Calendar Year 2023 Direct Care Inpatient Adjusted Standardized

THE ASSISTANT SECRETARY OF DEFENSE

1200 DEFENSE PENTAGON

WASHINGTON, DC 20301-1200

HEALTH AFFAIRS

MEMORANDUM FOR UNDER SECRETARY OF DEFENSE (COMPTROLLER)

SUBJECT: Calendar Year 2023 Direct Care Inpatient Adjusted Standardized Amounts and

Room and Board Billing Rates and Guidance

The attached document contains the Department of Defense (DoD) Uniform Business

Office (UBO) Calendar Year (CY) 2023 Direct Care Inpatient and Room and Board Billing

Rates. These rates are effective January 1, 2023. Please post this package to the Comptroller’s

website, (https://comptroller.defense.gov/Financial-Management/Reports/rates2023/) as “CY

2023 Direct Care Inpatient Billing Rates.”

The attached rates are used when billing for medical services furnished to inpatients at

military medical treatment facilities (MTFs). The Adjusted Standardized Amounts (ASAs) are

based on an indexing methodology that aligns with changes in TRICARE institutional and

professional services reimbursement rates. The institutional ASA average ratio for CY 2023 is

3.66 percent. This increase reflects the average TRICARE increase in reimbursement over a 14-

year Fiscal Year (FY) indexing period (FYs 2006 – 2022).

As of CY 2022, the DoD implemented a new electronic health record billing and

accounting system. At the time of implementation, and at the identified pilot and subsequent

MTF site implementations, the inpatient billing rates methodology will switch to Itemized

Resource Utilization-based (IRU) rates from the previous ASA rate methodology. The

methodology for IRU-based rates is authorized and outlined in title 32 Code of Federal

Regulations, section 220.8. The IRU billing rates are developed from the cost to provide

inpatient and ambulatory institutional healthcare resources to patients. Sites not transitioning to

the new billing system during CY 2023 will continue to utilize the outlined ASA billing rates.

Between January 1, 2023 – December 31, 2023, the 2023 TRICARE DRG case weights will be

used in conjunction with the CY 2023 ASA rates.

The point of contact for this action is Ms. DeLisa Prater, DHA UBO Program Manager.

She may be reached at (703) 275-6380, or at delisa.e.prat[email protected].

Seileen M. Mullen

Acting

Attachment:

As stated

MULLEN.SEI

LEEN.MARIE

.1519853007

Digitally signed by

MULLEN.SEILEEN.MA

RIE.1519853007

Date: 2023.01.13

14:00:16 -05'00'

Department of Defense Uniform Business Office

Calendar Year 2023 Direct Care Inpatient Adjusted Standardized Amounts and Room and

Board Billing Rates and Guidance

1.0 Calendar Year 2023 Direct Care Inpatient Adjusted Standardized Amount and Room

and Board Rates and Charges effective 1 January 2023.

Overview

The Calendar Year (CY) 2023 Direct Care Inpatient Adjusted Standardized Amounts (ASA)

rates are computed based on the Military Health System (MHS) direct care standardized cost to

provide a single Medicare Severity Relative Weighted Product (MS-RWP). The MS-RWP is a

Medicare Severity Diagnosis Related Group (MS-DRG) based measure of the relative cost of a

given discharge. The average standardized cost per MS-RWP for hospitals in locations with area

wage rates greater than, less than or equal to 1.0, and overseas are published annually as

inpatient ASAs shown in Table 1. This approach maintains compatibility with both Medicare

and TRICARE ASA policies.

• As of January 1, 2022, release of the Defense Health Agency (DHA) Uniform Business

Office (UBO) Direct Care Inpatient ASAs aligns with the change in release of the

TRICARE DRGs—meaning that they will be released on a CY basis and be effective

from January 1 – December 31 of a given CY.

• Between January 1, 2023 – December 31, 2023, the 2023 TRICARE DRG case weights

will be used in conjunction with the CY 2023 ASA rates.

The Department of Defense (DoD) publishes this data annually for hospital reimbursement rates

under TRICARE/Civilian Health and Medical Program of the Uniformed Services pursuant to

title 32 Code of Federal Regulations, section 199.14(a)(1). Due to data system limitations, for

military medical treatment facilities (MTFs), direct care adjustments are made for length of stay

(LOS) outliers rather than high cost outliers.

