You're reviewing reimbursement for a medicare surgical craniotomy case. the cae falls under DGR 1 which the relative weight of 3.0970 and a geometric mean lenght of stay of 6.3 the hospitals current standard reimburesment rate of $1500.00 calculate the DRg reimbursement for this case. can any one tell me how to calculate this or a web sit that can help

thank so much

Are you talking about DRG or DGR? What do the abbreviations stand for?

I suspect that Medicare reimbursement methodology is not a subject that our staff experts are familiar with.

3.0970 x 1500

can anyone please assist me, I need the anwser to this question .

how to calculate DRG reimbursement and it said:

1. Find the group code that applies to the specific medical treatment provided using the DRG coding table.
2. Match the group code with the appropriate weight on the weight table.
3. Multiply the DRG weight by the Standard Base Rate the hospital charges for any HMO network member. The result will be the appropriate amount of the claim.

To calculate the DRG reimbursement for a Medicare surgical craniotomy case, you will need to multiply the relative weight of the case by the hospital's current standard reimbursement rate.

In this case, the relative weight is given as 3.0970, and the standard reimbursement rate is $1500.00.

The formula to determine the DRG reimbursement is:
DRG Reimbursement = Relative Weight * Standard Reimbursement Rate

So, let's plug in the values:
DRG Reimbursement = 3.0970 * $1500.00

Now, let's calculate the result:
DRG Reimbursement = $4,645.50

Therefore, the DRG reimbursement for this case would be $4,645.50.

If you need more information on DRG reimbursement or want to explore further, you can visit the Centers for Medicare and Medicaid Services (CMS) website at www.cms.gov. They provide detailed information and resources related to Medicare reimbursement methodologies and DRG calculations.