PDFWAC 296-23A-0450

What cases does the department exclude from base price calculations?

The department excludes the following types of cases from base price calculations:
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Transfers;
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Statistical outliers;
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Length of stay equal to zero;
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Psychiatric, substance abuse and rehabilitation DRGs;
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Out-of-state hospitals; and
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Other hospitals and services designated as exempt from DRG payment rates.
See WAC 296-23A-0470 and 296-23A-0480 for exclusions and exceptions to DRG payments for hospital services.
[Statutory Authority: RCW 51.04.020, 51.04.030 and 51.36.080. WSR 97-06-066, § 296-23A-0450, filed 2/28/97, effective 4/1/97.]