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Calculate the expected reimbursement for the following DRG’s. Community Hospital

ID: 368831 • Letter: C

Question

Calculate the expected reimbursement for the following DRG’s.Community Hospital has a Labor amount of $3,260; a wage index of 0.8934; and a non-labor amount of $2,000

MS

DRG

DESCRIPTION

Relative    Weight

Expected Reimbursement

061

Acute Ischemic Stroke with use of Thrombolytic Agent w MCC

190

Chronic Obstructive Pulmonary Disease w MCC

231

Coronary Bypass w PTCA w MCC

483

Major Joint & Limb Reattachment Procedure of Upper Extremity w CC/MCC

820

Lymphoma & Leukemia w Major OR Procedure w MCC

MS

DRG

DESCRIPTION

Relative    Weight

Expected Reimbursement

061

Acute Ischemic Stroke with use of Thrombolytic Agent w MCC

190

Chronic Obstructive Pulmonary Disease w MCC

231

Coronary Bypass w PTCA w MCC

483

Major Joint & Limb Reattachment Procedure of Upper Extremity w CC/MCC

820

Lymphoma & Leukemia w Major OR Procedure w MCC

Explanation / Answer

Operating base payment rate =

(Labor Share * Wage Index) + (Non Labor Share * Cost of Living Adjustment)

3260x0.8934+2000 x1 = 2912.48+2000 = 4912.38

Operating payment = Operating base payment rate x DRG relative weight

The table is given below.

MS DESCRIPTION Relative    Weight Expected Reimbursement DRG 61 Acute Ischemic Stroke with use of Thrombolytic Agent w MCC 2.6843 13186.30 190 Chronic Obstructive Pulmonary Disease w MCC 1.1578 5687.55 231 Coronary Bypass w PTCA w MCC 7.8056 38344.07 483 Major Joint & Limb Reattachment Procedure of Upper Extremity w CC/MCC 2.4127 11852.09 820 Lymphoma & Leukemia w Major OR Procedure w MCC 13.3054 65361.18
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