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Please see attachments. – 2 years ago **files (2)** – ## DRGCALCULATIONS.docx – ## CopyofAB202019_Ch05_Exercises.xlsx **## DRGCALCULATIONS.docx** 1. **MS-DRG Calculations (Level 4—Analyzing)** For this exercise, use the file titled [AB202019_Ch05_Exercises.xlsx](https://bccc.instructure.com/cou…

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Please see attachments.

– 2 years ago

**files (2)**

– ## DRGCALCULATIONS.docx

– ## CopyofAB202019_Ch05_Exercises.xlsx

**## DRGCALCULATIONS.docx**

1.
**MS-DRG Calculations (Level 4—Analyzing)**

For this exercise, use the file titled
[AB202019_Ch05_Exercises.xlsx](https://bccc.instructure.com/courses/36562/files/3329385?wrap=1) [Download AB202019_Ch05_Exercises.xlsx](https://bccc.instructure.com/courses/36562/files/3329385/download?download_frd=1), tabs MS-DRG Calculation Example and MS-DRG Calculations. This assignment consists of 10 inpatient acute care admissions: 5 for Community Hospital and 5 for Memorial Hospital. Calculate the MS-DRG reimbursement rate for each admission. Notice the fully adjusted base rate, charges, and cost-to-charge ratio are different for each facility. Remember that the fully adjusted base rate already includes adjustments for IME, DSH, and wage index. Once you have completed the calculations, answer the following questions.

| | |
| — | — |
| **Question** | **Answer** |
| Which figure has the biggest impact in determining profit/loss for an admission; base rate or cost-to-charge ratio (CCR)? Why? | |
| What is the definition of a CC/MCC? How does the presence of a CC/MCC code impact the reimbursement for an admission | |
| Why do surgical cases tend to have a higher relative weight (RW), and in turn payment, than medical cases? | |
| What can Memorial Hospital do to improve their profit? | |

**## CopyofAB202019_Ch05_Exercises.xlsx**

## MS-DRG Calculation Example

| | | | | | |
| — | — | — | — | — | — |
| Basic MS-DRG Calculations |
| Hospital | Happy Hopsital | | Base Rate | $6,200 |
| MS-DRG | 387 | Inflammatory bowel disease w/o CC/MCC |
| RW | 0.7007 |
| Charges | $ 9,456.82 |
| CCR | 0.429 |
| LOS | 3 |
| MS-DRG Reimbursment | | | $ 4,344.34 | | Multiply the fully adjusted hospital specific base rate × the MS-DRG Relative Weight (RW) |
| Cost of the encounter | | | $ 4,056.98 | | Multiply the charges × the cost to charge ration (CCR) |
| Profit/Loss | | | $ 287.36 | | Subtract the cost of the encounter from the MS-DRG Reimbursement |

Example: This example shows how to calculate the MS-DRG reimbursment rate for an acute care inpatient admission. The hospital specific base rate we are using for this example includes adjustments for IME, DSH and wage index.

## MS-DRG Calculations

| | | | | | | | | | | | | | |
| — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Basic MS-DRG Calculations |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 192 | Chronic obstructive pulmonary disease w/o CC/MCC | | | | | | MS-DRG | 192 | Chronic obstructive pulmonary disease w/o CC/MCC |
| RW | 0.7092 | | | | | | | RW | 0.7092 |
| Charges | $ 15,000.00 | | | | | | | Charges | $17,500.00 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 3 | | | | | | | LOS | 4 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 190 | Chronic obstructive pulmonary disease w MCC | | | | | | MS-DRG | 190 | Chronic obstructive pulmonary disease w MCC |
| RW | 1.144 | | | | | | | RW | 1.144 |
| Charges | $ 14,975.24 | | | | | | | Charges | $16,578.24 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 4 | | | | | | | LOS | 5 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 473 | Cervical spinal fusion w/o CC/MCC | | | | | | MS-DRG | 473 | Cervical spinal fusion w/o CC/MCC |
| RW | 2.5124 | | | | | | | RW | 2.5124 |
| Charges | $ 30,245.87 | | | | | | | Charges | $31,674.10 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 2 | | | | | | | LOS | 2 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 472 | Cervical spinal fusion w CC | | | | | | MS-DRG | 472 | Cervical spinal fusion w CC |
| RW | 3.0415 | | | | | | | RW | 3.0415 |
| Charges | $ 30,384.64 | | | | | | | Charges | $35,384.57 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 3 | | | | | | | LOS | 3 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 001 | Heart transplant or implant of heart assist system w/MCC | | | | | | MS-DRG | 001 | Heart transplant or implant of heart assist system w/MCC |
| RW | 27.6339 | | | | | | | RW | 27.6339 |
| Charges | $ 315,258.74 | | | | | | | Charges | $330,879.54 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 35 | | | | | | | LOS | 38 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |

Instructions: Calculate the MS-DRG reimbursment rate for each case. Notice the changes in base rate for each facility. Remember the hospital specific base rate includes adjustments for IME, DSH and wage index.
Once you have completed the calculations, answer the questions in the Student Workbook.

