-
|
How are orgs planning on displaying inpatient days beyond the first rate? I don't believe the schema supports tiered rates. We are thinking of using the description field in the in network object but would like opinions from other organizations. IE first DRG for days 1-3 is $300, days 4-5 is $200 and days after $100 |
Beta Was this translation helpful? Give feedback.
Replies: 4 comments
-
|
Due to the limitation of the MRF format, it suggests that all we can report is the inlier negotiated rate. |
Beta Was this translation helpful? Give feedback.
-
|
@shaselton-usds Following up on this topic, would it be sufficient for the regulation to report the first set of rates and omit following set of rates? |
Beta Was this translation helpful? Give feedback.
-
|
@jltang-kp could you create a negotiated rate object for each tier and the specifics of the tier are described in the |
Beta Was this translation helpful? Give feedback.
-
|
@shaselton-usds Using the additional_information field was a possible idea we were thinking of to explain the difference in rate depending on the stay period ie rate $300 for day 1-3, days 4-5 is $200 etc. So to clarify, would it look like one negotiated rate object per unique rate for a given DRG and the additional_information field be the differentiator in these negotiated rate objects correct? Would this be sufficient to differentiate the rates? |
Beta Was this translation helpful? Give feedback.
@shaselton-usds Using the additional_information field was a possible idea we were thinking of to explain the difference in rate depending on the stay period ie rate $300 for day 1-3, days 4-5 is $200 etc.
So to clarify, would it look like one negotiated rate object per unique rate for a given DRG and the additional_information field be the differentiator in these negotiated rate objects correct? Would this be sufficient to differentiate the rates?