RFI #
1794
APR-DRG & EAPG returned on 835
Description
The answer to 1794 stated APR-DRG would be supported on 6020. Will EAPG by supported as a type of DRG or in another way? In the meantime, is it recommended to report EAPG in the 2110 REF Service Identification with REF01 = 1F Ambulatory Patient Group APG with EAPG returned in REF02?
Thank you!
RFI Response
The 2110 REF includes qualifier 1S for APG and should be used for this situation.
Note that in version 005010, a qualifier 1F for APG is not permitted in the 2110 REF segment and should not be used.
There is a solution planned for the next version of the 835 to address other payment methodologies such as APG and EAPG.
DOCUMENT ID
005010X221