WebDMAS. 600 East Broad Street Richmond Virginia. 23219 For Medicaid Enrollment Web: www.coverva.org Tel: 1-833-5CALLVA TDD: 1-888-221-1590 WebApr 12, 2024 · Answer: The EAPG is just a code under which similar services are grouped. The weight associated with the EAPG can be found in a spreadsheet attached to the EAPG Page on the ForwardHealth Portal. To estimate your payment, multiply the weight associated with the EAPG times your provider rate. Question Number: 590.

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WebAug 12, 2024 · Eighteen state Medicaid agencies, including Florida, and 13 commercial payers have adopted Enhanced Ambulatory Patient Groups (EAPGs) for payment. … WebOct 1, 2024 · The EAPG software is customized for the payer to perform either the grouping or the pricing or both. 14. How often is the EAPG Grouper/Pricer updated? 3M HIS updates the EAPG software on a quarterly basis which may involve diagnosis or procedure code updates and other changes. The DC Medicaid Management Information System (MMIS) … greenhouse internists fax number

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WebJul 20, 2024 · Medicaid programs currently using EAPGs include: New York, Virginia, Wisconsin, Illinois, Massachusetts, Florida, Washington, Colorado, and Washington, DC for payment; and Massachusetts for service-mix adjustment. Medicaid programs with planned EAPG implementations for outpatient hospital services are: Ohio, Nebraska, and Arkansas. Webbeneficiaries, the 3M EAPG System captures the current changes in clinical practice and resource use and can provide a broader, more inclusive classification of … WebSame 3M EAPG consolidation refers to the situation where two of the same 3M EAPG codes appear on the claim. This does not mean the same HCPCS code. When two lines group to the same significant procedure 3M EAPG, one is paid and the second is not paid separately. Clinical 3M EAPG consolidation is where two 3M EAPG codes are defined … flybe plain