Question: Referencing Figure 1 and using CMS Table 5 (Excel format) for List of MS-DRGs, Relative Weighting Factors and Geometric and Arithmetic Mean Length of Stay,
Referencing Figure 1 and using CMS Table 5 (Excel format) for List of MS-DRGs, Relative Weighting Factors and Geometric and Arithmetic Mean Length of Stay, determine the hospital's Adjusted Base Payment rates for Coronary Bypass without Cardiac Cath procedure with Major Comorbidity and Complications Coronary Bypass without Cardiac Cath procedure without Major Comorbidity and Complications using the operating base rate for 2022 unadjusted for geographic factors, no add-ons for IME and DSH, and staying the full length of stay. What is the difference in geometric expected length of stay between the two DRGs? What are the quality incentive payments and penalties CMS is currently administrating? Assuming your local hospital has $30,000,000 in base DRG payments, how/ much does each quality indicator put at risk or reward? Referencing Figure 1 and using CMS Table 5 (Excel format) for List of MS-DRGs, Relative Weighting Factors and Geometric and Arithmetic Mean Length of Stay, determine the hospital's Adjusted Base Payment rates for Coronary Bypass without Cardiac Cath procedure with Major Comorbidity and Complications Coronary Bypass without Cardiac Cath procedure without Major Comorbidity and Complications using the operating base rate for 2022 unadjusted for geographic factors, no add-ons for IME and DSH, and staying the full length of stay. What is the difference in geometric expected length of stay between the two DRGs? What are the quality incentive payments and penalties CMS is currently administrating? Assuming your local hospital has $30,000,000 in base DRG payments, how/ much does each quality indicator put at risk or reward
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