Ariz. Admin. Code § 9-22-712.76

Current through Register Vol. 30, No. 50, December 13, 2024

Section R9-22-712.76 - DRG Reimbursement: Interim Claims

A.For inpatient stays with a length of stay greater than 29 days, a hospital may submit interim claims for each 30 day period during the inpatient stay.

B.Hospitals shall be reimbursed for interim claims at a per diem rate of $500 per day.

C.Following discharge, the hospital shall void all interim claims. In such circumstances, the hospital shall submit a claim to the payer with whom the member is enrolled on the date of discharge, whether the Administration or a contractor, for the entire inpatient stay for which the final claim shall be reimbursed under the DRG payment methodology. Interim claims will be recouped.

Ariz. Admin. Code § R9-22-712.76

New Section made by final rulemaking at 20 A.A.R. 1957, effective 9/6/2014.