Table 1 provides the average direct care inpatient rates for third party billing, interagency billing

and International Military Education and Training (IMET) billing for high wage, low wage and

overseas facilities.

Table 1. Average CY 2023 Direct Care Inpatient Billing Reimbursement Rates Per MS-RWP

Wage Index

Average IMET

Rate

Average Interagency

Rate (IAR)

Average Full/TPC

Rate

Area Wage Index > 1.00

$10,197.23

$14,587.92

$15,391.35

Area Wage Index ≤ 1.00

$10,919.69

$15,055.55

$15,938.55

Overseas ^

$9,411.11

$20,856.50

$21,898.89

^ Hawaii and Alaska are not considered overseas for billing purposes.

The IMET program is a key funding component of U.S. security assistance that provides training

on a grant basis to students from allied and friendly nations. Authority for the IMET program is

found pursuant to title 22 United States Code (U.S.C.), section 2347. Funding is appropriated

from the International Affairs budget of the Department of State. Not all foreign national

patients participate in the IMET program.

The Interagency (IAR) ASA rates are used to bill other federal agencies.

The full/Third Party Collection (TPC) ASA rates are used to bill insurance carriers, pay patients,

and other payers.

Each MTF providing inpatient care has its own applied ASA rates (shown in Appendix A). The

MTF-specific ASA rates are the average ASA rates adjusted for indirect medical education costs,

if any, for the discharging hospital. The product of the discharge specific MS-RWP and the

MTF-applied ASA rate is the charge submitted on the claim and is the amount payers will use

for reimbursement purposes. The individual ASAs are published on the DHA UBO Website

(https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Uniform-Business-

Office). Examples of how to calculate the reimbursement charges are shown in Section 2.0.

The ASA per MS-RWP used in the direct care system is comparable to procedures used by the

Centers for Medicare and Medicaid Services (CMS) and TRICARE. The expenses represented

by the ASAs include all direct care expenses associated with direct inpatient care.

• The inpatient ASAs includes the cost of both inpatient professional and institutional

services.

• The ASA rates apply to reimbursement from TPC, IMET and IAR payers.

• The breakdown of total inpatient charges is: 93 percent for institutional charges; and 7

percent for professional charges.

• When preparing bills for inpatient services:

o Professional fees are based on the privileged provider services.

o The hospital institutional fees are based on the costs for support staff, facility

costs, ancillary services, pharmacy, and supplies.

MTFs without inpatient services, whose providers perform inpatient care in a civilian facility for

a DoD beneficiary, may bill payers the percentage of the ASA/MS-RWP based charge that

represents professional services.

In the absence of an MTF-applied ASA rate for the facility, the ASA rate used will be based on

the average for the type of Core-Based Statistical Area in which the MTF is located—areas with

wage rate indices greater than, less than or equal to 1.0, or overseas. The MTF UBO must

receive documentation of care provided in order to produce an appropriate bill.

1.1 Family Member Rate (FMR)

The CY 2023 FMR is $21.30 per day. The FMR is established by authority of 10 U.S.C. §1078.

2.0 Examples Applying ASAs to Compute Inpatient Stay Charges

The cost to be recovered is the product of the MTF applied ASA rate and the MS-RWPs

specific to the inpatient medical services provided. This includes the costs of both

inpatient institutional and professional services. Billing in the examples below is at the

full/TPC rate.

For each MS-DRG, TRICARE establishes short stay and long stay thresholds. An inlier

is any discharge with a LOS greater than the short stay threshold, equal to or less than the

long stay threshold. An outlier is any discharge with a LOS less than or equal to the short

stay threshold or greater than the long stay threshold. Example charge computations are

provided below for inlier, outlier, and transfer discharges. The full list of TRICARE MS-

DRGs with MS-DRG case weights, long stay thresholds, short stay thresholds and other

information is provided by accessing the MHS UBO Site located on the MHS Secure Site

LaunchPad available to authorized UBO Service representative users with a Government

Common Access Card, or at the TRICARE Rates and Reimbursement website

(https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/TRICARE-

Health-Plan/Rates-and-Reimbursement/Diagnosis-Related-Group-Rates).

Table 2 provides the information used in the billing examples for a non-teaching hospital

(DMIS ID 0075 – Fort Leonard Wood Army Community Hospital, Fort Leonard Wood,

Missouri) in an Area Wage Index ≤ 1.00 location for a discharge in MS-DRG 762 –

Vaginal Delivery W Sterilization/D&C W MCC.