**## CopyofAB202019_Ch05_Exercises.xlsx**

## MS-DRG Calculation Example

| | | | | | |
| — | — | — | — | — | — |
| Basic MS-DRG Calculations |
| Hospital | Happy Hopsital | | Base Rate | $6,200 |
| MS-DRG | 387 | Inflammatory bowel disease w/o CC/MCC |
| RW | 0.7007 |
| Charges | $ 9,456.82 |
| CCR | 0.429 |
| LOS | 3 |
| MS-DRG Reimbursment | | | $ 4,344.34 | | Multiply the fully adjusted hospital specific base rate × the MS-DRG Relative Weight (RW) |
| Cost of the encounter | | | $ 4,056.98 | | Multiply the charges × the cost to charge ration (CCR) |
| Profit/Loss | | | $ 287.36 | | Subtract the cost of the encounter from the MS-DRG Reimbursement |

Example: This example shows how to calculate the MS-DRG reimbursment rate for an acute care inpatient admission. The hospital specific base rate we are using for this example includes adjustments for IME, DSH and wage index.

## MS-DRG Calculations

| | | | | | | | | | | | | | |
| — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Basic MS-DRG Calculations |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 192 | Chronic obstructive pulmonary disease w/o CC/MCC | | | | | | MS-DRG | 192 | Chronic obstructive pulmonary disease w/o CC/MCC |
| RW | 0.7092 | | | | | | | RW | 0.7092 |
| Charges | $ 15,000.00 | | | | | | | Charges | $17,500.00 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 3 | | | | | | | LOS | 4 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 190 | Chronic obstructive pulmonary disease w MCC | | | | | | MS-DRG | 190 | Chronic obstructive pulmonary disease w MCC |
| RW | 1.144 | | | | | | | RW | 1.144 |
| Charges | $ 14,975.24 | | | | | | | Charges | $16,578.24 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 4 | | | | | | | LOS | 5 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 473 | Cervical spinal fusion w/o CC/MCC | | | | | | MS-DRG | 473 | Cervical spinal fusion w/o CC/MCC |
| RW | 2.5124 | | | | | | | RW | 2.5124 |
| Charges | $ 30,245.87 | | | | | | | Charges | $31,674.10 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 2 | | | | | | | LOS | 2 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 472 | Cervical spinal fusion w CC | | | | | | MS-DRG | 472 | Cervical spinal fusion w CC |
| RW | 3.0415 | | | | | | | RW | 3.0415 |
| Charges | $ 30,384.64 | | | | | | | Charges | $35,384.57 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 3 | | | | | | | LOS | 3 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 001 | Heart transplant or implant of heart assist system w/MCC | | | | | | MS-DRG | 001 | Heart transplant or implant of heart assist system w/MCC |
| RW | 27.6339 | | | | | | | RW | 27.6339 |
| Charges | $ 315,258.74 | | | | | | | Charges | $330,879.54 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 35 | | | | | | | LOS | 38 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |

Instructions: Calculate the MS-DRG reimbursment rate for each case. Notice the changes in base rate for each facility. Remember the hospital specific base rate includes adjustments for IME, DSH and wage index.
Once you have completed the calculations, answer the questions in the Student Workbook.

**## DRGCALCULATIONS.docx**

1.
**MS-DRG Calculations (Level 4—Analyzing)**

For this exercise, use the file titled
[AB202019_Ch05_Exercises.xlsx](https://bccc.instructure.com/courses/36562/files/3329385?wrap=1) [Download AB202019_Ch05_Exercises.xlsx](https://bccc.instructure.com/courses/36562/files/3329385/download?download_frd=1), tabs MS-DRG Calculation Example and MS-DRG Calculations. This assignment consists of 10 inpatient acute care admissions: 5 for Community Hospital and 5 for Memorial Hospital. Calculate the MS-DRG reimbursement rate for each admission. Notice the fully adjusted base rate, charges, and cost-to-charge ratio are different for each facility. Remember that the fully adjusted base rate already includes adjustments for IME, DSH, and wage index. Once you have completed the calculations, answer the following questions.

