WAC 296-23A-0450
WAC 296-23A-0450. What cases does the department exclude from base price calculations?
The department excludes the following types of cases from base price calculations:
• Transfers; • Statistical outliers; • Length of stay equal to zero; • Psychiatric, substance abuse and rehabilitation DRGs; • Out-of-state hospitals; and • Other hospitals and services designated as exempt from DRG payment rates.
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Transfers;
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Statistical outliers;
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Length of stay equal to zero;
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Psychiatric, substance abuse and rehabilitation DRGs;
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Out-of-state hospitals; and
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Other hospitals and services designated as exempt from DRG payment rates.
See WAC 296-23A-0470 and 296-23A-0480 for exclusions and exceptions to DRG payments for hospital services.