Division use? …. that overall payments

for hospital inpatient care for the period starting October 1, …. Pennsylvania,

Rhode Island, South Carolina, Texas, Washington, and the District …

https://www.medicaid.ms.gov/wp-content/uploads/2014/06/APR-DRG_FAQ060414.pdf

APR-DRG Frequently asked questions – Mississippi Division of …

Jun 4, 2014 … What DRG algorithm and version does the Division use? …. that overall payments

for hospital inpatient care for the period starting July 1, 2014, … Pennsylvania,

Rhode Island, South Carolina, Texas, Washington, and the …

http://www.eohhs.ri.gov/Portals/0/Uploads/Documents/MA%20Providers/MA%20Reference%20Guides/Hospitals/rimap_inp_faq.pdf

Rhode Island Medicaid APR-DRG Frequently Asked Questions

Jul 26, 2012 … The new method applies to stays with date of admission on or after July 1, 2010.

2. … Part A” claims, in which a dually eligible patient either does not have

Medicare Part A or has … Each year Medicaid and the hospital industry …

principle, the “Maxicap” was a starting place for hospital-specific budget …

https://www2.illinois.gov/hfs/SiteCollectionDocuments/PPR_Overview.pdf

PPR Overview (pdf) – State of Illinois

Massachusetts, Texas and others1 have created policies to reduce these …

Beginning state fiscal year 2013, the state of IL also developed a policy of …

using 3Ms Potentially Preventable Readmissions (PPR) software to calculate

each … How does it work? … The “actual” rate of readmission is calculated at the

APR DRG.

https://providers.amerigroup.com/Public%20Documents/TXTX_LegislativeChangesSummary.pdf

2013 Legislative Changes Summary – Providers – Amerigroup

Sep 1, 2013 … Summary: The 2013 Texas Legislative Session completed with … What this

means to you: Beginning September 1, 2013, participating and … 21 years of age

and older in an acute or behavioral health hospital stay … Beginning September

1, 2013, rural hospitals are moving to the APR-DRG methodology.

http://medicaiddirectors.org/sites/medicaiddirectors.org/files/public/namdspotlightonstates_072312.pdf

Spotlight on States: Texas' Payment Adjustment Policies Continuing …

Sep 1, 2012 … In this model, Texas Medicaid does not pay or adjusts payment for services …

potentially preventable events, with reporting to begin in September 2013 and

payment … In the first year, readmissions-related savings could reach … APR-

DRG software will allow for comparison of hospital service lines.

http://www.qualityindicators.ahrq.gov/downloads/modules/iqi/v31/iqi_guide_v31.pdf

Download – AHRQ – Quality Indicators – Agency for Healthcare …

reliable indicators of quality that they can use to flag potential problems or

successes; follow trends over …. available hospital administrative data to begin

the assessment of quality of care. … 8 Texas Center for Health Statistics. … In

addition the limited license APR-DRG grouper that … counts for these years did

not chang…

http://www.aetnabetterhealth.com/texas/assets/pdf/provider/Newsletter_ABHTexs_FallWinter2013.pdf

Fall-Winter 2013 – Aetna Medicaid

Nov 1, 2013 … The Texas Health and Human Services Commission (HHSC) … All claims will

need to be submitted using the new CHIP ID number by the … does not cover

immunizations. …. are 15 years of age and older is available …. Subtract the APR

-DRG payment from …. disenrollment's starting July 17, 2013.

https://www.utexas.edu/pharmacy/divisions/pharmaco/rounds/03-04-10.pdf

Aspirin for

use as VTE Prophylaxis in Orthopedic Surgery Patients

Mar 5, 2009 … Arterial thrombus is a response to endothelial cell injury, when circulating

platelets …. gastrointestinal symptoms develop), starting the day of surgery, for ….

Use of SC UFH, or previous use of aspirin or NSAIDs, did not preclude …. Lower

All Payer Refined Diagnosis Related Groups (APR DRG) severity of …

http://www.medicaid.alabama.gov/documents/2.0_Newsroom/2.2_Boards_Committees/2.2.1_Med_Adv_Comission/2.2.1_DRAFT_Commission_Report_1-29-13a.pdf

Report of the Alabama Medicaid Advisory Commission

Jan 31, 2013 … available for state share, which, when combined with federal share, will …

Beginning January 1, 2013, all primary care physician payments are …. Texas.

