evna.care
Google Keyword Rankings for : drg operating payment
1
https://www.verywellhealth.com/how-does-a-drg-determine-how-much-a-hospital-gets-paid-1738874
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https://www.verywellhealth.com/how-does-a-drg-determine-how-much-a-hospital-gets-paid-1738874
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2
https://oig.hhs.gov/oei/reports/oei-09-00-00200.pdf
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https://oig.hhs.gov/oei/reports/oei-09-00-00200.pdf
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3
https://www.ahd.com/AcutePaymtSysfctsht_JAN09.pdf
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https://www.ahd.com/AcutePaymtSysfctsht_JAN09.pdf
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4
https://www.law.cornell.edu/definitions/index.php?width=840&height=800&iframe=true&def_id=fa6803e99c987ce5db179674b6aee87b&term_occur=999&term_src=Title:42:Chapter:IV:Subchapter:B:Part:412:Subpart:I:Subjgrp:52:412.154
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https://www.law.cornell.edu/definitions/index.php?width=840&height=800&iframe=true&def_id=fa6803e99c987ce5db179674b6aee87b&term_occur=999&term_src=Title:42:Chapter:IV:Subchapter:B:Part:412:Subpart:I:Subjgrp:52:412.154
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5
https://resdac.org/cms-data/variables/medpar-base-operating-drg-amount
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6
https://www.medpac.gov/wp-content/uploads/2021/11/medpac_payment_basics_21_hospital_final_sec.pdf
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7
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8
https://www.americanactionforum.org/research/primer-the-inpatient-prospective-payment-system-and-diagnosis-related-groups/
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9
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193495/
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193495/
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10
https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/TRICARE-Health-Plan/Rates-and-Reimbursement/Diagnosis-Related-Group-Rates
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https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/TRICARE-Health-Plan/Rates-and-Reimbursement/Diagnosis-Related-Group-Rates
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11
https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-412
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https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-412
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12
https://www.sciencedirect.com/topics/medicine-and-dentistry/diagnosis-related-group
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https://www.sciencedirect.com/topics/medicine-and-dentistry/diagnosis-related-group
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13
https://www.princeton.edu/~ota/disk3/1983/8306/830611.PDF
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https://www.princeton.edu/~ota/disk3/1983/8306/830611.PDF
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14
https://www.tricare-west.com/content/hnfs/home/tw/prov/claims/billing_tips/drg-hospitals.html
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https://www.tricare-west.com/content/hnfs/home/tw/prov/claims/billing_tips/drg-hospitals.html
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15
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https://www.federalregister.gov/documents/2022/08/10/2022-16472/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-and-the
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16
https://www.bdo.com/getattachment/96cb5dd5-7eca-4cae-bf3a-2177676ab13c/attachment.aspx?HC_IPPS-Final-Regs-FY22_Insight_9-21_WEB.pdf
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https://www.bdo.com/getattachment/96cb5dd5-7eca-4cae-bf3a-2177676ab13c/attachment.aspx?HC_IPPS-Final-Regs-FY22_Insight_9-21_WEB.pdf
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17
https://documents1.worldbank.org/curated/en/895741576646353914/pdf/Transition-to-Diagnosis-Related-Group-Payments-for-Health-Lessons-from-Case-Studies.pdf
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https://documents1.worldbank.org/curated/en/895741576646353914/pdf/Transition-to-Diagnosis-Related-Group-Payments-for-Health-Lessons-from-Case-Studies.pdf
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18
https://www.dir.ca.gov/dwc/FeeSchedules/InpatientHospital_FeeSchedule/2021/Explanation.docx
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https://www.dir.ca.gov/dwc/FeeSchedules/InpatientHospital_FeeSchedule/2021/Explanation.docx
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19
https://www.valueinhealthjournal.com/article/S1098-3015(11)01534-8/pdf
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https://www.valueinhealthjournal.com/article/S1098-3015(11)01534-8/pdf
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20
https://dhhs.ne.gov/Medicaid%20State%20Plan/Attachment%204.19a%20-%20Methods%20and%20Standards%20for%20Establishing%20Payment%20Rates%20-%20Inpatient%20Hospital%20Care.pdf
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https://dhhs.ne.gov/Medicaid%20State%20Plan/Attachment%204.19a%20-%20Methods%20and%20Standards%20for%20Establishing%20Payment%20Rates%20-%20Inpatient%20Hospital%20Care.pdf
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21
