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HCPF outlines EAPG implementation timeline, rate updates and rulemaking ahead of Medical Services Board hearings
Summary
Colorado Department of Health Care Policy & Financing officials told hospital stakeholders on a November engagement call that multiple payment and regulatory changes are moving through implementation and federal review.
Colorado Department of Health Care Policy & Financing officials told hospital stakeholders on a November engagement call that multiple payment and regulatory changes are moving through implementation and federal review.
Andrew Abalos, the department’s facility rate section manager, said the department plans to implement the Emergency Ambulatory Payment Group (EAPG) version 3.18 transition and a previously enacted 1.6% inpatient base‑rate increase at the same time. The fiscal agent Gainwell is targeting completion of the required system change request and installations by about Dec. 17, and the department intends to reprocess affected claims so that providers should not need to take system-level action.
“This should have the…
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