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Pennsylvania DRG Grouper Version

 


There has been some confusion on which DRG Grouper version to use for both
Penna. ACT 6 and ACT 44 claims.  The following hopefully will resolve this issue:

    ACT 44 or Workers’ Compensation Claims

      Use DRG Version 12 for all dates of services (change in years does not matter);
      frozen at this version.

     ACT 6 or Auto Insurance Claims

          DRG Version 12 for service dates on/after 10-01-94 and on/before 09-30-95

          DRG Version 13 for service dates on/after 10-01-95 and on/before 09-30-96

          DRG Version 14 for service dates on/after 10-01-96 and on/before 09-30-97

          DRG Version 15 for service dates on/after 10-01-97 and on/before 09-30-98

          DRG Version 16 for service dates on/after 10-01-98 and on/before 09-30-99

          DRG Version 17 for service dates on/after 10-01-99 and on/before 09-30-00

          DRG Version 18 for service dates on/after 10-01-00 and on/before 09-30-01

          DRG Version 19 for service dates on/after 10-01-01 and on/before 09-30-02

          DRG Version 20 for service dates on/after 10-01-02 and on/before 09-30-03

          DRG Version 21 for service dates on/after 10-01-03 and on/before 09-30-04

          DRG Version 22 for service dates on/after 10-01-04 and on/before 09-30-05

          DRG Version 23 for service dates on/after 10-01-05 and on/before 09-30-06

          DRG Version 24 for service dates on/after 10-01-06 and on/before 09-30-07

          DRG Version 25 for service dates on/after 10-01-07 and on/before 09-30-08

 

REMEMBER:  Act 44 is frozen on Version 12, and Act 6 changes as Medicare changes.

 


DRG Crosswalking

 


Effective for ACT 6 services on or after October 1, 1998, several DRG numbers were discontinued and reassigned a new DRG Number, however for ACT 44 claims the original DRG numbers will continue to be used.   Furthermore, Grouper 25 effective for dates of service on or after 10-01-2007 is an entirely new Grouper and is impossible to crosswalk back to the ACT 44 grouper versions.   The crosswalk of Grouper 24 DRG numbers back to their original DRG numbers are as follows:
 

DISCLAIMER:  The below crosswalk is our professional opinion, it may not be accurate.

 

