TRICARE/CHAMPUS DRG-Based Payment System |
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TRICARE to MS-DRG Crosswalk - contains DRG numbers and descriptions |
Crosswalk for Fiscal Years 2009 & 2010 |
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TRICARE/CHAMPUS Adjusted Standardized Amounts (ASAs) & DRG Weights Summary |
Fiscal Year 2013 |
Fiscal Year 2012 |
Fiscal Year 2011 |
Fiscal Year 2010 |
Fiscal Year 2009 |
Fiscal Year 2008 |
Fiscal Year 2007 |
Fiscal Year 2006 |
Fiscal Year 2005 |
Fiscal Year 2004 |
Fiscal Year 2003 |
Fiscal Year 2002 |
Fiscal Year 2001 |
Fiscal Year 2000 |
Fiscal Year 1999 |
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DRG Payment Calculator |
Calculator Instructions |
Calculator FY 2013, Admissions October 1, 2012, through September 30, 2013 |
Calculator FY 2012, Admissions October 1, 2011, through September 30, 2012 |
Calculator FY 2011, Admissions October 1, 2010, through September 30, 2011 |
Calculator FY 2010, Admissions October 1, 2009, through September 30, 2010 (revised March 16, 2010) |
Calculator FY 2010, Admissions October 1, 2009, through September 30, 2010 |
Calculator FY 2009, Admissions October 1, 2008, through September 30, 2009 |
Calculator FY 2008, Admissions October 1, 2007, through September 30, 2008 |
Calculator FY 2007, Admissions October 1, 2006, through September 30, 2007 |
Calculator FY 2006, Admissions October 1, 2005, through September 30, 2006 |
Calculator FY 2005, Admissions October 1, 2004, through September 30, 2005 |
Calculator FY 2004, Admissions April 1, 2004 through September 30, 2004 (Adds discharge status code 65 effective April 1, 2004, and calculates postacute care transfer payment for this code) |
Calculator FY 2004, Admissions November 1, 2003 through March 31, 2004 |
Calculator FY 2004, Admissions October 1 through October 31, 2003 |
Calculator FY 2003, Admissions April 1, 2003, through September 30, 2003 |
Calculator FY 2003, Admissions October 1, 2002, through March 31, 2003 |
Calculator FY 2002, Admissions October 1, 2001, through September 30, 2002 |
Calculator FY 2001, Admissions July 15 through September 30, 2001 |
Calculator FY 2001, Admissions October 1, 2000, through July 14, 2001 |
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Wage Indexes and IDME Factors |
FY 2013 Zip to Wage Index File(4.6 mb) |
FY 2013 Wage Index & IDME Factors Effective for Admissions October 1, 2012 through September 30, 2013(1.1 mb) |
FY 2012 Zip to Wage Index File(4.7 mb) |
FY 2012 Wage Index & IDME Factors Effective for Admissions October 1, 2011 through September 30, 2012(1.1 mb) |
FY 2011 Zip to Wage Index File(4.3 mb) |
FY 2011 Wage Index & IDME Factors Effective for Admissions April 1, 2011 through September 30, 2011 (revised 3May11)(1.0 mb) |
FY 2011 Wage Index & IDME Factors Effective for Admissions October 1, 2010 through March 31, 2011 (revised 3May11)(1.0 mb) |
FY 2010 Zip to Wage Index File (revised 7Oct09)(4.3 mb) |
FY 2010 Wage Index & IDME Factors Effective for Admissions October 1, 2009 through September 30, 2010 (revised 7Oct09)(1.0 mb) |
FY 2009 Wage Index & IDME Factors Effective for Admissions October 1, 2008 through September 30, 2009 (revised 03Dec08)(1.0mb) |
FY 2009 ZIP to Wage Index File (revised 22Oct08)(4.3 mb) |
FY 2009 Wage Index & IDME Factors Effective for Admissions October 1, 2008 through September 30, 2009 (1.0 mb) |
FY 2008 ZIP to Wage Index File (revised 5Oct07)(4.3 mb) |
FY 2008 Wage Index & IDME Effective for Admissions October 1, 2007 through September 30, 2008 (revised 18Jan08)(1.2 mb) |
FY 2008 Wage Index & IDME Effective for Admissions October 1, 2007 through September 30, 2008 (revised 5Oct07)(1.2 mb) |
FY 2007 ZIP to Wage Index File (4.3 mb) |
FY 2007 Wage Index & IDME File Effective for Admissions April 1 through September 30, 2007(1.2 mb) |
FY 2007 Wage Index & IDME File Effective for Admissions April 1 through September 30, 2007 (revised 29Mar07)(1.2 mb) |
FY 2006 Wage Index & IDME File(1.4 mb) |
FY 2007 Wage Index & IDME File Effective for Admissions October 1, 2006 through March 31, 2007(1.1 mb) |
FY 2006 ZIP to Wage Index File (4.3 mb) |
FY 2005 Wage Index & IDME File (Revised) Effective for Admissions January 1, through September 30, 2005(8.7 mb) |
FY 2005 Wage Index & IDME File Effective for Admissions October 1 through December 31, 2004(5.7 mb) |
FY 2004 Wage Index & IDME File(5.4 mb) |
FY 2003 Wage Index & IDME File(1.9 mb) |
FY 2002 Wage Index & IDME File(1.8 mb) |
FY 2001 Wage Index & IDME FIle(4.9 mb) |
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Federal Register Publications |
Federal Register Publications - FY 2012 DRG Notice of Revised Rates and Weights |
Federal Register Publications - FY 2011 DRG Notice of Revised Rates and Weights |
Federal Register Publications - FY 2010 DRG Notice of Revised Rates and Weights |
Federal Register Publications - FY 2009 DRG Notice of Revised Rates and Weights |
Federal Register Publications - FY 2008 DRG Notice of Revised Rates and Weights |
Federal Register Publications - FY 2007 DRG Notice of Revised Rates and Weights (with correction to outlier amount) |
Federal Register Publications - FY 2007 DRG Notice of Revised Rates and Weights |
Federal Register Publications - FY 2006 DRG Notice of Revised Rates and Weights |
Federal Register Publications - FY 2005 DRG Notice of Revised Rates and Weights |
Federal Register Publications - FY 2004 DRG Notice of Revised Rates and Weights |
Federal Register Publications - FY 2003 DRG Notice of Revised Rates for Other Areas |
Federal Register Publications - FY 2003 DRG Notice of Revised Rates and Weights |
Federal Register Publications - FY 2002 DRG Notice of Revised Rates and Weights |
Federal Register Publications - FY 2001 DRG Notice of Revised Rates and Weights |
Federal Register Publications - FY 2000 DRG Notice of Revised Rates and Weights |
Federal Register Publications - FY 1999 DRG Notice of Revised Rates and Weights |
Federal Register Publications - September 10, 1998, Final Rule on TRICARE/CHAMPUS Reimbursement Revisions |
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Hospital Acquired Conditions (HAC) |
Hospital Acquired Conditions for Admissions on or after October 1, 2011 |
Hospital Acquired Conditions for Admissions on or after October 1, 2010 |
Hospital Acquired Conditions for Admissions on or after October 1, 2009 |
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Replacement Device Policy DRGs |
Replacement Device DRGs for Admissions on or after October 1, 2009 |
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Other Information |
Changes to TRICARE Rate Variables |
Cost-Share Per Diems under the DRG-based Payment System |
Link to TNEXTRICARE Reimbursement Manual (DRG Payment System information is contained in Chapter 6) |