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ABC A % 2 87 Word O duelill Mac 3 hall A - In-class assignment Inpatient Reimbursement-- Questions (9) - ...| gigg HU wilali bis . . . Ap " Aa A A v 12 v Times New... mail M clewbel ! sjo blair blais VALA x x2 ab U I B Application Exercises 1. IPF PPS: Use the information found in figures 1-2 (below) and tables [6.6 to 6.11] from the textbook to complete table 1 in order to determine the IPFPPS reimbursement for this encounter Figure 1: Facility Information Bed size: 350 beds Location: Columbus, Ohio Classification: Rural Wage Index: .9806 Full Service ED: Yes Per-diem unadjusted rate: $651.76 Figure 2: Claim Information Admit Date: January 1, 2018 |Discharge Date: January 15, 2018 LOS: 14 days Patient Age: 62 6 Lis jo Principal Diagnosis: 295.34 Paraphrenic schizophrenia, chronic with acute exacerbation Secondary Diagnosis: 301.6 Dependent personality disorder Secondary Diagnosis: 250.02 |Uncontrolled diabetes mellitus MS-DRG: 885 Psychoses LECT treatments: 90870 3 units $280.60 per unit IPFPPS Payment Determination Steps (Use these steps to complete the tables below.) Step One: Wage index adjust the labor portion of the per-diem rate Step Two: Apply COLA to the non-labor portion of the per-diem rate if applicable Step Three: Add results of step one and step two to determine the wage adjusted per-diem rate Step Four: Step Five: Apply the patient-level and facility-level adjustments Multiply the PPS adjustment factor by the wage adjusted per-diem rate to calculate the adjusted per-diem rate Step Six: Step Seven: Identify whether the facility has a qualifying ED Multiply the adjusted per-diem rate by the LOS adjustment factor for each day of the stay to calculate the per-diem payment amount Step Eight: Sum the per-diem payment amounts calculated for each day of stay Step Nine: Calculate the adjusted ECT amount if applicable Step Ten: Sum payments to calculate IPFPPS reimbursement Table 1 100% + LX alats 1177 2009 P X O W A