PDFWAC 296-23A-0450
What cases does the department exclude from base price calculations?
The department excludes the following types of cases from base price calculations:
• | Transfers; |
• | Statistical outliers; |
• | Length of stay equal to zero; |
• | Psychiatric, substance abuse and rehabilitation DRGs; |
• | Out-of-state hospitals; and |
• | Other hospitals and services designated as exempt from DRG payment rates. |
See WAC 296-23A-0470 and 296-23A-0480 for exclusions and exceptions to DRG payments for hospital services.