What is the total payment to the hospital

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Reference no: EM13499784

Mrs. Smith is a 70-year-old hospitalized for a Kidney Transplant procedure. General Hospital is a large urban hospital in San Francisco that incurred $150,000 in Medicare-approved charges in treating Mrs. Smith. Use the information provided in this module as well as the Hospital Payments Example, which can be found in the Module 4 Presentation section, to answer the following questions. Include all formulas and calculations in your paper.

DRG

Description

Case Weight

115

Permanent Cardiac Pacemaker

3.5513

302

Kidney Transplant

4.1370

441

Hand Procedure/Surgery

0.8785

Case Assignment

Answer the following questions for Kidney Transplant only:

  1. What is the operating payment to be paid to the hospital?
  2. What is the capital payment to be paid to the hospital?
  3. Will the hospital be eligible for the Medicare outlier payment?
  4. What is the total payment to the hospital?

Reference no: EM13499784

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