Louisiana. Indiana. South Carolina. Washington. Colorado …. system which does

not use a managed care organization but relies on a very robust data.

http://aspe.hhs.gov/health/reports/09/pacihs/report.pdf

Examining Post Acute Care Relationships in an Integrated … – ASPE

3.9.2 Binomial Logit Regression Predicting Use of Post-Acute Care. …. Medicare

Payments by Service Type, All Post-Acute Users, by APR-DRG. …. An episode

of care in this work begins when a beneficiary is admitted for an index acute ….

available in every state, although certain states, such as Texas, California,

Florida, ….

http://www.hfmatxgc.org/files/file/Presentations/2014_01_Kaitschuck_LessThanAYearToGo.pdf

Less Than a Year to Go…Are You Ready for ICD-10?

Jan 18, 2014 … laude from the Medical College of Georgia with a Bachelor's of … cares for all

residents of Harris County, Texas. …. Some coders did not specify the type of

some chest pains, … “Begin tracking the amount of time from service date to bill …

Additional training on IPPS methodologies (APR-DRG/MS-DRG).

http://www.mffh.org/mm/files/Medicaid/Sec%202/Section2-4.pdf

State Medicaid Directors Driving Innovation – Missouri Foundation …

Jul 20, 2013 … policy whereby the state does not pay or adjusts payment for … Texas—Texas

has accomplished its reforms outside of waiver or … 2013 with payment

reductions for both programs beginning in September 2014. … In the first year,

PPR identified $120 Million in …. (APR-DRG) in FFS in September 2012.

http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.220.5792&rep=rep1&type=pdf

Guide to Inpatient Quality Indicators

reliable indicators of quality that they can use to flag potential problems or ….

What Does this Guide Contain? …. available hospital administrative data to

begin the assessment of quality of care. … on hospital quality, such as the Texas

Department of State Health Services8 … will update the APR-DRG every fiscal

year.

http://www.commonwealthfund.org/

/media/files/publications/case-study/2009/march/baylor-health-care-system/1246_emswiler_baylor_case_study_rev.pdf

Baylor Health Care System Case Study – The Commonwealth Fund

care, BHCS began moving from a multihospital sys- tem to an …. Expected

deaths are determined using the State of Texas Public Use. Data File for the

calendar year 2004 as a normative source of mortality rates for each APR-DRG/

Risk of Mortality pair. …. alone hospital, BHCS CEO Joel Allison did not rec-

ommend …

http://aspe.dhhs.gov/health/reports/08/examine/report.pdf

Examining Relationships in an Integrated Hospital System – ASPE

Mar 1, 2008 … Texas, Florida, California, Pennsylvania, Ohio, and Illinois. …. analyses is a white

female, 65-74 years old, with no Medicaid history, in the … with an APR-DRG of

moderate severity (group 2) is most likely to use HH (36.3 percent …. but typically

they have focused on one particular PAC as a starting point.

http://www.leg.state.nv.us/74th/Interim_Agendas_Minutes_Exhibits/Exhibits/HealthCare/E030608J-6.pdf

Guidance for Using the AHRQ Quality Indicators for Hospital-level …

Aug 3, 2004 … quality measures who have talked with AHRQ and with our user support center.

… indicators, using multiple years of data, and evaluating the use of …. For

example, Texas, and New York are now using the IQIs to publicly …. These

organizations supported use of the APR-DRG …. which began in late 2003.

http://dhss.alaska.gov/ahcc/Documents/drivers_healthcare_costs.pdf

Drivers of Health Care Costs in Alaska and Comparison States

Nov 29, 2011 … use of health care resources can offset higher unit costs. … This report did not

review the relative quality of care provided to Alaskans, nor …. Texas. During the

same period, Anchorage had a rate of 3.6. …. Each admit was grouped to APR-

Source: www.financemedicare.net

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