TRICARE Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) Fiscal Year 2014 DRG Updates

Summary

The TRICARE program has updated its Diagnosis Related Group (DRG) payment system to align with changes in the Medicare Prospective Payment System (PPS), effective for Fiscal Year 2014. The updates include a revised fixed loss cost outlier threshold and updated cost-to-charge ratios.