| | |
| — | — |
| **Question** | **Answer** |
| Which figure has the biggest impact in determining profit/loss for an admission; base rate or cost-to-charge ratio (CCR)? Why? | |
| What is the definition of a CC/MCC? How does the presence of a CC/MCC code impact the reimbursement for an admission | |
| Why do surgical cases tend to have a higher relative weight (RW), and in turn payment, than medical cases? | |
| What can Memorial Hospital do to improve their profit? | |

**## CopyofAB202019_Ch05_Exercises.xlsx**

## MS-DRG Calculation Example

| | | | | | |
| — | — | — | — | — | — |
| Basic MS-DRG Calculations |
| Hospital | Happy Hopsital | | Base Rate | $6,200 |
| MS-DRG | 387 | Inflammatory bowel disease w/o CC/MCC |
| RW | 0.7007 |
| Charges | $ 9,456.82 |
| CCR | 0.429 |
| LOS | 3 |
| MS-DRG Reimbursment | | | $ 4,344.34 | | Multiply the fully adjusted hospital specific base rate × the MS-DRG Relative Weight (RW) |
| Cost of the encounter | | | $ 4,056.98 | | Multiply the charges × the cost to charge ration (CCR) |
| Profit/Loss | | | $ 287.36 | | Subtract the cost of the encounter from the MS-DRG Reimbursement |

Example: This example shows how to calculate the MS-DRG reimbursment rate for an acute care inpatient admission. The hospital specific base rate we are using for this example includes adjustments for IME, DSH and wage index.

## MS-DRG Calculations

| | | | | | | | | | | | | | |
| — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Basic MS-DRG Calculations |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 192 | Chronic obstructive pulmonary disease w/o CC/MCC | | | | | | MS-DRG | 192 | Chronic obstructive pulmonary disease w/o CC/MCC |
| RW | 0.7092 | | | | | | | RW | 0.7092 |
| Charges | $ 15,000.00 | | | | | | | Charges | $17,500.00 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 3 | | | | | | | LOS | 4 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 190 | Chronic obstructive pulmonary disease w MCC | | | | | | MS-DRG | 190 | Chronic obstructive pulmonary disease w MCC |
| RW | 1.144 | | | | | | | RW | 1.144 |
| Charges | $ 14,975.24 | | | | | | | Charges | $16,578.24 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 4 | | | | | | | LOS | 5 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 473 | Cervical spinal fusion w/o CC/MCC | | | | | | MS-DRG | 473 | Cervical spinal fusion w/o CC/MCC |
| RW | 2.5124 | | | | | | | RW | 2.5124 |
| Charges | $ 30,245.87 | | | | | | | Charges | $31,674.10 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 2 | | | | | | | LOS | 2 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 472 | Cervical spinal fusion w CC | | | | | | MS-DRG | 472 | Cervical spinal fusion w CC |
| RW | 3.0415 | | | | | | | RW | 3.0415 |
| Charges | $ 30,384.64 | | | | | | | Charges | $35,384.57 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 3 | | | | | | | LOS | 3 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 001 | Heart transplant or implant of heart assist system w/MCC | | | | | | MS-DRG | 001 | Heart transplant or implant of heart assist system w/MCC |
| RW | 27.6339 | | | | | | | RW | 27.6339 |
| Charges | $ 315,258.74 | | | | | | | Charges | $330,879.54 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 35 | | | | | | | LOS | 38 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |

Instructions: Calculate the MS-DRG reimbursment rate for each case. Notice the changes in base rate for each facility. Remember the hospital specific base rate includes adjustments for IME, DSH and wage index.
Once you have completed the calculations, answer the questions in the Student Workbook.

**## DRGCALCULATIONS.docx**

1.
**MS-DRG Calculations (Level 4—Analyzing)**

For this exercise, use the file titled
[AB202019_Ch05_Exercises.xlsx](https://bccc.instructure.com/courses/36562/files/3329385?wrap=1) [Download AB202019_Ch05_Exercises.xlsx](https://bccc.instructure.com/courses/36562/files/3329385/download?download_frd=1), tabs MS-DRG Calculation Example and MS-DRG Calculations. This assignment consists of 10 inpatient acute care admissions: 5 for Community Hospital and 5 for Memorial Hospital. Calculate the MS-DRG reimbursement rate for each admission. Notice the fully adjusted base rate, charges, and cost-to-charge ratio are different for each facility. Remember that the fully adjusted base rate already includes adjustments for IME, DSH, and wage index. Once you have completed the calculations, answer the following questions.

