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Cavallo Hospital is evaluating their profit/loss for their most common procedures. In order to do so, they are evaluating the following DRGs for actual reimbursement

Cavallo Hospital is evaluating their profit/loss for their most common procedures. In order to do so, they are evaluating the following DRGs for actual reimbursement vs their charges. ** Remember to round your numbers up when you are calculating.

MSDRG Case Weight Charges ALOS
560 0.5295 $7,532.22 2
775 0.525593 $7,330.74 4
203 0.6501 $7,300.17 2
897 0.651277 $6,876.54 4
144 1.6989 $23,525.11 3
541 0.911094 $12,107.85 3

1. Assuming the base rate is $11,500, how is Cavallo Hospital performing according to their charges versus the DRG payment (quantify and show your work)?

2. What would the reimbursement need to be at a per diem rate to receive the same reimbursement as the DRG payment, that is, if the DRG payment is $5000, and ALOS 5, how much would the per diem rate need to be to receive the same $5000 payment? Show your work.

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