Looking for help with an assignment? Connect with an assignment Expert Now!

Paying for Hospital Services – Overview

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:

Categories

RVU

Geographic Cost Index

Product

Work

27.45

1.092

29.98

Practice Expense

43.05

1.743

75.04

Malpractice

10.32

0.543

5.60

Conversion Factor: 64.43

Part II – Assignment

Please answer in about 3 pages the following questions:

  1. How much will Medicare pay Dr. Robinson if Dr. Robinson is a Medicare participating physician? How much out-of-pocket payment will Mr. Roberts be responsible for?
  2. How much will Medicare pay Dr. Robinson if Dr. Robinson is a Medicare non-participating physician who elects assignment? How much out-of-pocket payment will Mr. Roberts be responsible for?
  3. How much will Medicare pay Dr. Robinson if Dr. Robinson is a Medicare non-participating physician who does not elect assignment? How much out-of-pocket payment will Mr. Roberts be responsible for?

Paying for Hospital Services – Overview

Get a Quick Quote

Approximately 250 words
Total price (USD) $: 10.99

Spend Hours doing a Paper or spend just $33 for a 3 page essay?

Tired writing homework

Reviews from Clients who Ordered this Paper

Our Benefits

Take a look at the characteristics of our custom essay writing service. We ensure that not only will your essay be delivered on schedule, but that it will also be of the finest possible quality.

Guaranteed Customer Satisfaction

We are always available to help with any revisions and deliver flawless results

Quick Results

Any deadline can be met. 400+ dedicated writers are waiting to finish your essay in as little as three hours.

Support is available

We’re here for you at all times and can answer in as little as one minute.

All papers reviewed

We examine our own database of completed orders to ensure that you always get original work.
b

Provide Detailed Instructions

  • Fill in instruction details on the order page such as length, title, slides, subject etc. and upload neccesary attachments
  • Provide additional parameters which you would like for your order such as writer category, formatting requirement, sources etc.

Login & Complete Payment

  • Once logged & completed payment, your order will be put to bid and assigned to suitable writer who matches your requirements.
  • The order is moved to ‘in progress’ on this stage.

Writing, Editing & Proofreading

  • Once the writer completes your order, he or she forwads it to the editing team for review.
  • The order is scrutinized for syntax or grammar error and checked for plagiarism with softwares such as turnitin.
h

Download Your Final Document

  • Upon satsfaction by the editing team, your order is moved to ‘completed’ tab where you can download final copy.
  • You can tip writer if you are satisfied with the order.
  • Approve the order or ask for revision if unsatisfied

Having a rough time with your urgent homework?

Place your order today and get it delivered before your deadline