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IPPS_Final_Rule_Exercise - Hospital Case-Mix Indexes for...

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HCA 580 Inpatient Prospective Payment System Exercise Instructions: Use the final rule for the IPPS 2010 found at http://edocket.access.gpo.gov/2010/pdf/2010-19092.pdf answer the following questions: 1. Name 1 ICD-9-CM code that has been added to the MS-DRG CC list; name 1 that has been deleted. 2. After reviewing the section on Add-on Payments name one technology that has been approved for an add-on payment and one (if any) that was not approved. 3. According to the Final Rule, what are the two methods by which a hospital may qualify for the Medicare DSH payment (the second one is very complex – just give a general description). 4. According to table 2 of
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Unformatted text preview: Hospital Case-Mix Indexes for Discharges occurring in Federal Fiscal year 2009, give the case mix indices for the following providers: a. 010010 b. 050230 What do these case mix indices tell you about the types of patients that are seen in the facility? 5. Using Table 5 - List of Medicare Severity Diagnosis-Related Groups, Relative Weighting Factors, and Geometric and Arithmetic Mean Length of Stay, complete the following table: MS-DRG Type Title Weight GLOS ALOS 023 190 782 075 076 471 472 473 In reviewing these “paired” MS-DRGs, what insights do you have about what are important concerns to bring up with your coding staff?...
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IPPS_Final_Rule_Exercise - Hospital Case-Mix Indexes for...

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