https://www.regulations.gov/document/CMS-2020-0052-0002
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https://www.regulations.gov/document/CMS-2020-0052-0002
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22
https://law.lis.virginia.gov/admincode/title12/agency30/chapter70/section231/
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https://law.lis.virginia.gov/admincode/title12/agency30/chapter70/section231/
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23
https://oklahoma.gov/content/dam/ok/en/okhca/documents/drg_update_20080801.ppt
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https://oklahoma.gov/content/dam/ok/en/okhca/documents/drg_update_20080801.ppt
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24
https://www.hklaw.com/en/insights/publications/2022/08/cms-releases-fy-2023-ipps-and-ltch-final-rule
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https://www.hklaw.com/en/insights/publications/2022/08/cms-releases-fy-2023-ipps-and-ltch-final-rule
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25
https://eurodrg.projects.tu-berlin.de/publications/DRGbook/Ch6_Cots.pdf
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https://eurodrg.projects.tu-berlin.de/publications/DRGbook/Ch6_Cots.pdf
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26
https://medicaid.georgia.gov/document/publication/15-005inpatientprospectivepaymentservicespdf/download
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https://medicaid.georgia.gov/document/publication/15-005inpatientprospectivepaymentservicespdf/download
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27
https://www.aha.org/inpatient-pps
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https://www.aha.org/inpatient-pps
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28
https://www.herc.research.va.gov/include/page.asp?id=estimate-medicare-payments
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https://www.herc.research.va.gov/include/page.asp?id=estimate-medicare-payments
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29
https://www.shepscenter.unc.edu/wp-content/uploads/2014/10/memo-laborpc.pdf
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https://www.shepscenter.unc.edu/wp-content/uploads/2014/10/memo-laborpc.pdf
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30
https://www.govinfo.gov/content/pkg/FR-2021-08-13/pdf/2021-16519.pdf
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https://www.govinfo.gov/content/pkg/FR-2021-08-13/pdf/2021-16519.pdf
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31
https://medicaid.ohio.gov/resources-for-providers/enrollment-and-support/provider-types/hospital-provider-information/hospital-payment-policy
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https://medicaid.ohio.gov/resources-for-providers/enrollment-and-support/provider-types/hospital-provider-information/hospital-payment-policy
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32
http://samples.jblearning.com/9781284169034/9781284169034_CH07_Print.pdf
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http://samples.jblearning.com/9781284169034/9781284169034_CH07_Print.pdf
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33
https://www.hfma.org/content/dam/hfma/document/fact_sheet/PDF/62369.pdf
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https://www.hfma.org/content/dam/hfma/document/fact_sheet/PDF/62369.pdf
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34
https://www.ehealthinsurance.com/medicare/coverage/what-are-diagnosis-related-groups/
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https://www.ehealthinsurance.com/medicare/coverage/what-are-diagnosis-related-groups/
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35
https://www.health.ny.gov/facilities/hospital/reimbursement/apr-drg/rates/ffs/2020/docs/2020-10-06_hmo_claims_payment_wks_apr2020.pdf
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https://www.health.ny.gov/facilities/hospital/reimbursement/apr-drg/rates/ffs/2020/docs/2020-10-06_hmo_claims_payment_wks_apr2020.pdf
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36
https://www.reliasmedia.com/articles/123126-brace-yourself-for-changes-in-the-drg-model-with-more-on-the-way
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https://www.reliasmedia.com/articles/123126-brace-yourself-for-changes-in-the-drg-model-with-more-on-the-way
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37
https://www.excel-medical.com/how-hospitals-get-paid-in-the-us/
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https://www.excel-medical.com/how-hospitals-get-paid-in-the-us/
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38
https://www.macpac.gov/wp-content/uploads/2018/12/State-Medicaid-Fee-for-Service-Inpatient-Hospital-Payment-Policies.xlsx
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https://www.macpac.gov/wp-content/uploads/2018/12/State-Medicaid-Fee-for-Service-Inpatient-Hospital-Payment-Policies.xlsx
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39
https://www.healthmanagement.com/blog/cmss-hospital-inpatient-regulation-proposes-the-use-of-novel-methods-to-calculate-2023-payment-rates/
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https://www.healthmanagement.com/blog/cmss-hospital-inpatient-regulation-proposes-the-use-of-novel-methods-to-calculate-2023-payment-rates/
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40