Table 2. Third Party Billing Examples

MS-

DRG

MS-DRG

Description

MS-DRG

Weight

Arithmetic

Mean LOS

Geometric

Mean LOS

Short Stay

Threshold

Long Stay

Threshold

762

Vaginal Delivery W

Sterilization/D&C W

MCC

0.8741

2.9

2.4

Hospital

Wage Index

Area Wage

Rate Index

IME

Adjustment

Group ASA

MTF-Applied

TPC ASA

General Leonard Wood

Army Community

Hospital

Area Wage

Index ≤ 1.0

0.7805

1.0000

$15,938.55

$14,573.06

Patient

Length of

Stay

Days

Above

Threshold

Relative Weighted Product

TPC

Amount

Inlier Outlier

Total

7 days

0.8741

7 days

21 days

0.8741

0.9615

21 days

Example #1 provides the example for the inlier LOS discharge in MS-DRG 762. The MS-RWP

for an inlier case is the TRICARE MS-DRG weight of 0.8741. The MS-DRG weight used is the

CY 2022 Version 39 TRICARE DRG weight.

a) The CY 2023 MTF-Applied TPC ASA rate is $14,573.06 (0075 General Leonard Wood

Army Community Hospital’s TPC rate as shown in Appendix A).

b) The MTF amount to be recovered is the MS-DRG weight (0.8741) multiplied by the

MTF-Applied TPC ASA ($14,573.06).

c) The inlier cost to be recovered is $12,738.31 as computed below.

TPC Amount Billed: MTF-Applied TPC ASA rate multiplied by the MS-DRG

weight.

= $14,573.06 x 0.8741 = $12,738.31

Example #2 provides the example for the outlier LOS discharge in MS-DRG 762. The total

MS-RWP for an outlier case is a combination of the TRICARE MS-DRG weight plus

additional MS-RWP credit for each day that the LOS exceeds the Long Stay Threshold. The

charge is determined by multiplying the total MS-RWPs by the ASA amount. The outlier

total MS-RWP value to be recovered is shown in the computation below.

a) For the outlier MS-RWP value calculation, 33 percent of the per diem weight is

multiplied by the number of outlier days. The number of outlier days is computed as

the actual LOS minus the Long Stay Threshold. Per diem weight is determined by

dividing by the MS-DRG weight by the Geometric Mean LOS.

b) LOS Outlier MS-RWP value calculation

= 0.33 (MS-DRG Weight/Geometric Mean LOS) x (Patient LOS - Long Stay

Threshold)

= 0.33 x (0.8741/2.4) x (21-13) = 0.33 x 0.36421 (carry out to five decimal

places) x (21-13)

= 0.12019 (carry out to five decimal places) x 8 = 0.9615 (carry out to four

decimal places)

c) The total MS RWP is the MS-DRG weight (0. 8741) added to the LOS outlier MS-

RWP value.

Total MS-RWP: 0.8741 + 0.9615 = 1.8356

d) The MTF amount to be recovered is the MTF-Applied TPC ASA rate ($14,573.06)

multiplied by the total MS-RWP.

TPC Amount Billed: MTF-Applied TPC ASA rate x Total MS-RWP

= $14,573.06 x 1.8356

= $26,750.31

3.0 Room and Board Rates

As of CY 2022, the legacy method of billing inpatient charges through ASA rates will no longer

be utilized upon implementation of the MHS GENESIS Revenue Cycle billing system due to the

switch to Itemized Inpatient Billing from DRG-based billing. Room & Board charges will be

developed based on Occupied Bed Day (OBD) Rates, and itemized billing will occur for all other

captured procedures and services that previously rolled into the ASA DRG rate.

For CY 2023 Room and Board Rates, an inflation rate of 8.6 percent was applied to the CY 2022

Room and Board Rates, as FY 2022 Medical Expense and Performance Reporting System

(MEPRS) cost-based data is not yet available for OBD rate calculation. The inflation factor of

8.6% inflation factor was calculated factoring in the year-over-year 3.9 percent increase of

Consumer Price Index (CPI-U) Medical, as well as the 2.6 percent Military and 2.1 percent

Civilian Pay Raise Assumptions, per the FY 2021 President’s Budget. Since ASA rates utilize

MS-DRG and MS-RWP values, ASA rates should not be utilized when charging Room & Board

rates. Room & Board rates are calculated using OBD rates. These costs are a direct result of the

previous year’s costs associated with providing care at the Inpatient level, and do not include

medications, supplies, procedures performed, or any additional expenses other than providing a

room and bed for the beneficiary. Professional services, medications, durable medical

equipment, orthotics, supplies, and technical component of procedures performed other than the

institutional cost of the room and board rate will be charged according to the methodology

outlined in the Outpatient Rates policy letter.

