Administration wants to know the estimated Medicare-Severity Diagnosis-Related Group…

Administration wants to know the estimated Medicare-Severity Diagnosis-Related Group (MS-DRG) payment for several MS-DRGs. The grouper on your system has crashed. Administration needs this information immediately, so you need to caluclate the MS-DRG payments manually. The add-on percentage for your facility is 2.0%. The hospital’s base rate is $7,320.50. The MS-DRGs that administration is concerned about are show in Table 4-7. Use table 4-6 to enter the relative weight from Table 4-7 and clauclate the stimated payment. (M S-D R G relative weight × hospital-specific adjusted base payment rate) +provision payments = reimbursement TABLE 4-6 MS-DRGs with Relative Weight and Estimated Payment MS-DRGs with Relative Weight and Estimated Payment MS-DRG MS-DRG Title Relative Weight Estimated Payment 190 Chronic obstructive pulmonary disease with MCC 1.1743 8,768.39 193 Simple pneumonia and pleurisy with MCC 1.4491 10,820.30 231 Coronary bypass with PTCA with MCC 7.7247 57,679.64 281 Acute myocardial infarction discharged alive with CC 1.0247 7,651.34 304 Hypertension with MCC 1.0016 7,478.86 334 Rectal resection without MCC/CC 1.6032 11,970.95 374 Digestive malignancy with MCC 2.0182 15,069.72 389 GI obstruction with CC 0.8717 6,508.91 472 Cervical spinal fusion with CC 2.9166 21,777.99 509 Arthroscopy 1.5494 11,569.23 TABLE 4-7 MS-DRG Titles of MS-DRGs Used in Table 4-6 MS-DRG MS-DRG Title Relative Weight 190 Chronic obstructive pulmonary disease with MCC 1.1743 193 Simple pneumonia and pleurisy with MCC 1.4491 231 Coronary bypass with PTCA with MCC 7.7247 281 Acute myocardial infarction discharged alive with CC 1.0247 304 Hypertension with MCC 1.0016 334 Rectal resection without MCC/CC 1.6032 374 Digestive malignancy with MCC 2.0182 389 GI obstruction with CC 0.8717 472 Cervical spinal fusion with CC 2.9166 509 Arthroscopy 1.5494