| | |
| — | — |
| **Question** | **Answer** |
| Which figure has the biggest impact in determining profit/loss for an admission; base rate or cost-to-charge ratio (CCR)? Why? | |
| What is the definition of a CC/MCC? How does the presence of a CC/MCC code impact the reimbursement for an admission | |
| Why do surgical cases tend to have a higher relative weight (RW), and in turn payment, than medical cases? | |
| What can Memorial Hospital do to improve their profit? | |

**## CopyofAB202019_Ch05_Exercises.xlsx**

## MS-DRG Calculation Example

| | | | | | |
| — | — | — | — | — | — |
| Basic MS-DRG Calculations |
| Hospital | Happy Hopsital | | Base Rate | $6,200 |
| MS-DRG | 387 | Inflammatory bowel disease w/o CC/MCC |
| RW | 0.7007 |
| Charges | $ 9,456.82 |
| CCR | 0.429 |
| LOS | 3 |
| MS-DRG Reimbursment | | | $ 4,344.34 | | Multiply the fully adjusted hospital specific base rate × the MS-DRG Relative Weight (RW) |
| Cost of the encounter | | | $ 4,056.98 | | Multiply the charges × the cost to charge ration (CCR) |
| Profit/Loss | | | $ 287.36 | | Subtract the cost of the encounter from the MS-DRG Reimbursement |

Example: This example shows how to calculate the MS-DRG reimbursment rate for an acute care inpatient admission. The hospital specific base rate we are using for this example includes adjustments for IME, DSH and wage index.

## MS-DRG Calculations

| | | | | | | | | | | | | | |
| — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Basic MS-DRG Calculations |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 192 | Chronic obstructive pulmonary disease w/o CC/MCC | | | | | | MS-DRG | 192 | Chronic obstructive pulmonary disease w/o CC/MCC |
| RW | 0.7092 | | | | | | | RW | 0.7092 |
| Charges | $ 15,000.00 | | | | | | | Charges | $17,500.00 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 3 | | | | | | | LOS | 4 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 190 | Chronic obstructive pulmonary disease w MCC | | | | | | MS-DRG | 190 | Chronic obstructive pulmonary disease w MCC |
| RW | 1.144 | | | | | | | RW | 1.144 |
| Charges | $ 14,975.24 | | | | | | | Charges | $16,578.24 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 4 | | | | | | | LOS | 5 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 473 | Cervical spinal fusion w/o CC/MCC | | | | | | MS-DRG | 473 | Cervical spinal fusion w/o CC/MCC |
| RW | 2.5124 | | | | | | | RW | 2.5124 |
| Charges | $ 30,245.87 | | | | | | | Charges | $31,674.10 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 2 | | | | | | | LOS | 2 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 472 | Cervical spinal fusion w CC | | | | | | MS-DRG | 472 | Cervical spinal fusion w CC |
| RW | 3.0415 | | | | | | | RW | 3.0415 |
| Charges | $ 30,384.64 | | | | | | | Charges | $35,384.57 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 3 | | | | | | | LOS | 3 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |
| Hospital | Community Hopsital | | Base Rate | $6,200 | | | | Hospital | Memorial Hospital | | | Base Rate | $7,300 |
| MS-DRG | 001 | Heart transplant or implant of heart assist system w/MCC | | | | | | MS-DRG | 001 | Heart transplant or implant of heart assist system w/MCC |
| RW | 27.6339 | | | | | | | RW | 27.6339 |
| Charges | $ 315,258.74 | | | | | | | Charges | $330,879.54 |
| CCR | 0.429 | | | | | | | CCR | 0.531 |
| LOS | 35 | | | | | | | LOS | 38 |
| MS-DRG Reimbursment | | | | | | | | MS-DRG Reimbursment | | | |
| Cost of the encounter | | | | | | | | Cost of the encounter | | | |
| Profit/Loss | | | | | | | | Profit/Loss | | | |

Instructions: Calculate the MS-DRG reimbursment rate for each case. Notice the changes in base rate for each facility. Remember the hospital specific base rate includes adjustments for IME, DSH and wage index.
Once you have completed the calculations, answer the questions in the Student Workbook.

November 5, 2026
[Solved] Access to food around the world

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_**NOTE: If you use any references, data, statistics, information, or similar, you need to add the link or URL of your online source at the end of your work; if you know, you can list those sources in APA VII format.**_ Stable access to food is incredibly important for the well-being of humans and o…

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Assignment Prompt & Instructions

_**NOTE: If you use any references, data, statistics, information, or similar, you need to add the link or URL of your online source at the end of your work; if you know, you can list those sources in APA VII format.**_

Stable access to food is incredibly important for the well-being of humans and our societies. Think about your observations of the world and discuss what you think might support or hinder access to food for various populations.

