TRICARE Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) FY 2007 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 2007. The updates include new fixed loss cost outliner threshold, cost-to-charge ratios, and access to updated standardized amounts and DRG relative weights.