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VA Technical Reference Model v 24.4

Maryland Payment with 3M APR DRGS Grouping and Reimbursement
Maryland Payment with 3M APR DRGS Grouping and Reimbursement Technology

General InformationGeneral Information help

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.

Website: Go to site
Description: The Maryland Payment with 3M All Patient Refined Diagnosis Related Grouper System (APR DRGS) Grouping and Reimbursement is a patient classification and reimbursement system based on the standard 3M APR DRG classification grouper. The product is used for Maryland in-patient admissions and includes grouping and code mapping specifications determined by the Maryland Health Services Cost Review Commission (HSCRC). The software identifies exclusions and calculates inlier projected revenue, outlier projected revenue for high and low cost cases, and per diem excluded revenue for long-stay psychiatric cases. Statistics are also included to calculate case mix weights, high trim days, low trim points and high trim points for all providers. The reimbursement also includes state-specific reassignments for rehabilitation claims (APR DRGs 850 and 860).

This software does not require the use of a database.

Note: This product does not have a dedicated website.
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 v19.5
Decision Date: 05/31/2019 at 11:11:35 UTC
Introduced By: TRM Request
Vendor Name: 3M
- The information contained on this page is accurate as of the Decision Date (05/31/2019 at 11:11:35 UTC).