Calculate the cost, MS-DRG payment, Outlier add-on amount, Total payment, and profit/loss amount for each claim for each provider. IPPS high-cost outlier threshold for FY 2018 is $26,601.00. The hospital base rate $6200.00, CCR 0.429, MS-DRG 469, RW 3.2011, and total charges $50,995.12.

10/11/2020 High Outlier Payment This Submit v Due Monday by 11:59pm Points 100 Submitting a file upload payment is and when it's paid. Instructions: 1. Download assignment Minimize File Preview ZOOM Hospital A Hospital B Hospital Hospital D RW 0.429 $ 6.200.00 0.6215 6,200.00 0.429 8,000.00 0.621 s 8,000.00 Claim Information MS-DRG MS-DRG Description Major joint replacement or reattachment of lower extremity with MCC 003 ECMO or Tracheostomy with MV 96+ hours or PDX excluding face, moth & neck with major OR procedure 193 Simple pneumonia & pleurisy with MCC 459 Spinal fusion except cervical with MCC Hospital A Cost MS-DRG Payment Fixed-loss cost threshold Outlier Amount Total Payment Profit/Loss Claim 1 2 3 4 469 Total 3.2011 $ 50,995.12 17.6331 $ 323,54655 1.3733 $ 75,654.25 6.0377 $ 201,654.82 Claim 1 2 3 4 Everything you need to complete this assignment IS WITHIN this assignment. The only outside research that is required is an understanding of what an outlier payment is and when it's paid. If you do not know what an outlier is then you will not successfully complete this assignment. Contact your Instructor with questions prior to completing this assignment if you're unsure of what an outlier 10/11/2020 High Outlier Payment This Submit v Due Monday by 11:59pm Points 100 Submitting a file upload payment is and when it's paid. Instructions: 1. Download assignment Minimize File Preview ZOOM Hospital A Hospital B Hospital Hospital D RW 0.429 $ 6.200.00 0.6215 6,200.00 0.429 8,000.00 0.621 s 8,000.00 Claim Information MS-DRG MS-DRG Description Major joint replacement or reattachment of lower extremity with MCC 003 ECMO or Tracheostomy with MV 96+ hours or PDX excluding face, moth & neck with major OR procedure 193 Simple pneumonia & pleurisy with MCC 459 Spinal fusion except cervical with MCC Hospital A Cost MS-DRG Payment Fixed-loss cost threshold Outlier Amount Total Payment Profit/Loss Claim 1 2 3 4 469 Total 3.2011 $ 50,995.12 17.6331 $ 323,54655 1.3733 $ 75,654.25 6.0377 $ 201,654.82 Claim 1 2 3 4 Everything you need to complete this assignment IS WITHIN this assignment. The only outside research that is required is an understanding of what an outlier payment is and when it's paid. If you do not know what an outlier is then you will not successfully complete this assignment. Contact your Instructor with questions prior to completing this assignment if you're unsure of what an outlier