Which type of inpatient hospital setting does the Medicare P…

Which type of inpatient hospital setting does the Medicare Prospective Payment System (PPS) per-discharge payment calculation model apply? ​ Payment calculation starts with a hospital base rate (standard federal rate per discharge) which considers operating costs and capital costs. Adjustments to a hospital’s base rate may be made for geographic differences in wages and prices, and for patient case mix.

Use the following key related to status indicators utilized…

Use the following key related to status indicators utilized by CMS to answer the question below SI Key: T – A significant procedure with multiple reductions S – significant procedure that is not discounted when multiple procedures occur at the same encounter J2 – packaged APC payment if billed on the same claim as status indicator J1 The patient underwent several procedures during one enounter. They consisted of two procedures with the SI of T, one with the cost of $2500, the other with the cost of $1000. The patient also underwent one procedure at that same encounter with the SI of S which cost $3000. The patient underwent one last procedure with the SI of J2 with a cost of $100. What is the total payment the facility can expect to receive for the services rendered to this patient?