The IPF PPS is based on a federal perdiem amount that represents the average daily operational, ancillary, and capital costs expended to care for Medicare beneficiaries. Use the information found in figures 1 and 2 ( below), Tables 6.5-6.9 and figures 6.7 from the test book to complete table 1 and workbooks A&B in order to determine IPF PPS reimbursement for this encounter.
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Figure 1: Facility Information |
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Bed size: 350 beds |
Location: Columbus, Ohio |
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Classification: Rural |
Wage Index: .9806 |
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Full Service ED: Yes |
Per-diem unadjusted rate (RY 2015): $728.31 |
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Figure 2: Claim Information |
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Admit Date: January 1, 2015 |
Discharge Date: January 15, 2015 |
LOS: 14 days |
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Patient Age: 62 |
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Principal Diagnosis: 295.34* |
Paraphrenic schizophrenia, chronic with acute exacerbation |
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Secondary Diagnosis: 301.6 |
Dependent personality disorder |
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Secondary Diagnosis: 250.02 |
Type II diabetes mellitus uncontrolled |
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MS-DRG: 885 |
Psychoses |
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ECT treatments: 90870 |
3 units |
$315.55 per unit (RY 2015) |
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