Additionally, certain MTFs after the implementation of MHS GENESIS will no longer have

active MEPRS cost-based data by MTF that informs OBD and Room & Board rates. For these

MTFs, an inflation factor was calculated using a combination of the Operation & Maintenance

inflation rates and the Military and Civilian pay inflation rates year-over year, since the most

recent cost-based data for Occupied Bed Day rates was available.

Room & Board rates are the average of Occupied Bed Day Rates at each MTF within a Regional

Charge Table. Each MTF rolls up to a Regional Charge Table, which is documented in Appendix

B and the final Room & Bed rates that will be utilized are shown in Appendix C. Final Room &

Bed rates include rates for Intensive Care (1.2X) and Step-Down Care (1.1X),

Similar to ASA rates, regular Room & Board rates consist of the Full Cost rate, and adjustments

are applied such as the Interagency Rate, the IMET rate, and the TPC rate. The interagency rate

for CY 2023 consists of a 6.35 percent discount rate from the full rate, and the IMET rate for

foreign military personnel consists of a 39.03 percent discount from full rate, while the TPC rate

is equivalent to the Full Cost rate.

APPENDIX A: CY 2023 Adjusted Standardized Amounts (ASA) by MTF

Effective 1 January, 2023

DMISID MTF NAME SERV

FULL COST

RATE

INTERAGEN

CY RATE

IMET RATE TPC RATE

0005

ACH BASSETT-

WAINWRIGHT P $16,286.93 $15,436.75 $10,790.58 $16,286.93

0006

AF-H-673rd MEDGRP

JBER-ELMNDRF P $15,439.46 $14,633.52 $10,229.11 $15,439.46

0014

AF-MC-60th

MEDGRP-TRAVIS P $20,001.46 $18,957.38 $13,251.57 $20,001.46

0024

NH CAMP

PENDLETON N $21,489.82 $20,368.05 $14,237.65 $21,489.82

0029

NMC SAN DIEGO

$23,585.76

$22,354.58

$15,626.27

$23,585.76

0030

NH TWENTYNINE

PALMS N $15,516.10 $14,706.16 $10,279.88 $15,516.10

0032

ACH EVANS-

CARSON P $15,493.39 $14,684.64 $10,264.84 $15,493.39

0039

NH JACKSONVILLE

$21,597.17

$20,400.69

$14,796.47

$21,597.17

0042

AF-H-96th MEDGRP-

EGLIN P $19,987.08 $18,879.80 $13,693.38 $19,987.08

0047

AMC EISENHOWER-

FT GORDON P $19,462.11 $18,383.91 $13,333.72 $19,462.11

0048

ACH MARTIN-FT

BENNING P $18,954.53 $17,904.45 $12,985.97 $18,954.53

0049

ACH WINN-FT

STEWART P $14,315.99 $13,522.88 $9,808.05 $14,315.99

0052

AMC TRIPLER-

SHAFTER P $26,764.41 $25,367.31 $17,732.23 $26,764.41

0057

ACH IRWIN-RILEY

$14,817.58

$13,996.69

$10,151.70

$14,817.58

0060

ACH

BLANCHFIELD-FT

CAMPBELL

P $14,901.10 $14,075.58 $10,208.92 $14,901.10

DMISID MTF NAME SERV

FULL COST

RATE

INTERAGEN

CY RATE

IMET RATE TPC RATE

0064

ACH BAYNE-JONES-

POLK P $15,024.92 $14,192.54 $10,293.75 $15,024.92

0067

WALTER REED

NATL MIL MED

CNTR

P $27,865.22 $26,410.66 $18,461.55 $27,865.22

0073

AF-MC-81st

MEDGRP-KEESLER P $21,061.61 $19,894.80 $14,429.55 $21,061.61