Respond to the following in a minimum of 175 words:

– How do you think these situations might impact the overall health of the different populations?

– 2 years ago

November 5, 2026
[Solved] Discussion

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Link needed for video https://youtu.be/ypSizq92C6U?si=-6BYrvfl5LdNQDRo – [\ \ IMG_7640.png](https://www.sweetstudy.com/files/img-7640-png "IMG_7640.png") – [\ \ IMG_7641.png](https://www.sweetstudy.com/files/img-7641-png "IMG_7641.png") – 2 years ago

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Link needed for video https://youtu.be/ypSizq92C6U?si=-6BYrvfl5LdNQDRo

– [\
\
IMG_7640.png](https://www.sweetstudy.com/files/img-7640-png "IMG_7640.png")
– [\
\
IMG_7641.png](https://www.sweetstudy.com/files/img-7641-png "IMG_7641.png")

– 2 years ago

November 5, 2026
[Solved] help

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The purpose of this assignment is to gain insight into the roles and responsibilities of the Women’s Health Nurse Practitioner. (WHNP). This assignment will help you to reflect and learn from the experiences of your colleagues. Hopefully, it will allow you to envision your future as a WHNP that fulf…

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Assignment Prompt & Instructions

The purpose of this assignment is to gain insight into the roles and responsibilities of the Women’s Health Nurse Practitioner. (WHNP). This assignment will help you to reflect and learn from the experiences of your colleagues. Hopefully, it will allow you to envision your future as a WHNP that fulfills your long-term professional nursing goals. This assignment meets these course objectives:

– Identify the legal and ethical scope of practice while incorporating current health policies and evidenced based practice for the Advanced Practice Women’s Health Nurse Practitioner
– Describe lifelong learning and mentoring for the nurse practitioner

Conduct a brief interview with a Women’s Health Nurse Practitioner or Family Nurse Practitioner who specializes in OB/GYN to gain insight into the topics outlined below. Here are some sample questions to ask:

1. Describe their role(s) as a Nurse Practitioner
2. How do they advocate for lifelong learning
3. Are they involved in nursing organizations
4. Do they hold leadership positions in the profession/community

Write a 5 page critique (not including cover page or reference page) of this meeting using APA format for any cited resources and create a document that covers all the below content:

– Introduction
– Comprehensive overview of the interview with the nurse practitioner
– Describe the role(s) that you observed: provider, advocate, consultant, educator, administrator, researcher
– Describe how you would see yourself in the role(s) observed
– Identify the NP role(s) that could be implemented in the setting that you observed
– Describe the organizations content for billing and how it relates to the practice of a NP
– Utilize Dr. Jean Watson’s theory of human caring science in how you would consult and counsel patients. Give an example of counseling or consultation that you may have observed the NP use in the clinical site
– Discuss how they handle ethical decision making as a NP
– Describe the observed NPs involvement in their profession/community. Do they hold leadership positions?
– Discuss how they advocate for lifelong learning
– Articulate a plan for your lifelong learning as a WHNP
– Develop a Personal Philosophy that you will use as a WHNP
– Conclusion

I met with a women's health nurse practitioner who is a member of AANP.u This should be written based off the duties of an WHNP

– 2 years ago

November 5, 2026
[Solved] Self 4

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– 2 years ago **files (2)** – ## MindfulAttentionAwarenessScale.pdf – IMG_7639.png **## MindfulAttentionAwarenessScale.pdf** Mindful Attention Awareness Scale Instructions: The following is a collection of statements about your everyday experience. Using the scale from 1 (almost always) to 6 (almos…

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Assignment Prompt & Instructions

– 2 years ago

**files (2)**

– ## MindfulAttentionAwarenessScale.pdf

– IMG_7639.png

**## MindfulAttentionAwarenessScale.pdf**

Mindful Attention Awareness Scale
Instructions:

The following is a collection of statements about your everyday experience. Using the scale from 1 (almost
always) to 6 (almost never), indicate how frequently or infrequently you currently have each experience.

Answer according to what really reflects your experience rather than what you think your experience should be.
Please treat each item separately from every other item.

