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Table 1 - Adjusted Standardized Amounts for
All Areas
and Cost Share Per Diem.
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This table provides the adjusted standardized amounts
and the cost-share per diem for beneficiaries other than dependents
of active-duty members.The adjusted standardized amounts are
effective for admissions occurring on or after October 1, 2011,
through September 30, 2012.
The cost-share per diem is effective for
inpatient days of care occurring on or after October 1, 2011,
through September 30, 2012. Cost-share per diem for
beneficiaries other than dependents of active
duty members:
$ 708.00
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Wage Index Less Than or Equal to 1 |
Wage Index Greater Than 1 |
| Adjusted Standardized Amount |
$ 5,215.92 |
$ 5,215.92 |
| Labor Portion |
$ 3,233.87 |
$ 3,588.55 |
| Non Labor Portion |
$ 1,982.05 |
$ 1,627.37 |
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Table 2 - FY 2012 TRICARE/CHAMPUS DRG Weights and Threshold Summary
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This table provides the final TRICARE/CHAMPUS DRG
weights as well as the arithmetic and geometric average lengths
of stay and outlier thresholds for all CHAMPUS DRGs. These amounts
are effective for admissions on or after October 1, 2011,
through September 30, 2012.
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| Notes: |
* = low volume DRG with fewer than 10 cases. The Medicare weights and LOS are used for these DRGs.
# = PM-DRGs with fewer than 10 cases. An average weight over the past 5 years were used for these DRGs.
w cc = with Complications and Comorbidities.
w/o cc = without Complications or Comorbidities
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TRICARE Management Activity,
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