0075

ACH LEONARD

WOOD P $14,573.06 $13,765.71 $9,984.17 $14,573.06

0079

AF-MC-99th

MEDGRP-NELLIS P $17,615.55 $16,696.02 $11,670.83 $17,615.55

0086

ACH KELLER-WEST

POINT P $18,083.86 $17,139.88 $11,981.10 $18,083.86

0089

AMC WOMACK-

BRAGG P $18,281.03 $17,268.26 $12,524.55 $18,281.03

0091

NMC CAMP

LEJEUNE N $16,415.47 $15,506.05 $11,246.43 $16,415.47

0095

AF-MC-88th

MEDGRP-WRIGHT-

PAT

P $21,415.00 $20,228.61 $14,671.66 $21,415.00

0104

NH BEAUFORT

$15,587.07

$14,723.55

$10,678.88

$15,587.07

0108

AMC WILLIAM

BEAUMONT-FT

BLISS

P $19,664.94 $18,575.50 $13,472.68 $19,664.94

0109

AMC BAMC-FSH

$24,654.41

$23,288.56

$16,891.02

$24,654.41

0110

AMC DARNALL-FT

HOOD P $16,839.20 $15,960.19 $11,156.48 $16,839.20

0123

FT BELVOIR

COMMUNITY HOSP-

FBCH

P $17,221.23 $16,322.28 $11,409.58 $17,221.23

0124

NMC PORTSMOUTH

$20,937.07

$19,777.16

$14,344.23

$20,937.07

DMISID MTF NAME SERV

FULL COST

RATE

INTERAGEN

CY RATE

IMET RATE TPC RATE

0125

AMC MADIGAN-FT

LEWIS P $28,914.70 $27,405.35 $19,156.86 $28,914.70

0126

NH BREMERTON

$15,942.43

$15,110.24

$10,562.34

$15,942.43

0131

ACH WEED-IRWIN

$16,121.84

$15,280.28

$10,681.20

$16,121.84

0607

LANDSTUHL

REGIONAL

MEDCEN

A $21,898.89 $20,856.50 $9,411.11 $21,898.89

0612

ACH BRIAN D

ALLGOOD-

PYEONGTAEK

A $21,898.89 $20,856.50 $9,411.11 $21,898.89

0615

NH GUANTANAMO

BAY N $21,898.89 $20,856.50 $9,411.11 $21,898.89

0617

NH NAPLES

$21,898.89

$20,856.50

$9,411.11

$21,898.89

0618

NH ROTA

$21,898.89

$20,856.50

$9,411.11

$21,898.89

0620

NH GUAM-AGANA

$21,898.89

$20,856.50

$9,411.11

$21,898.89

0621

NH OKINAWA

$21,898.89

$20,856.50

$9,411.11

$21,898.89

0622

NH YOKOSUKA

$21,898.89

$20,856.50

$9,411.11

$21,898.89

0624

NH SIGONELLA

$21,898.89

$20,856.50

$9,411.11

$21,898.89

0633

AF-H-48th MEDGRP-

LAKENHEATH F $21,898.89 $20,856.50 $9,411.11 $21,898.89

0638

AF-H-51st MEDGRP-

OSAN F $21,898.89 $20,856.50 $9,411.11 $21,898.89

0639

AF-H-35th MEDGRP-

MISAWA F $21,898.89 $20,856.50 $9,411.11 $21,898.89

0640

AF-H-374th

MEDGRP-YOKOTA F $21,898.89 $20,856.50 $9,411.11 $21,898.89

Appendix B. Regional Charge Table by MTF

DMIS

MTF NAME

REGIONAL

CHARGE TABLE

0005

ACH BASSETT-WAINWRIGHT

Alaska

0006

AF-H-673rd MEDGRP JBER-ELMNDRF

Alaska

0014

AF-MC-60th MEDGRP-TRAVIS

Sacramento

0024

NH CAMP PENDLETON

San Diego

0029

NMC SAN DIEGO

San Diego

0030

NH TWENTYNINE PALMS

San Diego

0032

ACH EVANS-CARSON

Colorado

0039

NH JACKSONVILLE

Florida

0042

AF-H-96th MEDGRP-EGLIN

Florida

0047

AMC EISENHOWER-FT GORDON

Georgia

0048

ACH MARTIN-BENNING

Georgia

0049

ACH WINN-STEWART

Georgia

0052

AMC TRIPLER-SHAFTER

OCONUS

0057

ACH IRWIN-RILEY

Kansas

0060

ACH BLANCHFIELD-CAMPBELL

Kentucky

0064

ACH BAYNE-JONES-POLK

Texas

