TRICARE ChampVA IP Tab

Use the ChampVA IP tab in the TRICARE node to define reimbursement terms for Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) inpatient surgeries.

The following table describes the fields on the ChampVA IP tab of the TRICARE node.

Field

Description

Acute

DRG Amount %

Percentage of DRG to use:

  • When a DRG Amount percentage override is defined, the DRG amount is reduced amount after the total DRG calculation.
  • When a DRG Amount percentage override is NOT defined, the DRG amount is calculated at 100% of the expected amount.

IDME %

Percentage of IDME to use.

Override Blood Products % of charges

Provides the option to override the reimbursement percentage for blood products (revenue codes 380-390).

Override Transplant Donor % of charges

Provides the option to override transplant donor charges by a specified percentage.

Override Amount

Provides the option to enter the specific reduction of the short stay outlier or cost outlier separate from the DRG reduction.

Rehab

Override Rehab % of charges

Percentage of charges.

Global

Truncate (do not round) total

Provides the option to truncate the total. For example if a total is 100.85, it is truncated to 100. If left unchecked, the total round. to 101.

Do not consume units

Provides the option not to consume units. This is used for contract carve outs.

Do not consume charges

Provides the option not to consume charges. This is used for contract carve outs.