Section R9-22-712.77. DRG Reimbursement: Admissions and Dis- charges on the Same Day

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A. Except as provided for in subsection (B), for any claim for inpatient services with an admission date and discharge date that are the same calendar date, the contractor or the Adminis- tration shall process the claim as an outpatient claim and the hospital shall be reimbursed under R9-22-712.10 through R9- 22-712.50.

B. Claims with an admission date and discharge date that are the same calendar date that also indicate that the member expired on the date of discharge shall be reimbursed under the DRG methodology.

Historical Note

New Section made by final rulemaking at 20 A.A.R.

1956, September 6, 2014 (Supp. 14-3).

                    
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