Section 231. Operating payment for DRG cases

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A. The operating payment for DRG cases that are not transfer cases shall be equal to the hospital specific operating rate per case, as determined in 12VAC30-70-311, times the DRG relative weight, as determined in 12VAC30-70-381.

B. Exceptions.

1. Special provisions for calculating the operating payment for transfer cases are provided in 12VAC30-70-251.

2. Readmissions shall be considered a continuation of the same stay and shall not be treated as a new case.

Historical Notes

Derived from Volume 16, Issue 18, eff. July 1, 2000.

Statutory Authority

§ 32.1-325 of the Code of Virginia.

                    
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