Are you talking about DRG or DGR? What do the abbreviations stand for?
I suspect that Medicare reimbursement methodology is not a subject that our staff experts are familiar with.
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 calculate the DRg reimbursement for this case. can any one tell me how to calculate this or a web sit that can help
thank so much
4 answers
3.0970 x 1500
can anyone please assist me, I need the anwser to this question .
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.
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.
1 answer