Question

what is the MS-DRG?

whats is the MS-DRG reimbursement rate?

Maria Martine is a 65-year-old female admitted after falling at home. She is diagnosed with a left upper femur fracture and requires an open reduction with internal fixation. After having the operation, she has a cardiac arrest, which converted, and she is found to have cardiomyopathy. Discharge for this patient is to a skilled nursing facility. ICD- 10-CM codes assigned by coder after chart review: S72.009A, 197.121, 142.9, and 0QS704Z. The cardiac arrests diagnosis is listed as CC when the MS-DRG is calculated. MS-DRG MDC Турe MS-DRG Tite Weight LOS Rate 480 Hip &Femur Procedures Except Major Joint w MCC 08 Surg 3.0694 $4,064.10 7.1 Hip & Femur Procedures 481 08 Surg 1.9721 4.8 $2,958.15 Except Major Joint w CC 482 08 Surg Hip & Femur Procedures Except Major Joint w/o ССМСС 1.6305 3.9 $2.445.75

Answer 1

Ms drg is a system of classifying a medicare patient’s hospital stay into various groups in order to facilitate the payment of hospital services.

Reimbursement rate under ms drg 481 is 1.9721*2958.15 =$5833.77