https://www.mcdermottplus.com/wp-content/uploads/2021/08/M-FY2022-IPPS-Final-Rule-Summary.pdf
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https://www.mcdermottplus.com/wp-content/uploads/2021/08/M-FY2022-IPPS-Final-Rule-Summary.pdf
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41
https://www.wha.org/WisconsinHospitalAssociation/media/WHACommon/Finance/PDFs/2023IPPSProposedRuleSummary.pdf
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https://www.wha.org/WisconsinHospitalAssociation/media/WHACommon/Finance/PDFs/2023IPPSProposedRuleSummary.pdf
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42
https://www.hsd.state.nm.us/wp-content/uploads/8.311.3-NMAC-Methods-and-Standards.pdf
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https://www.hsd.state.nm.us/wp-content/uploads/8.311.3-NMAC-Methods-and-Standards.pdf
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43
https://www.claconnect.com/en/resources/articles/2022/cms-releases-2023-inpatient-prospective-payment-system-final-rule
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https://www.claconnect.com/en/resources/articles/2022/cms-releases-2023-inpatient-prospective-payment-system-final-rule
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44
https://app.leg.wa.gov/wac/default.aspx?cite=182-550-3600&pdf=true
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https://app.leg.wa.gov/wac/default.aspx?cite=182-550-3600&pdf=true
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45
https://www.facs.org/advocacy/regulatory-issues/payment-rules/inpatient-prospective-payment-system-rule/
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https://www.facs.org/advocacy/regulatory-issues/payment-rules/inpatient-prospective-payment-system-rule/
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46
https://casemanagementstudyguide.com/ccm-knowledge-domains/healthcare-reimbursement/prospective-payment-systems-and-rules-for-reimbursement/
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https://casemanagementstudyguide.com/ccm-knowledge-domains/healthcare-reimbursement/prospective-payment-systems-and-rules-for-reimbursement/
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47
https://repository.library.georgetown.edu/bitstream/handle/10822/556896/sn4.pdf
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https://repository.library.georgetown.edu/bitstream/handle/10822/556896/sn4.pdf
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48
https://www.chegg.com/flashcards/exam-2-84b7207b-6cc0-4361-8f64-4f4c8a2c9405/deck
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49
https://pubs.rsna.org/doi/pdf/10.1148/rg.2015150043
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50
https://www.azahcccs.gov/PlansProviders/Downloads/FFSProviderManual/FFS_Chap11_Addendum.pdf
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https://www.azahcccs.gov/PlansProviders/Downloads/FFSProviderManual/FFS_Chap11_Addendum.pdf
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51
https://www.bio.org/advocacy/letters/inpatient-prospective-payment-system
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https://www.bio.org/advocacy/letters/inpatient-prospective-payment-system
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52
https://apps.legislature.ky.gov/law/kar/titles/907/010/830/
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https://apps.legislature.ky.gov/law/kar/titles/907/010/830/
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53
https://www.aamc.org/advocacy-policy/washington-highlights/cms-releases-fy-2022-inpatient-prospective-payment-system-final-rule
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https://www.aamc.org/advocacy-policy/washington-highlights/cms-releases-fy-2022-inpatient-prospective-payment-system-final-rule
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54
https://www.oecd.org/els/health-systems/Better-ways-to-pay-for-health-care-FOCUS.pdf
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https://www.oecd.org/els/health-systems/Better-ways-to-pay-for-health-care-FOCUS.pdf
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55
https://www.gpo.gov/fdsys/pkg/CFR-2011-title42-vol2/pdf/CFR-2011-title42-vol2-sec412-60.pdf
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https://www.gpo.gov/fdsys/pkg/CFR-2011-title42-vol2/pdf/CFR-2011-title42-vol2-sec412-60.pdf
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56
https://www.annualreviews.org/doi/pdf/10.1146/annurev.pu.10.050189.001041
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57
https://www.srca.nm.gov/parts/title08/08.311.0003.html
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58
https://www.medinsight.milliman.com/-/media/medinsight/pdfs/rise-drg-payment-model.ashx
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https://www.medinsight.milliman.com/-/media/medinsight/pdfs/rise-drg-payment-model.ashx
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59
https://humanservices.vermont.gov/sites/ahsnew/files/documents/MedicaidPolicy/MedicaidStatePlan/Att%204.19-A.pdf
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https://humanservices.vermont.gov/sites/ahsnew/files/documents/MedicaidPolicy/MedicaidStatePlan/Att%204.19-A.pdf
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60
https://www.peer.ms.gov/Reports/reports/530.html
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61
