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.
Nadya which book from Penn Foster are you looking at? I think I can help you with thes problems.
shannon. can you pls help me with my project. my e-mail is zahidem17.yaho
please return back to me
thank you
@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.
Nadya what is the exam number you are doing? what course are you taking?
Melody yes I will email you....
Really needs ALOT of help with this final exam!!! Someone please HELP! my e-mail is nc_chick53If someone could PLEASE help me
nc_chick53.hotm
To answer these questions, we need to understand the reimbursement policies of Medicare Part A and the provided data. Let's break down each question and explain how to arrive at the correct answer.
1. What reimbursement amount will the hospital receive from Medicare?
To determine the reimbursement amount, we need to consider the total days of the inpatient stay and the DRG reimbursement for that stay. From the given table, we know that the total days in the hospital was 10 and the DRG reimbursement for the stay was $13,648. Therefore, the answer is B. $13,648.
2. What’s the total amount the patient owes for home health care?
To find the patient's obligation for home health care, we need to look at the approved amount for home health care, which is $7,000. Since the question asks for the total amount owed by the patient, the answer is A. $0.
3. What’s the total amount that Medicare will pay for the home health care, excluding DME charges?
To calculate the total amount Medicare will pay for home health care, we need to subtract the DME (Durable Medical Equipment) charges from the approved amount. However, the question does not provide any information about the DME charges. Therefore, without that information, it is not possible to determine the exact amount Medicare will pay (neither A, C, B, nor D is the correct answer).
Keep in mind that the formulas or calculations for medical reimbursement may vary depending on specific policies, agreements, or regulations. In this case, the formula was not explicitly mentioned in the provided textbook page 249. However, using the given information, we can still derive the correct answers based on our understanding of Medicare Part A reimbursement and the data provided in Table 1.