1 = Almost always | 2 = Very frequently | 3 = Somewhat frequently |
4 = Somewhat infrequently | 5 = Very infrequently | 6 = Almost never

1. I could be experiencing some emotion and not be conscious of it until some time later.
2. I break or spill things because of carelessness, not paying attention, or thinking of something else.
3. I find it difficult to stay focused on what’s happening in the present.
4. I tend to walk quickly to get where I’m going without paying attention to what I experience along

the way.
5. I tend not to notice feelings of physical tension or discomfort until they really grab my attention.
6. I forget a person’s name almost as soon as I’ve been told it for the first time.
7. It seems I am “running on automatic,” without much awareness of what I’m doing.
8. I rush through activities without being really attentive to them
9. I get so focused on the goal I want to achieve that I lose touch with what I’m doing right now to get

there.
10. I do jobs or tasks automatically, without being aware of what I’m doing.
11. I find myself listening to someone with one ear, doing something else at the same time.
12. I drive places on “automatic pilot” and then wonder why I went there.
13. I find myself preoccupied with the future or the past.
14. I find myself doing things without paying attention.
15. I snack without being aware that I’m eating.

Your total score:

Source: Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-
being. Journal of Personality and Social Psychology, 84(4), 822–848.

Average:

Scoring:
Add up your scores and divide by 15 to create an average for the 15 statements. The lower the average, the higher your trait
level of mindfulness. Scores range from 1 to 6. The typical average score is approximately 3.86.

01. Q1:
02. Q2:
03. Q3:
04. Q4:
05. Q5:
06. Q6:
07. Q7:
08. Q8:
09. Q9:
10. Q10:
11. Q11:
12. Q12:
13. Q14:
14. Q15:
15. Q13:
16. TotalScore: 0
17. Average: 0

**IMG_7639.png**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/img-7639-png-10194415)

**IMG_7639.png**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/img-7639-png-10194415)

**## MindfulAttentionAwarenessScale.pdf**

Mindful Attention Awareness Scale
Instructions:

The following is a collection of statements about your everyday experience. Using the scale from 1 (almost
always) to 6 (almost never), indicate how frequently or infrequently you currently have each experience.

Answer according to what really reflects your experience rather than what you think your experience should be.
Please treat each item separately from every other item.

1 = Almost always | 2 = Very frequently | 3 = Somewhat frequently |
4 = Somewhat infrequently | 5 = Very infrequently | 6 = Almost never

1. I could be experiencing some emotion and not be conscious of it until some time later.
2. I break or spill things because of carelessness, not paying attention, or thinking of something else.
3. I find it difficult to stay focused on what’s happening in the present.
4. I tend to walk quickly to get where I’m going without paying attention to what I experience along

the way.
5. I tend not to notice feelings of physical tension or discomfort until they really grab my attention.
6. I forget a person’s name almost as soon as I’ve been told it for the first time.
7. It seems I am “running on automatic,” without much awareness of what I’m doing.
8. I rush through activities without being really attentive to them
9. I get so focused on the goal I want to achieve that I lose touch with what I’m doing right now to get

there.
10. I do jobs or tasks automatically, without being aware of what I’m doing.
11. I find myself listening to someone with one ear, doing something else at the same time.
12. I drive places on “automatic pilot” and then wonder why I went there.
13. I find myself preoccupied with the future or the past.
14. I find myself doing things without paying attention.
15. I snack without being aware that I’m eating.

Your total score:

Source: Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-
being. Journal of Personality and Social Psychology, 84(4), 822–848.

Average:

Scoring:
Add up your scores and divide by 15 to create an average for the 15 statements. The lower the average, the higher your trait
level of mindfulness. Scores range from 1 to 6. The typical average score is approximately 3.86.

01. Q1:
02. Q2:
03. Q3:
04. Q4:
05. Q5:
06. Q6:
07. Q7:
08. Q8:
09. Q9:
10. Q10:
11. Q11:
12. Q12:
13. Q14:
14. Q15:
15. Q13:
16. TotalScore: 0
17. Average: 0

**IMG_7639.png**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/img-7639-png-10194415)

**## MindfulAttentionAwarenessScale.pdf**

Mindful Attention Awareness Scale
Instructions:

The following is a collection of statements about your everyday experience. Using the scale from 1 (almost
always) to 6 (almost never), indicate how frequently or infrequently you currently have each experience.

Answer according to what really reflects your experience rather than what you think your experience should be.
Please treat each item separately from every other item.

1 = Almost always | 2 = Very frequently | 3 = Somewhat frequently |
4 = Somewhat infrequently | 5 = Very infrequently | 6 = Almost never

1. I could be experiencing some emotion and not be conscious of it until some time later.
2. I break or spill things because of carelessness, not paying attention, or thinking of something else.
3. I find it difficult to stay focused on what’s happening in the present.
4. I tend to walk quickly to get where I’m going without paying attention to what I experience along

the way.
5. I tend not to notice feelings of physical tension or discomfort until they really grab my attention.
6. I forget a person’s name almost as soon as I’ve been told it for the first time.
7. It seems I am “running on automatic,” without much awareness of what I’m doing.
8. I rush through activities without being really attentive to them
9. I get so focused on the goal I want to achieve that I lose touch with what I’m doing right now to get

there.
10. I do jobs or tasks automatically, without being aware of what I’m doing.
11. I find myself listening to someone with one ear, doing something else at the same time.
12. I drive places on “automatic pilot” and then wonder why I went there.
13. I find myself preoccupied with the future or the past.
14. I find myself doing things without paying attention.
15. I snack without being aware that I’m eating.

