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?
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