Compare the GMLOS to Happy Hospitals actual length of stay for top 10 MS-DRGs.For each MS-DRG calculate the LOS variance for FY 2020 and the expected variance for FY 2021. Identify MS-DRGs where the LOS variance is of concern; describe your concern. Identify changes in the Post-Acute Care Transfer policy status for each MS-DRG. If there is a status change explain the impact for the hospital. [Students fill in cells with headers highlighted in green]
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Medicare Severity DRGs – Part I Medicare Severity Diagnosis-Related Groups (MS-DRGs) are payment groups designed for the inpatient hospital Medicare population under the IPPS. Patients with similar clinical characteristics and similar costs are assigned to a MS-DRG. The MS-DRG is linked to a fixed payment amount based on the average cost of patients in the group. The MS-DRG is calculated by using the principal diagnosis, surgical procedure, age of patient, gender, and disposition of the patient (discharge status – where...
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