     ACT 6  (GRP 24 or <)                         ACT 44

    DRG 497                                               DRG 214

    DRG 498                                               DRG 215

    DRG 499                                               DRG 214

    DRG 500                                               DRG 215

    DRG 501                                               DRG 221

    DRG 502                                               DRG 222

    DRG 503                                               DRG 222

    DRG 504                                               DRG 458

    DRG 505                                               DRG 457

    DRG 506                                               DRG 458

    DRG 507                                               DRG 458

    DRG 508                                               DRG 459

    DRG 509                                               DRG 460

    DRG 510                                               DRG 459

    DRG 511                                               DRG 460

    DRG 512                                               DRG 191

    DRG 513                                               DRG 191

    DRG 514                                               DRG 104

    DRG 515                                               DRG 105

    DRG 516                                               DRG 112

    DRG 517                                               DRG 112

    DRG 518                                               DRG 112  

    DRG 519                                               DRG 214

    DRG 520                                               DRG 215 

    DRG 521                                               DRG 434

    DRG 522                                               DRG 436

    DRG 523                                               DRG 435

    DRG 524                                               DRG 15

    DRG 525                                               DRG 116

    DRG 526                                               DRG 112

    DRG 527                                               DRG 112

    DRG 528                                               DRG 7

    DRG 529                                               DRG 110

    DRG 530                                               DRG 111

    DRG 531                                               DRG 4

    DRG 532                                               DRG 4

    DRG 533                                               DRG 5

    DRG 534                                               DRG 5

    DRG 535                                               DRG 104

    DRG 536                                               DRG 104

    DRG 537                                               DRG 231

    DRG 538                                               DRG 231

    DRG 539                                               DRG 400

    DRG 540                                               DRG 400

    DRG 541                                               DRG 483

    DRG 542                                               DRG 483

    DRG 543                                               DRG 1

    DRG 544                                               DRG 209   

    DRG 545                                               DRG 209

    DRG 546                                               DRG 4

    DRG 547                                               DRG 106

    DRG 548                                               DRG 106

    DRG 549                                               DRG 107

    DRG 550                                               DRG 107   

    DRG 551                                               DRG 115

    DRG 552                                               DRG 116

    DRG 553                                               DRG 478

    DRG 554                                               DRG 478

    DRG 555                                               DRG 112

    DRG 556                                               DRG 112

    DRG 557                                               DRG 112

    DRG 558                                               DRG 112

    DRG 559                                               DRG 14

    DRG 560                                               DRG 20

    DRG 561                                               DRG 20

    DRG 562                                               DRG 24

    DRG 563                                               DRG 25

    DRG 564                                               DRG 25

    DRG 565                                               DRG 475

    DRG 566                                               DRG 475

    DRG 567                                               DRG 154

    DRG 568                                               DRG 154

    DRG 569                                               DRG 148

    DRG 570                                               DRG 148

    DRG 571                                               DRG 182

    DRG 572                                               DRG 182

    DRG 573                                               DRG 303

    DRG 574                                               DRG 395

    DRG 575                                               DRG 416

    DRG 576                                               DRG 416

    DRG 577                                               DRG 112

    DRG 578                                               DRG 415

    DRG 579                                               DRG 415

 



Processing Issues

 


The following are processing issues for your operators of our system:

- Mercy Catholic Medical Center in Philadelphia has two(2) divisions; the
  Misericordia Division, Provider number 390156A and the Fitzgerald Division,
  provider number  390156B.  It is important you assign the claim the correct
  extension for Act 44 as they both have different Charge Master Data.  For Act
  6 it makes no difference for re-pricing, but will be a problem for the EOB
  header information.

- In our provider table we have providers with an extension “A” (see above).  It
  is important to assign the claim the correct extension for EOB presentation
  only (TAX ID and Provider Name), but for the re-pricing of a claim it makes no
  difference which one you choose as we have the identical financial data in all
  provider records.

- For Ambulatory Surgical Claims (ASC) that are processed as an
  outpatient claim, if you have multiple procedures on the same day, the lowest
  reimbursable procedure is paid at 50 percent of the Medicare Fee Schedule.
  This is accomplished by entering a “R” in the PROC column on the line item
  you are reducing.  Ensure that you do not enter a revenue code.

- For Ambulatory Surgical Claims (ASC) that are processed as a Part B
  claim, if you have multiple procedures on the same day, the lowest
  reimbursable procedure is paid at 50 percent of the Medicare Fee Schedule.
  This is accomplished by entering a “51” in the MOD column on the line item
  you are reducing.

 


System Updates

 


We update our system on the following schedule every year:

       February 15th or 30 days Charge Master release whichever is later

       For the January 15th Charge Master release and other BWC fee schedule updates, and Medicare Physician, DME, and  

       APC Fee Schedules.

       May 15th or 30 days after Charge Master release whichever is later

       For the April 15th Charge Master release and the Provider Table.

       August 15th or 30 days after Charge Master release whichever is later

       For the July 15th Charge Master release and the Provider Table.

       November 15th or 30 days after Charge Master release whichever is later

       For the October 15th Charge Master release, Provider Table, and new PPS calculations and data tables.

Ensure that you update our system on a timely basis as each update could have
an impact on a re-priced claim.  Also, if you missed installing an update,
please call us for further directions.

 

 


PA Act 44 Statewide Average Weekly Wage %

 


  

                                                                                                     Annual                 Overall

  • August 30, 1993 through December 31, 1994                 0 %                 113.00%
  • January 1, 1995  through December 31, 1995              3.2 %                116.616%
  • January 1, 1996  through December 31, 1996              3.5 %                120.70%
  • January 1, 1997  through December 31, 1997              2.8 %                124.08%
  • January 1, 1998  through December 31, 1998              3.5 %                128.42%
  • January 1, 1999  through December 31, 1999              4.8 %                134.58%
  • January 1, 2000  through December 31, 2000              4.0 %                139.96%
  • January 1, 2001  through December 31, 2001              5.3 %                147.39%
  • January 1, 2002  through December 31, 2002              2.8 %                151.52%
  • January 1, 2003  through December 31, 2003              2.0 %                154.55%
  • January 1, 2004  through December 31, 2004              2.2 %                157.95%
  • January 1, 2005  through December 31, 2005              3.8 %                163.95%
  • January 1, 2006  through December 31, 2006            4.05 %                170.59%
  • January 1, 2007  through December 31, 2007              4.6 %                178.44%
  • January 1, 2008  through December 31, 2008              3.6 %                184.66%