MS-DRG and MS-DRG LTCH 2013-2014 Fee Schedule
Posted 08/28/13; Modified 06/06/14
For charges incurred on and after October 1, 2013, the following changes will take effect for HealthChoice and the Department of Corrections (DOC) MS-DRG and MS-DRG LTCH fee schedules:
The market basket update factor is 1.7%. Version 31 of the MS-DRG fee schedule reflects a base rate of $8,417 for urban hospitals and $10,824 for rural hospitals. The threshold amount for outlier cases is $82,648 for urban hospitals and $64,256 for rural hospitals. The marginal cost factor remains at .80.
Version 31 of the MS-DRG LTCH fee schedule has a base rate of $49,302. The outlier threshold is $13,314 and the cost-to-charge ratio is 0.259.
The next comprehensive MS-DRG and MS-DRG LTCH fee schedule update will be effective for charges incurred on and after October 1, 2014.