N.J. Admin. Code § 10:52-14.13

Current through Register Vol. 56, No. 21, November 4, 2024

Section 10:52-14.13 - Simultaneous cost outlier and day outlier payments

If a covered hospital inpatient stay is determined to be eligible for both a cost outlier and a day outlier payment, the total reimbursement will be the sum of the standard DRG payment, the cost outlier payment and the day outlier payment.