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My assigned task is to calculate the expected total reimbursement amount according to gross (chargemaster) prices, the reimbursement model used, and

My assigned task is to calculate the expected total reimbursement amount according to gross (chargemaster) prices, the reimbursement model used, and the actual collections experience for two common procedures: CPT 73722 (MRI of the knee) and DRG 470 (major joint replacement w/ 4-day LOS) → and to complete the given table. Assume Part A is for inpatient services such as Joint Replacements and Part B is for outpatient services such as MRI procedures.


I am having trouble with the highlighted portion. Would I use 4 days for the LOS and then my per diem rate would be $2,044 a day or would I use the $284 and multiple that by 4 days?


Screen Shot 2018-11-03 at 11.30.01 AM.png

Screen Shot 2018-11-03 at 11.30.01 AM.png

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