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OH-SP-0081 Enforcement of EAPG Billing Guidelines
WebJan 1, 2024 · Chapter 5160-4 Medical and Surgical Services. Effective: January 1, 2024. Promulgated Under: 119.03. PDF: Download Authenticated PDF. (A) Coverage. (1) In general, payment may be made to an eligible provider for performing a medically necessary surgical procedure on a medicaid-eligible individual. WebJan 2, 2024 · flag by the EAPG grouper under default EAPG settings. (5) "EAPG base rate" is the dollar value that shall be multiplied by the final EAPG weight for each EAPG on a claim to determine the total allowable medicaid payment for a visit. (6) "Hospital peer groups" are for the purposes of setting rates and making payments under the small paper plate crafts
Hospital Payment Policy - Ohio
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