1.

Determine the case mix for this group of procedures

MS-DRG Number of Patients Total Weights

2 3 47.0460

216 107 988.466

232 240 1,343.424

237 156 793.1508

Totals 506 3,172.0868

Case mix 3,172.0868 / 506 = 6.26894625

2. Complete the estimated per patient payment from third parties for these MS-DRGs.
Round to the whole number.

Your
Estimated per patient
Number of hospital's
revenue from third parties
MS-DRG Patients Actual
(based on a hospital payment
(estimate) average
rate of $5,500)
charge

2 3 $86,251.00 $89,500

216 107 $5,436,563.00 $49,500

232 240 $7,388,832.00 $32,000

237 156 $4,362,329.40 $25,000

3. Compute the difference in LOS

 Your hospital's National
MS-DRG Difference
Actual LOS Average LOS

2 20.9 15.7 5.2

216 12.1 13.0 -0.9

232 7.1 7.9 -0.8

237 11.6 6.7 4.9

4. Compute the difference in reimbursement or charges

Estimated revenue
from third parties
MS- Your hospital's average
(based on a hospital Difference
DRG charges
payment rate of
$5500)

2 $86,251.00 $89,500 -$3,249.00

216 $5,436,563.00 $49,500 $5,387,063.00

232 $7,388,832.00 $32,000 $7,356,832.00

237 $4,362,329.40 $25,000 $4,337,329.40

5. For this group of patients only, what would the estimated income be?

Estimated revenue from No. of patients Estimated

MS-
third parties (based on a (estimate) reimbursement
 hospital payment rate of
DRG
$5500)

2 $86,251.00 3 $258,753

216 $5,436,563.00 107 $5,436,563

232 $7,388,832.00 240 $7,388,880

237 $4,362,329.40 156 $4,362,384

6. Based on this information, if you had to choose one procedure to add to

your surgical product line, which one would it be and why? I would choose
Coronary Artery Bypass w PTCA w/0 MCC due to its high reimbursement rate
and the amount of patient’s my hospital is actually seeing.