Advanced Question: Compare the reimbursement rates for Happy Hospital and Lovely County Hospital. Let’s say the patient at Happy Hospital for MS-DRG 064 had a length of stay equal to 22 days (LCH LOS for MS-DRG 64) and increased charges of $129,459.42 to account for the increased LOS. How then would the reimbursment between IPPS and LTCH PPS compare? What could the IPPS facility do to prevent the financial loss? HINT: You have to calculate the outlier amount for the HH admission.
Table 5 is located:
Table 11 is located: