MS-DRG Calculation Assigment SP24 (1)

.xlsx

School

University of Notre Dame *

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Course

24

Subject

Medicine

Date

May 2, 2024

Type

xlsx

Pages

7

Uploaded by MinisterWorldBadger32

Basic MS-DRG Calculations Hospital Acadiana Medical Center Base Rate $6,200 MS-DRG 387 Inflammatory bowel disease w/o RW 0.7349 Charges $ 9,456.82 CCR 0.429 LOS 3 MS-DRG Reimbursement $ 4,556.38 Cost of the encounter $ 4,056.98 Profit/Loss $ 499.40 Example: This example shows how to calculate the MS-DRG reimbursement rate for an acute care inpatient admission. hospital specific base rate we are using for this example incl adjustments for IME, DSH and wage index.
o CC/MCC Multiply the fully adjusted hospital specific base rate * the MS-DRG Relative Weight (RW) $6,200 * 0.7349 Multiply the charges * the cost to charge ration (CCR) $9,456.82*0.429 $4,556.38-4,046.98 Take MS-DRG Reimbursement and subtract the cost of the encounter. Remember if it's a positive number we made a profit, if it's a negative number, it was a loss. G The ludes
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