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Your hospital is reviewing its DRG coding patterns for Medicare. It has focused on two DRGs: 640 (Nutritional and Misc Metabolic Disorders w/ MCC) and 641 (Nutritional and Metabolic Disorders w/o CC).
There were 100 patients assigned to these two DR Gs: 50 to 640 and 50 to 641. National averages suggest that 85 should have been assigned to DRG 640 and 15 to DRG 641. Problem 1: Assuming an average payment of $6,000 per DRG with a case weight of 1.0, how much lost payment from Medicare may be resulting from poor coding and documentation?
Financial Statement Analysis and Preparation
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Computation of Free Cash Flow
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