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 rate is $1500. Calculate the DGR reimbursement for the case?
To calculate the DRG reimbursement for the Medicare surgical craniotomy case, you need to follow these steps:
1. Calculate the base payment rate:
Multiply the relative weight of the DRG (3.0970) by the hospital's standard reimbursement rate ($1500).
Base payment rate = 3.0970 x $1500 = $4645.50
2. Calculate the adjusted payment rate:
Divide the base payment rate by the geometric mean length of stay (6.3).
Adjusted payment rate = $4645.50 / 6.3 ≈ $738.41
Therefore, the DRG reimbursement for the Medicare surgical craniotomy case would be approximately $738.41.