HFS Update: New Inpatient APR-DRG and Outpatient EAPG Grouper Version
June 25, 2019
The Dept. of Healthcare and Family Services (HFS) recently released a notice to inform hospitals that effective with inpatient discharge dates beginning July 1, 2019, the Department will utilize Grouper Version 36 of the 3M All Patient Refined Diagnosis Related Group (APR-DRG) payment system; and effective with outpatient dates of service beginning July 1, 2019, the Department will utilize Grouper Version 3.13 of the Enhanced Ambulatory Patient Groups (EAPG) payment system. These updates are performed in compliance with 89 Ill. Adm. Code Sections 148.140 and 149.100.
New inpatient and outpatient calculators containing the new rates have been posted on the Department’s website. Rate sheets for individual hospitals will be posted in the near future. Questions regarding rate sheets may be directed to the Bureau of Rate Development and Analysis at 217-785-0710.
Contact us with any questions.