Compute IPPS reimbursement ( both operating and capital ) ?for each hospital based on the presented MS
Question:
Compute IPPS reimbursement both operating and capital ?for each hospital based on the presented MSDRGs and discharges. Total reimbursement per line ?Reimbursement per MSDRG x discharges. As we did in minilectures, assume that IME and DSH are zero and that the Large Urban Addon is ?for all hospitals. All hospitals are assumed to have reported quality data and are assumed to be meaningful EHR users. Remember that when the wage index is ?the labor share is ?otherwise is
? Compute OPPS reimbursement of each hospital based on the presented CPT codes and visits. The labor share OPPS is always ? Here the total reimbursement per line ?APC payment x visits
? Total revenue is the sum of inpatient and outpatient reimbursements.
? The average expense for inpatient care is estimated to be $ ?per discharge. The average expense for outpatient care is estimated to be $ ?per visit.
? Total expense is the sum of inpatient and outpatient expenses.
? Profit ?Total revenue ?total expense
? Now construct a simple income statement for each of these hospitals and compare their profit per patient adjusted to wage index, CMI, and SMI. What do you think?
Cornerstones of Financial and Managerial Accounting
ISBN: 978-1111879044
2nd edition
Authors: Rich, Jeff Jones, Dan Heitger, Maryanne Mowen, Don Hansen