Paying for Hospital Services – Overview

Paying for Hospital and Physician Services

Case Assignment

Part I – Paying for Hospital Services – Overview

Mr. Scott is a 69-year-old hospitalized for a Permanent Cardiac Pacemaker procedure. Hillcrest Hospital is a large urban hospital in Cleveland that incurred $150,000 in Medicare-approved charges for treating Mr. Scott. Use the information provided in this module as well as the Hospital Payments Example, found in the Course Table of Contents under the Presentation section, to answer the Case 4 assignment questions. Include all formulas and calculations in your paper.

 

DRG

Description

Case Weight

 

115

Permanent Cardiac Pacemaker

3.5513

 

302

Kidney Transplant

4.1370

 

441

Hand Procedure/Surgery

0.8785

Part I – Assignment

Answer (in about 3 pages) the following questions for Kidney Transplant only:

  1. What is the operating payment to be paid to the hospital?
  2. What is the capital payment to be paid to the hospital?
  3. Will the hospital be eligible for the Medicare outlier payment?
  4. What is the total payment to the hospital?

Part II – Paying for Physician Services – Overview

Mr. Roberts is a 66-year-old Medicare beneficiary. He sought treatments from Dr. Robinson. Assume the following values for the services provided by Dr. Robinson:

Paying for Hospital and Physician Services

Case Assignment

Part I – Paying for Hospital Services – Overview

Mr. Scott is a 69-year-old hospitalized for a Permanent Cardiac Pacemaker procedure. Hillcrest Hospital is a large urban hospital in Cleveland that incurred $150,000 in Medicare-approved charges for treating Mr. Scott. Use the information provided in this module as well as the Hospital Payments Example, found in the Course Table of Contents under the Presentation section, to answer the Case 4 assignment questions. Include all formulas and calculations in your paper.

 

DRG

Description

Case Weight

 

115

Permanent Cardiac Pacemaker

3.5513

 

302

Kidney Transplant

4.1370

 

441

Hand Procedure/Surgery

0.8785

Part I – Assignment

Answer (in about 3 pages) the following questions for Kidney Transplant only:

  1. What is the operating payment to be paid to the hospital?
  2. What is the capital payment to be paid to the hospital?
  3. Will the hospital be eligible for the Medicare outlier payment?
  4. What is the total payment to the hospital?

Part II – Paying for Physician Services – Overview

Mr. Roberts is a 66-year-old Medicare beneficiary. He sought treatments from Dr. Robinson. Assume the following values for the services provided by Dr. Robinson:

LOOKING FOR THIS ASSIGNMENT OR A SIMILAR ONE? WE HAVE HAD A GOOD SUCCESS RATE ON THIS PAPER! ORDER WITH US TODAY FOR QUALITY WORK AND GET A DISCOUNT!

ORDER NOW

Disclaimer:

All types of paper that Discount Writers provides is only for the purpose of assistance! No text, paper, assignment, discussion would be similar with another student therefore guaranteeing Uniqueness and can be used with proper references only!

More tools: Better Grades: Choose your Homework Help:

Assignment Help: We would write your papers according to the instructions provided and guarantee you timely work

 

Entire Online Class Help: We are here for you and we would do your entire Class work from discussions, assignments, Replies, Exams and Quizzes at a Cost

 

Exam/ Quiz Help: We have a team of writers who specialize on exams from any specific field and we would give you an A+ Grade!

 

ORDER NOW