0067 WALTER REED NATL MIL MED CNTR

National Capital

Region

0073

AF-MC-81st MEDGRP-KEESLER

Mississippi

0075

ACH LEONARD WOOD

Kansas

0079

AF-MC-99th MEDGRP-NELLIS

Sacramento

0086

ACH KELLER-WEST POINT

Georgia

0089

AMC WOMACK-BRAGG

North Carolina

0091

NMC CAMP LEJEUNE

North Carolina

0095

AF-MC-88th MEDGRP-WRIGHT-PAT

Kentucky

0104

NH BEAUFORT

Georgia

0108

AMC WILLIAM BEAUMONT-BLISS

Texas

0109

AMC BAMC-FSH

Texas

0110

AMC DARNALL-HOOD

Texas

0120

AF-H-633rd MEDGRP JBLE-LANGLEY

Tidewater

0123 FT BELVOIR COMMUNITY HOSP-FBCH

National Capital

Region

0124

NMC PORTSMOUTH

Tidewater

0125

AMC MADIGAN-LEWIS

Puget Sound

DMIS

MTF NAME

REGIONAL

CHARGE TABLE

0126

NH BREMERTON

Puget Sound

0131

ACH WEED-IRWIN

San Diego

0607

LANDSTUHL REGIONAL MEDCEN

OCONUS

0612

ACH BRIAN D ALLGOOD-PYEONGTAEK

OCONUS

0615

NH GUANTANAMO BAY

OCONUS

0617

NH NAPLES

OCONUS

0618

NH ROTA

OCONUS

0620

NH GUAM-AGANA

OCONUS

Appendix C Room & Board Rates

Effective 1 January 2023

Regional

Charge Table

Full Cost Rate

Intensive Care

Rate (1.2X)

Step Down Rate

(1.1X)

Alaska

$ 2,764.00

$ 3,316.80

$ 3,040.40

Colorado

$ 4,612.22

$ 5,534.67

$ 5,073.44

Florida

$ 5,632.81

$ 6,759.37

$ 6,196.10

Georgia

$ 5,552.72

$ 6,663.26

$ 6,107.99

Kansas

$ 3,829.93

$ 4,595.92

$ 4,212.92

Kentucky

$ 5,618.51

$ 6,742.21

$ 6,180.36

Mississippi

$ 7,853.83

$ 9,424.60

$ 8,639.22

National Capital

Region

$ 5,404.98 $ 6,485.97 $ 5,945.48

Non-US

$ 5,688.60

$ 6,826.31

$ 6,257.46

North Carolina

$ 4,301.78

$ 5,162.13

$ 4,731.95

Puget Sound

$ 7,008.63

$ 8,410.35

$ 7,709.49

Sacramento

$ 7,822.15

$ 9,386.58

$ 8,604.37

San Diego

$ 4,368.88

$ 5,242.65

$ 4,805.77

Texas

$ 5,027.54

$ 6,033.04

$ 5,530.29

Tidewater

$ 8,739.38

$ 10,487.25

$ 9,613.32

Appendix D. Acronyms

Army

ACH

Army Community Hospital

AFB

Air Force Base

AMC

Army Medical Center

ASA

Adjusted Standardized Amount

CC/MCC

Complications and Comorbidities/Major Complications and Comorbidities

CHAMPUS

Civilian Health and Medical Program of the Uniformed Services

CMS

Centers for Medicare and Medicaid Services

DHA

Defense Health Agency

DMIS ID

Defense Medical Information System Identifier

DOD

Department of Defense

Air Force

FMR

Family Member Rate

GRP

Group

IAR

Average Interagency Rate

IME

Indirect Medical Education

IMET

International Military Education and Training

LOS

Length of Stay

MEPRS

Medical Expense and Performance Reporting System

MS-DRG

Medicare Severity Diagnosis Related Group

MS-RWP

Medicare Severity Relative Weighted Product

MTF

Military Treatment Facilities

Navy

Naval Hospital

NMC

Naval Medical Center

OBD

Occupied Bed Day

National Capital Region (NCR)

TPC

Third Party Collection

UBO

Uniform Business Office

USAF

United States Air Force