https://www.costreportdata.com/HFM-VariationInMedicareIPPayment_OCT10.pdf
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https://www.costreportdata.com/HFM-VariationInMedicareIPPayment_OCT10.pdf
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62
https://journal.ahima.org/page/is-case-mix-index-still-a-relevant-key-performance-indicator
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https://journal.ahima.org/page/is-case-mix-index-still-a-relevant-key-performance-indicator
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63
https://ahca.myflorida.com/medicaid/cost_reim/pdf/DRG_Payment-Conversion_Implementation_Plan-FL_AHCA-Final.pdf
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https://ahca.myflorida.com/medicaid/cost_reim/pdf/DRG_Payment-Conversion_Implementation_Plan-FL_AHCA-Final.pdf
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64
https://www.urban.org/sites/default/files/2016/05/03/03_per_diem_payment_to_hospitals_for_inpatient_stays.pdf
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https://www.urban.org/sites/default/files/2016/05/03/03_per_diem_payment_to_hospitals_for_inpatient_stays.pdf
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65
https://crsreports.congress.gov/product/pdf/R/R46702
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https://crsreports.congress.gov/product/pdf/R/R46702
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66
https://www.arkansasbluecross.com/docs/librariesprovider9/default-document-library/payment-methodology-grid-508.pdf
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67
https://med.noridianmedicare.com/web/jfa/provider-types/acute-ipps-hospital
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https://med.noridianmedicare.com/web/jfa/provider-types/acute-ipps-hospital
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68
https://www.appliedpolicy.com/cms-proposes-2023-payments-for-inpatient-hospitals/
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https://www.appliedpolicy.com/cms-proposes-2023-payments-for-inpatient-hospitals/
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69
https://avalere.com/insights/cms-introduces-changes-to-car-t-reimbursement-in-ipps-proposed-rule
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https://avalere.com/insights/cms-introduces-changes-to-car-t-reimbursement-in-ipps-proposed-rule
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70
https://hbr.org/2016/07/how-to-pay-for-health-care
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https://hbr.org/2016/07/how-to-pay-for-health-care
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71
https://www.medaxiom.com/news/2017/08/14/news/fy-2018-hospital-inpatient-prospective-payment-system-ipps-final-rule-cv-specific-overview/
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72
https://f1000research.com/articles/8-605
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73
https://www.vizientinc.com/-/media/documents/sitecorepublishingdocuments/public/aboutus/20220506_summary_ipps_fy_2023.pdf
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74
https://www.hallrender.com/2022/02/15/oigs-continued-focus-on-drg-payment-window-recommends-expanding-medicare-3-day-payment-window-to-cover-affiliated-entities/
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https://www.hallrender.com/2022/02/15/oigs-continued-focus-on-drg-payment-window-recommends-expanding-medicare-3-day-payment-window-to-cover-affiliated-entities/
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75
https://www.cbo.gov/system/files/115th-congress-2017-2018/workingpaper/52567-hospitalprices.pdf
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https://www.cbo.gov/system/files/115th-congress-2017-2018/workingpaper/52567-hospitalprices.pdf
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76
https://secure.sos.state.or.us/oard/viewSingleRule.action?ruleVrsnRsn=84851
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77
https://www.ngsmedicare.com/hu/fiss-dde-provider-online-guide?selectedArticleId=1385964
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78
https://scholarworks.gsu.edu/cgi/viewcontent.cgi?article=1385&context=iph_theses
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79
https://www.kff.org/private-insurance/issue-brief/half-of-admissions-in-the-large-group-market-are-paid-above-150-of-medicare-rates-excluding-maternity-admissions/
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https://www.kff.org/private-insurance/issue-brief/half-of-admissions-in-the-large-group-market-are-paid-above-150-of-medicare-rates-excluding-maternity-admissions/
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80
https://www.optumcoding.com/upload/docs/2021%20DRG_National%20Average%20Payment%20Table_Update.pdf
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87
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https://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/publication/attachments/DC%20APR-DRG%20Calculator%20Instructions%202014-07-30%20S154.pdf
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https://ldi.upenn.edu/wp-content/uploads/archive/pdf/INQRI%20BRIEF%20IV.pdf
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https://www.carecloud.com/continuum/prospective-payment-system/
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92
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93
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