New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 52 - HOSPITAL SERVICES MANUAL
Subchapter 14 - METHODOLOGY FOR ESTABLISHING DRG PAYMENT RATES FOR INPATIENT SERVICES AT GENERAL ACUTE CARE HOSPITALS BASED ON DRG WEIGHTS AND A STATEWIDE BASE RATE
- Section 10:52-14.1 - Effective date
- Section 10:52-14.2 - Definitions
- Section 10:52-14.3 - Calculation of the DRG weights
- Section 10:52-14.4 - List of DRG weights
- Section 10:52-14.5 - Statewide base rate
- Section 10:52-14.6 - Determination of the Statewide base rate
- Section 10:52-14.7 - Criteria to qualify for add-on amounts to the Statewide base rate
- Section 10:52-14.8 - DRG daily rates
- Section 10:52-14.9 - Hospital specific Medicaid/NJ FamilyCare cost-to-charge ratios
- Section 10:52-14.10 - Standard DRG payment calculation
- Section 10:52-14.11 - Cost outlier payment calculation
- Section 10:52-14.12 - Day outlier payment calculation for alternate level of care days
- Section 10:52-14.13 - Simultaneous cost outlier and day outlier payments
- Section 10:52-14.14 - Payment for transfers
- Section 10:52-14.15 - Payment for same day discharges
- Section 10:52-14.16 - Payment for readmissions
- Section 10:52-14.17 - Appeal of the hospital's Medicaid/NJ FamilyCare final rate
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