Your total score:

Source: Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-
being. Journal of Personality and Social Psychology, 84(4), 822–848.

Average:

Scoring:
Add up your scores and divide by 15 to create an average for the 15 statements. The lower the average, the higher your trait
level of mindfulness. Scores range from 1 to 6. The typical average score is approximately 3.86.

01. Q1:
02. Q2:
03. Q3:
04. Q4:
05. Q5:
06. Q6:
07. Q7:
08. Q8:
09. Q9:
10. Q10:
11. Q11:
12. Q12:
13. Q14:
14. Q15:
15. Q13:
16. TotalScore: 0
17. Average: 0

**IMG_7639.png**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/img-7639-png-10194415)

November 5, 2026
[Solved] Mo

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In-depth study guidance and analytical solution covering Mo.

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Assignment Prompt & Instructions

Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

November 5, 2026
[Solved] NEED IN 10 HOURS or LESS PLAGIARISM FREE

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Here is the assignment: 1) In Chapter 2, the authors describe four different approaches to organizational communication. In chapter 3, three early perspectives organizational communication are presented. Compare and contrast each of these approaches and perspectives, then identify circumstances in y…

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Here is the assignment:

1) In Chapter 2, the authors describe four different approaches to organizational communication. In chapter 3, three early perspectives organizational communication are presented. Compare and contrast each of these approaches and perspectives, then identify circumstances in your personal and/or professional lives in which these approaches and perspectives are applicable. This assignment must be 3 full pages. Your assignment should be presented as a Word document, 12-point font, double-spaced, in either Times New Roman, Calibri, or Arial.

2) Your assignment should also have a cover page with your name, the due date, and the name and ID number of your class and a reference page.

**NOTE:**

The four different approaches to organizational communication: Communication as Information Transfer, Communication as Transactional Transfer, Communication as Strategic Control, and Communication as Creativity and Constraint.

The three early perspectives organizational perspectives: classical management, human relations, and human resources.

**Reference:**

Marianne LeGreco, Eric H. Eisenberg, & Angela Trethewey. (2024) Organizational Communication: Balancing Creativity and Constraint. 9th ed. Boston: Macmillan.

– [\
\
Chapter2FourApproachestoOrg.Communication.pptx](https://www.sweetstudy.com/files/chapter2fourapproachestoorg-communication-pptx "Chapter2FourApproachestoOrg.Communication.pptx")
– [\
\
Chapter3ThreeEarlyPerspectivesOrganizationalCommunication.pptx](https://www.sweetstudy.com/files/chapter3threeearlyperspectivesorganizationalcommunication-pptx "Chapter3ThreeEarlyPerspectivesOrganizationalCommunication.pptx")

– 2 years ago

November 5, 2026
[Solved] help

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Please use this scenario below to answer the questions and create a history, physical, assessment and plan/treatment. Please feel free to make up patient information to match story line an treatment plan. May use references as needed app format A 16-year-old girl presents for a preparticipation phys…

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Please use this scenario below to answer the questions and create a history, physical, assessment and plan/treatment. Please feel free to make up patient information to match story line an treatment plan.

May use references as needed app format

A 16-year-old girl presents for a preparticipation physical. A review of systems reveals that her menstrual cycles have been irregular since she started training for the cross-country season. She admits to being a picky eater but denies restricting food intake, binge eating, or self-induced vomiting. She has no significant medical history. She is not on any medications. Her body mass index is 18.5 kg/m2. A urine pregnancy test in the office is negative. For which of the following is she at greatest risk?

– **Basic structure:**

1. Identifying information/chief complaint
2. History of present illness
3. Other active medical problems, medications, habits, and allergies
4. Physical Examination- key findings
5. Labs
6. Physical examination (key findings only)

**Identifying information/chief complaint: 20 points**

**Content – contains 4 elements, expressed in a single sentence**

1. The patient’s age and sex
2. The patient’s active ongoing medical problems, mentioned by name only, and including only the most important, i.e., no more than 3 or 4
3. The patient’s reason for presentation
4. The duration of symptoms

**H** _**istory of Present Illness**_: **20 points**

The fundamental part of the oral presentation and the source of 90% of correct diagnoses.

