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 $275,000 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:
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:
Categories |
RVU |
Geographic Cost Index |
Product |
Work |
24.35 |
1.092 |
29.98 |
Practice Expense |
37.08 |
1.743 |
75.04 |
Malpractice |
15.69 |
0.543 |
5.60 |
Conversion Factor: 64.43 |
Part II – Assignment
Please answer in about 3 pages the following questions:
Length: The paper should be typed and double spaced, using 12 pt. Times New Roman font and 1-inch page margins. Use headers throughout the paper. This will aid you in not overlooking vital elements of the assignment and make the document easier for the reader to follow.