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Elizabeth M. Whitehorn, Director

Provider Notice Issued 05/31/2019

​New Inpatient APR-DRG and Outpatient EAPG Grouper Version Updates Effective July 1, 2019

 

​Date: ​May 31, 2019
​To: ​Enrolled Hospitals:  Chief Executive Officers; Chief Financial Officers; and Patient Accounts Managers
​Re: ​New Inpatient APR-DRG and Outpatient EAPG Grouper Version Updates Effective July 1, 2019

This notice informs hospitals of new inpatient and outpatient grouper version updates. These updates are performed in compliance with 89 Ill. Adm. Code Sections 148.140 and 149.100..

Effective with inpatient discharge dates beginning July 1, 2019, the Department will utilize Grouper Version 36 of the 3M All Patient Refined Diagnosis Related Group (APR-DRG) payment system. 

Effective with outpatient dates of service beginning July 1, 2019, the Department will utilize Grouper Version 3.13 of the Enhanced Ambulatory Patient Groups (EAPG) payment system.

New inpatient and outpatient calculators containing the new rates have been posted to the Department’s website. Rate sheets for individual hospitals will be posted in the near future. 

Questions may be directed to the Bureau of Rate Development and Analysis at

217-785-0710.

 

Dan Jenkins, Chief

Bureau of Rate Development and Analysis