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Mrs. Smith is a 70-year-old hospitalized for a Kidney Transplant procedure. General Hospital is a large urban hospital in San Francisco that incurred $150,000 in Medicare-approved charges in treating Mrs. Smith. Use the information provided Hospital Payments Example, 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 Answer 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? Please use sources 1.Medicare Payment Advisory Commission. (2010). Medicare Payment Basics: Hospital Acute Inpatient Services Payment System. Available at https://www.medpac.gov/documents/MedPAC_Payment_Basics_10_hospital.pdf 2.Medicare Payment Advisory Commission. (2010). Medicare Payment Basics: Outpatient Hospital Services Payment System. Available at https://www.medpac.gov/documents/MedPAC_Payment_Basics_10_OPD.pdf 3.Centers for Medicare and Medicaid. (2010). Hospital Outpatient Prospective Payment System. The Medicare Learning Network Payment Systems Fact Sheet Series. Available at https://www.cms.gov/MLNProducts/downloads/HospitalOutpaysysfctsht.pdf 4.Centers for Medicare and Medicaid. (2009). Acute Care Hospital Inpatient Prospective Payment System. The Medicare Learning Network Payment Systems Fact Sheet Series. Available at https://www.cms.gov/MLNProducts/downloads/AcutePaymtSysfctsht.pdf 5.Mechanic, R., & Altman, S. (2009). Payment Reform Options: Episode Payment Is A Good Place to Start. Health Affairs, 28, W262-W271. Retrieved from ProQuest. 6.Office for Oregon Health Policy and Research. (2008). Healthcare Payment Reform & Provider Reimbursement: A Summary of Strategies for Consideration by the Oregon Health Fund Board. Available at https://www.oregon.gov/OHPPR/HFB/Delivery Do you want your assignment written by the best essay experts? Then look no further.
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