Statutes, codes, and regulations
New Jersey Administrative Code
Title 10 - HUMAN SERVICESChapter 52 - HOSPITAL SERVICES MANUAL
Subchapter 4 - BASIS OF PAYMENT FOR HOSPITAL SERVICES
Section 10:52-4.1 - Basis of payment; acute general hospitals reimbursed under the Diagnosis Related Groups (DRG) system-inpatient services

N.J. Admin. Code § 10:52-4.1

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Current through Register Vol. 56, No. 21, November 4, 2024
Section 10:52-4.1 - Basis of payment; acute general hospitals reimbursed under the Diagnosis Related Groups (DRG) system-inpatient services
(a) For inpatient services with discharge dates prior to August 3, 2009, the Division will reimburse acute care general hospitals for inpatient services based upon rates determined under N.J.A.C. 10:52-5 through 7 and 9, except for distinct units of acute care general hospitals. For reimbursement methodology for distinct units of acute care general hospitals, see 10:52-4.2(e).
(b) For inpatient services with discharge dates on or after August 3, 2009, the Division will reimburse acute care general hospitals for inpatient services based upon rates determined under N.J.A.C. 10:52-14. However, the reimbursement methodology for distinct units of acute care general hospitals is not changed on or after that date. See 10:52-4.2(e).

N.J. Admin. Code § 10:52-4.1

Amended by R.2000 d.29, effective 1/18/2000.
See: 31 N.J.R. 3151(a), 32 N.J.R. 276(a).
Changed N.J.A.C. reference.
Amended by R.2005 d.214, effective 7/5/2005.
See: 37 N.J.R. 436(a), 37 N.J.R. 2506(a).
Amended the final N.J.A.C reference.
Amended by R.2009 d.249, effective 8/3/2009.
See: 41 N.J.R. 1351(a), 41 N.J.R. 2895(a).
Designated the existing text as (a); in (a), substituted "For inpatient services with discharge dates prior to August 3, 2009, the" for "The" and "7 and 9" for "8"; and added (b).