Determine what the DRG numbers, descriptions and weights are for the following procedures (a portion of this memo can be in table form) 1.lower extremity/joint replacement with major complications 2. Same as above with out complications 3. Coronary artery bypass graft (CABG) with major complications but no cauterizations. 3. Appendectomy with ER visit w/o complicated diagnosis w? MCC
> from the above information, and assuming a Medicare base rate of $7,000, determine what Medicare will pay for each of the procedure
> assuming a hospital's gross charges are 210% of Medicare reimbursement, determine the contractual adjustment for each of the procedures
> assuming these four procedures are representative of ALL the others performed at this hospital, what is the hospital's case-mix index?
> what is the significance of a hospital's case-mix index (what does the CMI mean)?
> what DRG (number and description) from the about 900+/- has the higher weight:, which has the lowest?
> what is the national average CMI?
You will likely want to refer to the Centers for medicare and medicaid website..
Please answer all of those question in a memo form with table