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Assume a hospital adjusted payrate of $6,000. 1. Look at the table and choose a DRG that has three severities listed. For Example: DRGs
Assume a hospital adjusted payrate of $6,000. 1. Look at the table and choose a DRG that has three severities listed. For Example: DRGs 11, 12 and 13 are all for Tracheostomy for Face, Mouth or Neck Diagnosis or Laryngectomy. However one is for without CC (comorbidity) or MCC (major comorbity), one is with CC and one is with MCC. a. What DRG did you choose (5 pts)? I am going to choose 146- ear, nose, mouth and throate Malignancy W/CC b. What is the per case payment for this DRG (10 pts)? * note you will have to use the adjusted payrate and weight 2. Now choose the same principle diagnosis but with a different severity. If you chose with CC, choose without CC or MCC, or with MCC instead. *Please annotate what DRG you chose a. What is the per case payment for this DRG (10 pts)? b. Did the payment increase or decrease (10 pts)? 3. Look at the per case payment AND the length of stay for both DRGs. a. How did the per case payment and length of stay change as diagnosis severity increased/decreased (10 pts)? 4. If our hospital's adjusted payrate was $6,000. What DRG would yield the highest payment (5 pts)?
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