**Content**

1. All “positive” elements (i.e., what occurred) precede all “negative” elements (what was absent)
2. “Positive” statements a. Are presented in chronologic order b. Are attentive to detail b c. If the current problem is a direct extension of a previous ongoing active medical problem, the HPI begins with a 1-2 sentence summary of that ongoing medical problem, using “key words”: 1. Date of diagnosis? 2. How was diagnosis made?
3. Current symptoms and treatment?
4. Are any complications present?
5. Are any objective measures of the chronic problem available? (e.g., a1c for diabetes)

**Other active medical problems, medications, social history, and allergies: (10 points)**

1. Brief summary (using key words, see previous) of other active medical problems mentioned in your identifying information sentence but not discussed in HPI.
2. Social history- smoking, alcohol, drug, and/or vaping/e-cigarette use
3. Medications – give dosages

**Physical examination**

1. Begin with “general description and vital signs”
2. Include all abnormal findings
3. Among normal findings, include only those essential to the understanding of the chief Complaint

_**Laboratory )**_

1. Include all abnormal labs, with comparison to previous value
2. Among normal labs, includes only those relevant to the chief complaint
3. Any labs presented should appear in traditional order (electrolytes/creatinine/glucose,complete blood count, other chemistries, urinalysis, vaginal culture, transvaginal ultrasound

_**Assessment & Plan**_

1. Begin with a positive statement of the patient’s problem, which is either a (1) symptom, (2) sign, (3) abnormal laboratory test, or (4) diagnosis. Choose the highest number on this list that no one could argue with (e.g., if the patient has pelvic pain and a 4 cm simple ovarian cyst, the assessment focuses on the abnormal lab “ 4 cm”).
2. Ask yourself “At the moment I am presenting the case, what is the principal unresolved issue”
1. If the principal unresolved issue is diagnosis, your assessment focuses on differential diagnosis: (i) list the 3-5 most likely diagnoses, (ii) state which diagnosis is most likely and why, and (iii) state why other diagnostic possibilities are less likely (draw your evidence from the H and P you just presented)
2. If the principal unresolved issue is therapy, your assessment should: (i) state the diagnosis or problem, (ii) state which therapy you gave or plan to give, and why you made this decision, (iii) state which complications you might anticipate
3. If you are presenting the morning after overnight call, the case presentation usually ends with a 1-2 sentence summary of what happened overnight, after implementation of your initial decisions
4. The assessment and plan focus only on those active issues keeping the patient in the hospital (stable outpatient problems are included in your write-up are omitted in the inpatient case presentation).

– 2 years ago

November 5, 2026
[Solved] PLAGIARISM FREE “A” WORK IN 12 HOURS

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SEE ATTACHMENT – 2 years ago **files (1)** – ## EssayDiscussion.pdf **## EssayDiscussion.pdf** Choose one of the following short-essay questions and write 200 words to answer it. 1) What are the five types of social power proposed by French and Raven? How is their approach related to research on com…

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SEE ATTACHMENT

– 2 years ago

**files (1)**

– ## EssayDiscussion.pdf

**## EssayDiscussion.pdf**

Choose one of the following short-essay questions and write 200 words to answer it.

1) What are the five types of social power proposed by French and Raven? How is their
approach related to research on compliance-gaining?

2) Explain the difference between myths, metaphors, and stories. How are they important
sources of power and ideology?

3) What is manufactured consent? Why is this concept so powerful?

4) What is discourse, and what relationship does it have to power and control?

5) What are some of the limitations of the critical perspective?

**## EssayDiscussion.pdf**

Choose one of the following short-essay questions and write 200 words to answer it.

1) What are the five types of social power proposed by French and Raven? How is their
approach related to research on compliance-gaining?

2) Explain the difference between myths, metaphors, and stories. How are they important
sources of power and ideology?

3) What is manufactured consent? Why is this concept so powerful?

4) What is discourse, and what relationship does it have to power and control?

5) What are some of the limitations of the critical perspective?

November 5, 2026
[Solved] Bibliography

✓ Verified Academic Solution Available

Executive Solution Overview

Conduct a literature search of articles discussing the role of agency problem in managemant decisions. Submit an annotated bibliography that contains at least five sources you found. At least three of the articles must be peer-reviewed, research articles. Use APA style to list each article. – 2 year…

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Assignment Prompt & Instructions

Conduct a literature search of articles discussing the role of agency problem in managemant decisions. Submit an annotated bibliography that contains at least five sources you found. At least three of the articles must be peer-reviewed, research articles. Use APA style to list each article.

– 2 years ago

November 5, 2026