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Calculate estimated reimbursement for facilities and case mix In the table below

ID: 242096 • Letter: C

Question

Calculate estimated reimbursement for facilities and case mix

In the table below is the listing of Community Hospital’s Top 10 MS-DRGs by Number of Discharges. Determine the MS-DRG weight, total weight and the estimated reimbursement to the facility for each DRG as well as the case mix for this group of MS-DRGs.

Community Hospital has a base rate of $5,750

Go to the Centers for Medicare and Medicaid Services website (Links to an external site.)Links to an external site. for the current weights. Download Table 5 at the bottom of the page. Use information on Table 5 to complete the assignment.

·         Enter the weight of the MS-DRG – use the Table 5 information

·         Multiply the weight by the number of discharges – this gives you the total weight

·         Take the Base Rate for the hospital and multiply that by the weight - - this gives you the estimated revenue for that MS-DRG for an individual patient. – You compute this for the total group of patients.

·         Determine the estimated reimbursement for each MS-DRG.

·         Determine the case mix for this group of patients.

Community Hospital

Top 10 MS-DRGs by Discharge

MS-DRG

DRG Name

No. of Discharges

MS-DRG Weight

Total Weight

Total Estimated Reimbursement

73

Cranial & peripheral nerve disorders w MCC

230

114

Orbital procedures w/o CC/MCC

202

135

Sinus & mastoid procedures w CC/MCC

198

154

Other Ear, Nose, Mouth & Throat Diagnoses w MCC

145

163

Major chest procedures w MCC

120

186

Pleural effusion w MCC

103

194

Simple pneumonia & pleurisy w CC

96

207

Respiratory system diagnosis w ventilator support 96+ hours

83

Community Hospital

Top 10 MS-DRGs by Discharge

MS-DRG

DRG Name

No. of Discharges

MS-DRG Weight

Total Weight

Total Estimated Reimbursement

73

Cranial & peripheral nerve disorders w MCC

230

114

Orbital procedures w/o CC/MCC

202

135

Sinus & mastoid procedures w CC/MCC

198

154

Other Ear, Nose, Mouth & Throat Diagnoses w MCC

145

163

Major chest procedures w MCC

120

186

Pleural effusion w MCC

103

194

Simple pneumonia & pleurisy w CC

96

207

Respiratory system diagnosis w ventilator support 96+ hours

83

Explanation / Answer

Community Hospital

Top 10 MS-DRGs by Discharge

MS-DRG

DRG Name

No. of Discharges

MS-DRG Weight

Total Weight

Total Estimated Reimbursement

73

Cranial & peripheral nerve disorders w MCC

230

114

Orbital procedures w/o CC/MCC

202

135

Sinus & mastoid procedures w CC/MCC

198

154

Other Ear, Nose, Mouth & Throat Diagnoses w MCC

145

1.4237

206.4365

total estimated price based on conversion factor

163

Major chest procedures w MCC

120

2.5817

309.804

estimated price based on conversion factor

186

Pleural effusion w MCC

103

1.5519

159.8457

estimated price based on conversion factor

194

Simple pneumonia & pleurisy w CC

96

0.9469

90.9024

estimated price based on conversion factor

207

Respiratory system diagnosis w ventilator support 96+ hours

83

5.3364

442.9212

based on conversion factor

Community Hospital

Top 10 MS-DRGs by Discharge

MS-DRG

DRG Name

No. of Discharges

MS-DRG Weight

Total Weight

Total Estimated Reimbursement

73

Cranial & peripheral nerve disorders w MCC

230

13196 303.508 Total estimated rembuirsement based on conversion factor

114

Orbital procedures w/o CC/MCC

202

2,0972 394.506 Total estimated price based on conversion facotr

135

Sinus & mastoid procedures w CC/MCC

198

1.0515 208.197 Total estimated price based on conversion factor

154

Other Ear, Nose, Mouth & Throat Diagnoses w MCC

145

1.4237

206.4365

total estimated price based on conversion factor

163

Major chest procedures w MCC

120

2.5817

309.804

estimated price based on conversion factor

186

Pleural effusion w MCC

103

1.5519

159.8457

estimated price based on conversion factor

194

Simple pneumonia & pleurisy w CC

96

0.9469

90.9024

estimated price based on conversion factor

207

Respiratory system diagnosis w ventilator support 96+ hours

83

5.3364

442.9212

based on conversion factor

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