WebMaryland Enhanced Ambulatory Patient Grouping System (EAPGS) is a classification system for use in an ambulatory environment to develop a comprehensive Outpatient Prospective Payment System (OPPS). Maryland EAPGS calculates payment based on the weight of the highest-weighted eligible or non-excluded significant procedure or medical … WebWhat is the anticipated date the EAPG, version 3.14 (v2024.3.2), will be implemented to start processing outpatient claims with new codes effective 10/6/2024, grouping to the correct EAPGs? We are currently pending claims that come in on or after 10/6/2024 with the new COVID codes and will be processed manually so no claims adjustments will be ...
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WebAcute Hospital RY21 MassHealth EAPG Weights List of RY21 EAPGs and MassHealth EAPG Weights. Author: Johnson, Adam Last modified by: Chung, Nghi (EHS) Created Date: 6/20/2016 6:03:44 PM Other titles: v3.14 v3.14!Print_Area v3.14!Print_Titles Company: WebEAPG Listing (version 3.13) Effective October 1, 2024 EAPG EAPG Description National Weights v3.13 1 Photochemotherapy 0.179385 2 Superficial needle biopsy & aspiration 1.099801 3 Level I skin incision & drainage 0.543275 4 Level II skin incision & drainage 1.894953 5 Nail procs 0.148317 6 Level I skin danka villarreal attorney houston address
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WebThis document describes the changes between Enhanced Ambulatory Patient Groups (EAPG) version 3.14 and version 3.15. We received many external comments and … WebJun 15, 2024 · EAPG version 3.14 is incorrectly pricing claims with a diagnosis code for lower extremities. 4/29/2024 Medical Ongoing remediation N/A Awaiting fix updates from Optum N/A Claims adjustment project will be submitted once updates have been received. UPDATES OF REPORTED CLAIMS PAYMENT SYSTEMIC ERRORS June15, 2024 WebAug 15, 2024 · incorrectly processed according to Optum EAPG Version 3.14 update to Optum EAPG Version 3.14 update. 6/16/2024 Ongoing Remediation 01-Outpatient Hospital System fix requires additional time for implementation. This is estimated to be complete by 09/15/2024. Due to additional required time for system fix, the estimated date of … birthday ephemera