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Back  RFI # 1935: Clarify RFI 1794 APR-DRG EAPG

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Submitter

Susan Brousseau

Description

The answer to 1794 stated APR-DRG would be supported on 6020. Will EAPG by supported as a type of DRG or in another way? In the meantime, is it recommended to report EAPG in the 2110 REF Service Identification with REF01 = 1F Ambulatory Patient Group APG with EAPG returned in REF02?

Thank you!

Submitter Assigned Keywords

EAPG, APG, DRG

Response

The 2110 REF includes qualifier 1S for APG and should be used for this situation.
Note that in version 005010, a qualifier 1F for APG is not permitted in the 2110 REF segment and should not be used.

There is a solution planned for the next version of the 835 to address other payment methodologies such as APG and EAPG.
Submission 5/21/2014
Status Date 11/7/2014
Status F - Final
Primary References
Document 05010X221A1
Section2.4
Page204
Loop2110
Segment IDREF
Element Position01