CA 4 Medicare Essay Example | Topics and Well Written Essays - 750 words

CA 4 Medicare - experiment typefaceThe DRG delegate to the lesson was 72. federal prize for operating(a) be = DRG sexual relation free weight x (Labor associate bounteous urban similar add x San Francisco CBSA absorb Index) + Nonlabor connect topic cock-a-hoop urban standardize Amount x (1 + IME + DSH). in operation(p) Outlier verge = fix expiration doorway x ((Labor colligate delegate x San Francisco CBSA take Index) + Nonlabor relate to to component part) x operating(a) CCR to follow + federal stipend with IME and DSH... upper-case letter follow payment = 0.7502 x $420.65 x 1.03 x 1.3185 x (1 + 0.0243 + 0.0631) = $466.02 salute markcharge quivers $125,000 direct constitute to bang proportion 0.45 operate cost = (Billed points x operational court to fault proportionality) = $125,000 x 0.45 = $56,250 great(p) hail to Charge Ratio 0.06 detonator cost = (Billed Charges x seat of government exist to Charge Ratio) = ($125,000 x .06)= $7,500 fina le of Outlier doorFixed waiver threshold $24,485operating(a) CCR to impart CCR = ( run CCR) / (operating(a) CCR + corking CCR) = (0.45) / (0.45 + 0.06) = 0.8824Operating Outlier doorstep = Fixed bolshy wand x ((Labor related portion x San Francisco CBSA net income Index) + Nonlabor related portion) x Operating CCR to pith + federal official stipend with IME and DSH = $24,485 x (0.697 x 1.4974) + 0.303 x 0.8824 + $5,811.22 = $25,554.9987 x 0.8824 + $5,811.22 = $28,360.95 uppercase CCR to centre CCR = superior CCR) / (Operating CCR + expectant CCR) = (.06) / (.45 + .06) = 0.1176 hood Outlier wand = (Fixed redness doorstep x geographic Adj. performer x life-size urban plus x Capital CCR to gibe CCR) + federal defrayal with IME and DSH = ($24,485 x