# Reimbursement Methodologies

posted by .

You're reviewing reimbursement for a Medicare surgical craniotomy case. The case falls into DRG1, which has a relative weight of 3.0970 and a geometric mean length of stay of 6.3. The hospital's current standard reimbursement rate is \$1500. Calculate the DRG reimbursement for this case.

ok i looked up 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.

So 3.0970x1500= 4645.5. so this is my answer? im confused.

• Reimbursement Methodologies -

all correct.

## Similar Questions

1. ### Reimbursement methodologies

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 …
2. ### medical billing and coding

youre reveiwing reimbursement for a medicare surgical craniotomy case. the case falls into DRG1, which has a relative weight of 3.0970 and a geometrice mean length of stay of 6.3. the hospitals current standard reimbursement rate is …

What is the formula that solves this problem: You are reviewing reimbursement for a 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 …
4. ### reimbursement methodolgies

You're reviewing reimbursement for a Medicare surgical craniotomy case. The case falls into DRG 1, which has a relative weight of 3.0970 and a geometric mean LOS of 6.3. The hospital's current standard reimbursement rate is \$1500. …
5. ### health

You’re reviewing reimbursement for a 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 reimbursement …
6. ### billing and coding

You’re reviewing reimbursement for a 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 reimbursement …
7. ### reimbursement methodologies

you're reviewing reimbursement for a 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 hospitals's current standard reimbursement rate …
8. ### Reimbursement Methodologies

Your reviewing reimbursement for a medical 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 hospitals current reimbursement rate is \$1,500. Calculate …
9. ### 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 …