Ariz. Admin. Code § R9-22-712.76 - DRG Reimbursement: Interim Claims
A.For inpatient stays with a length of stay
greater than 29 days, a hospital may submit interim claims for each 30 day
period during the inpatient stay.
B.Hospitals shall be reimbursed for interim
claims at a per diem rate of $500 per day.
C.Following discharge, the hospital shall
void all interim claims. In such circumstances, the hospital shall submit a
claim to the payer with whom the member is enrolled on the date of discharge,
whether the Administration or a contractor, for the entire inpatient stay for
which the final claim shall be reimbursed under the DRG payment methodology.
Interim claims will be recouped.
Notes
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