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QUESTION
Practice with LTCH PPS and Cost (Level 4, Analyzing) For this exercise use the Excel file titled: Ch08 StudentWorkbookExcercises.AB202017 , tab LTCH...
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.
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Table 5 is located:
Table 11 is located:
