reimbursement methodologies

posted by .

Can anyone please assist me, I need the anwser to this question--

Mrs. Hall was admitted to the hospital for the first time this year on September 15. On September 25, she was transferred to a skilled nursing facility where she stayed until
October 30. She was discharged from the SNF with home health care and a walker.

Table 1
HOSPITAL AND SNF INSURANCE STAY DATA

Insurance Medicare Part A
Total days inpatient stay 10
DRG reimbursement for inpatient stay $13,648
Total hospital charges for inpatient stay $16,000
Total days of SNF stay 35
Total reimbursement charges for the SNF stay $23,000
Home health care approved amount $7,000

KEY: DRG = diagnosis-related group—a system of classifying patient diagnose

1. What reimbursement amount will the hospital receive from Medicare?
A. $12,856 C. $16,000
B. $13,648 D. $23,000

2. What’s the total amount the patient owes for home health care?
A. $0 C. $2,500
B. $500 D. $7,000

3. What’s the total amount that Medicare will pay for the home health care, excluding DME
charges?
A. $2,000 C. $7,000
B. $2,500 D. $9,000

What formula do i follow for this question. I can't find any form on Penn Foster Text book p.249

Thanks alot for any feedback.

  • reimbursement methodologies -

    You might try some of the following links for Medicare payments:

    http://search.yahoo.com/search?fr=mcafee&p=Medicare+payments

    Sra

  • reimbursement methodologies -

    Nadya which book from Penn Foster are you looking at? I think I can help you with thes problems.

  • reimbursement methodologies -

    shannon. can you pls help me with my project. my e-mail is zahidem17.yaho
    please return back to me
    thank you

  • reimbursement methodologies -

    @Sra, I didn't see any form that I looking for on that link.
    @Shannon, is a Health Info.Management Tech. 2nd edition. Thank u.

  • reimbursement methodologies -

    Nadya what is the exam number you are doing? what course are you taking?

    Melody yes I will email you....

  • reimbursement methodologies -

    Really needs ALOT of help with this final exam!!! Someone please HELP! my e-mail is nc_chick53If someone could PLEASE help me

  • reimbursement methodologies -

    nc_chick53.hotm

Respond to this Question

First Name
School Subject
Your Answer

Similar Questions

  1. Math/Health

    I was wondering if someone could please help me this is really making me go crazy please check my answers thank you Paul Smith was admitted to the hospital for the first time this year on Sept 15. On Sept 25 he was transferred to a …
  2. Reimbursement methodologies

    You work in the hospitals health care management department you assist by completing records. One of the residents complains that he doesnt understand why insurance companies need so much documentation and the reimbursement system …
  3. reimbursement methodologies

    Could someone check my answers to see if they are correct. Any feedback would be greatly appreciated.. Mrs. Hall was admitted to the hospital for the first time this year on September 15. On September 25, she was transferred to a skilled …
  4. english

    Please check for any error and correctt them. THanks!!! We have your letter dated August 17; concerning alternative dates to take discover disposition of the plaintiff and the defendant of this case. We suggest that the disposition …
  5. reimbursement methodologies

    you're reviewing reimbursement for medicare surgical craniotomy case. The case falls into DRG 1, which has a relative weight of 3.0970 and a geometric mean length of stay of 6.3. The hospital's current standard reimbusement rate is …
  6. Reimbursement Methodologies

    You work in the hospital information Management, part of my job to assist medical resident with completing the record documentation.
  7. Reimbursement Methodologies

    Your're a coder who's reviewing the record of a 62-year-old woman who was admitted to the hospital with shorness of breath and minor ches pain. The doctor diagnosed the patient with Staphylococcus aureus pneumonia and you assigned …
  8. Reimbursement methodologies

    You perform the billing for a skilled nursing facility,you are probably using which system?
  9. Reimbursement Methodologies Final Exam

    Can anyone please help me with Part A with the 1st question: You're the new director of a hospital health information management department. The chief financial officer has hired you for your experties in health care reimbursement …
  10. English

    The fire lasted for four days, from 2 September until 5 September. ------------------ How do you read '2 September' and '5 September'?

More Similar Questions