Fill in Safetynet please
HIT225 PPS Worksheet Methods of Paym. Provisions Adjustments Structure of Payment Disproportionate share 1. Establish initial payment Cost of Living Adjustment, hospital, indirect medical rate 2. MS-DRG assignment Inpatients MS-DRG case-mix, policy education, high-cost outlier, new medical adjustments, transfer 3. Policy adjustments for adjuestments hospitals that qualify 4. Add- services and technologies, on for high-cost outlier and LOS, MS-DRG, Comorbid 1. Per diem rate 2. Adjust for Outlier payments, initial stay Conditions, Older Patients, facility and patient Inpatient Per diem and readmission, medical ECT Treatments, Wage- characteristics 3. Adjust for Psychiatric necessity Index, Teaching hospital daily costs and ECT treatment emergency facility 4. Adjust for outlier overhead cost of practice, 1. appropriate coding of the Resource- tworates (lower, and Anesthesia, Underserved service provided by utilizing Based Relative Physician higher), PLI, MP area, quality, technology current procedural Value Scale terminology (CPT). (RBRVS) geographic pratice cost negative incentive, index appropriate coding of the diannasis using ICD-9 code Immediate response geographic adjustment payment. Additional factor, ground or air transport Ambulance HPCPS 10 payment is provided for the factor, milage not adjusted, extra overhead expenses multi patient trasport factor, incurred to stay prepared at transpor of deceased patient all times for emerdenou factor Packaging, bundling, partial 1. Conversion factor 2 adjusted for area wage 3. non hospitalization, discounting, lab related portion 4. Hospital Outpatient ICD 10 CM high cost outlier, Rural Cancer hospital adjustment, conversion factor multiplied hospital study, pass through by APC relative wight 5. payment Paument Provide designated surgical CMS established an ASC List 1. adjusted for geographical HCPCS Codes services to Medicare factors 2. Adjusted for L---:--... LIO.. Ambulance HPCPS II Hospital Outpatient ICD 10 CM Immediate response geographic adjustment payment, Additional factor, ground or air transport payment is provided for the factor, milage not adjusted, extra overhead expenses multi patient trasport factor, incurred to stay prepared at transpor of deceased patient all times for emergenau factor 1. Conversion laotor 2. Packaging, bundling, partial adjusted for area wage 3. non hospitalization, discounting, lab related portion 4. high cost outlier, Rural Cancer hospital adjustment, conversion factor multiplied hospital study, pass through by APC relative wight 5. payment, Paument Provide designated surgical 1. adjusted for geographical services to Medicare CMS established an ASC List factors 2. Adjusted for beneficiaries of Services and with this list is complexity of service 3. Under Medicare able to influence site of Multiply by APC relative rate 4. supplementary medical service Payment insurance program (Part RL OL policy, self dialysis Low olume adjustments, Wage index adjust labor portion of the base rate to training, Self-dialysis at patient age adjustment, body determine the wage-adjusted home provides an surface area, body mass baserate enhanced quality of life for index, new patient caveat, Apply the following patient beneficiaries comorbidity, and facilitu level.adiustments: HCPCS Codes Ambulatory Surgery and Payment Center Rates ESRD CPT Codes SafetyNet Hospice ICD 10 Codes 1. Assign each day of hospice wage index, quality care 2. adjust catogories and reporting programs, and geographical factors, base payment 3.multiply days policies, daily base payment intensity of human resource, catogories, and adjustment rate. factors. 4. Sum of all HIT225 PPS Worksheet Methods of Paym. Provisions Adjustments Structure of Payment Disproportionate share 1. Establish initial payment Cost of Living Adjustment, hospital, indirect medical rate 2. MS-DRG assignment Inpatients MS-DRG case-mix, policy education, high-cost outlier, new medical adjustments, transfer 3. Policy adjustments for adjuestments hospitals that qualify 4. Add- services and technologies, on for high-cost outlier and LOS, MS-DRG, Comorbid 1. Per diem rate 2. Adjust for Outlier payments, initial stay Conditions, Older Patients, facility and patient Inpatient Per diem and readmission, medical ECT Treatments, Wage- characteristics 3. Adjust for Psychiatric necessity Index, Teaching hospital daily costs and ECT treatment emergency facility 4. Adjust for outlier overhead cost of practice, 1. appropriate coding of the Resource- tworates (lower, and Anesthesia, Underserved service provided by utilizing Based Relative Physician higher), PLI, MP area, quality, technology current procedural Value Scale terminology (CPT). (RBRVS) geographic pratice cost negative incentive, index appropriate coding of the diannasis using ICD-9 code Immediate response geographic adjustment payment. Additional factor, ground or air transport Ambulance HPCPS 10 payment is provided for the factor, milage not adjusted, extra overhead expenses multi patient trasport factor, incurred to stay prepared at transpor of deceased patient all times for emerdenou factor Packaging, bundling, partial 1. Conversion factor 2 adjusted for area wage 3. non hospitalization, discounting, lab related portion 4. Hospital Outpatient ICD 10 CM high cost outlier, Rural Cancer hospital adjustment, conversion factor multiplied hospital study, pass through by APC relative wight 5. payment Paument Provide designated surgical CMS established an ASC List 1. adjusted for geographical HCPCS Codes services to Medicare factors 2. Adjusted for L---:--... LIO.. Ambulance HPCPS II Hospital Outpatient ICD 10 CM Immediate response geographic adjustment payment, Additional factor, ground or air transport payment is provided for the factor, milage not adjusted, extra overhead expenses multi patient trasport factor, incurred to stay prepared at transpor of deceased patient all times for emergenau factor 1. Conversion laotor 2. Packaging, bundling, partial adjusted for area wage 3. non hospitalization, discounting, lab related portion 4. high cost outlier, Rural Cancer hospital adjustment, conversion factor multiplied hospital study, pass through by APC relative wight 5. payment, Paument Provide designated surgical 1. adjusted for geographical services to Medicare CMS established an ASC List factors 2. Adjusted for beneficiaries of Services and with this list is complexity of service 3. Under Medicare able to influence site of Multiply by APC relative rate 4. supplementary medical service Payment insurance program (Part RL OL policy, self dialysis Low olume adjustments, Wage index adjust labor portion of the base rate to training, Self-dialysis at patient age adjustment, body determine the wage-adjusted home provides an surface area, body mass baserate enhanced quality of life for index, new patient caveat, Apply the following patient beneficiaries comorbidity, and facilitu level.adiustments: HCPCS Codes Ambulatory Surgery and Payment Center Rates ESRD CPT Codes SafetyNet Hospice ICD 10 Codes 1. Assign each day of hospice wage index, quality care 2. adjust catogories and reporting programs, and geographical factors, base payment 3.multiply days policies, daily base payment intensity of human resource, catogories, and adjustment rate. factors. 4. Sum of all
