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VA Technical Reference Model v 24.4

Maryland Enhanced Ambulatory Patient Grouping System (EAPGS)
Maryland Enhanced Ambulatory Patient Grouping System (EAPGS) Technology

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Technologies must be operated and maintained in accordance with Federal and Department security and privacy policies and guidelines. More information on the proper use of the TRM can be found on the TRM Proper Use Tab/Section.

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Description: Maryland Enhanced Ambulatory Patient Grouping System (EAPGS) is a classification system for use in an ambulatory environment to develop a comprehensive Outpatient Prospective Payment System (OPPS). Maryland EAPGS calculates payment based on the weight of the highest-weighted eligible or non-excluded significant procedure or medical visit EAPG group. The highest weight is then used to calculate the charge per visit. The weights may be adjusted based on certain conditions, such as discounting, consolidation, and packaging. This technology determines which line item is the payable item for the claim, calculates the claim payment, determines if there is a cost outlier payment, and calculates a claim cost outlier payment and a claim total payment.

This software does not utilize a database.

Note: 3M does not have a dedicated website for Maryland EAPGS.
Technology/Standard Usage Requirements: Users must ensure their use of this technology/standard is consistent with VA policies and standards, including, but not limited to, VA Handbooks 6102 and 6500; VA Directives 6004, 6513, and 6517; and National Institute of Standards and Technology (NIST) standards, including Federal Information Processing Standards (FIPS). Users must ensure sensitive data is properly protected in compliance with all VA regulations. Prior to use of this technology, users should check with their supervisor, Information Security Officer (ISO), Facility Chief Information Officer (CIO), or local Office of Information and Technology (OI&T) representative to ensure that all actions are consistent with current VA policies and procedures prior to implementation.
Section 508 Information: This technology has not been assessed by the Section 508 Office. The Implementer of this technology has the responsibility to ensure the version deployed is 508-compliant. Section 508 compliance may be reviewed by the Section 508 Office and appropriate remedial action required if necessary. For additional information or assistance regarding Section 508, please contact the Section 508 Office at
Decision: View Decisions

Decision Source: TRM Mgmt Group
Decision Process: One-VA TRM v20.8
Decision Date: 08/26/2020 at 16:31:51 UTC
Introduced By: TRM Request
Vendor Name: 3M
- The information contained on this page is accurate as of the Decision Date (08/26/2020 at 16:31:51 UTC).