Application Exercise 6: Calculating nursing home, rehabilitation, and home health payments. Develop a study guide of Medicare's reimbursement systems by completing the template below. If you are able to complete this guide, you will have most of the key pieces of information you will need about Medicare reimbursements for the final. I have completed the guide for inpatient acute care hospitals for you. Possible Adjustments (facility and/or patient level) Provider Type Unit/description & Basic Services Notes Source of data Calculation included in payment/ payments Reimbursement = (MS- | Adjustments DRG RW * hospital Unit = MS-DRG All hospital Inpatient Prospective Payment System IPPS (acute care hospital) Base payment rate and * Labor related share - (diagnosis: determined by ICD specific adjusted base codes) services wage index * Non labor related share pharmacy) - COLA * Disproportionate Share NOT physician Hospitals (DSH) * Teaching Hospital (IME) Provisional Payments (add- ons) * Outlier cases * New Medical Relative Weights (RW) for MS-DRGS set by (nursing, food, rate)+ provisional payments CMS MS DRG is the primary diagnosis adjusted to reflect co morbidity and services, DRG determined by ICD Codes outside lab, etc. Special rules for transfer cases chronic conditions (MCCS and CCs) one payment for the assigned MS Technologies DRG Inpatient Psychiatric Facility

Q: Describe how to assess for flank tenderness. What is the significance of L.M.’s left flank tendernes...

A: “Since you have posted a question with multiple sub-parts, we will solve first three sub-parts for y...

Q: What is the meaning of an entrepreneurial business?

A: Define entrepreneurial business- The entrepreneur business (nursing)is defined as someone who has th...

Q: What are the essential things/key points a nurse must know about Otitis Media and about caring for a...

A: Otitis media is also known as infection of ear. Infection of the air-filled space behind the eardrum...

Q: How does the social environment affect the health of people in Tennesee?

A: Social environment includes our surroundings such as our culture, practices, religion, family and re...

Q: For ATV injury ar

A: Legally ATV incident is defined as any situation with an ATV that causes any damage to property, inj...

Q: Tuberculosis in the emergency room. The hosp doesn't have any private room for isolation. Ex your an...

A: Nursing Theory: These include the structuring of ideas.These ideas provide a view of phenomena. The ...

Q: What approximate percentage of bone loss would occur in a female from the ages of 40 to 55 who reac...

A: Introduction- Bone health is very important throughout the lifetime. The skeleton systems stores the...

Q: How might different approaches to lowering death anxiety be useful to you as a healthcare worker?

A: Death Anxiety Is a multidimensional construct involving many death-related fears, including fear of ...

Q: How do you feel population health nursing is applicable to your current nursing position. Substance ...

A: Introduction- Nursing is a dynamic profession now the objective of nursing has changed from curative...

Q: Mr. Disco has been teaching dancing for over forty years. However, upon physical exertion, he feels ...

A: Medical term for "Choked Chest" -  This type of condition is also termed as Asphyxiation in which an...

Q: Intervention of redness beyond 0.5 cm of episiotomy and 4th degree laceration, edema in perineal and...

A: Introduction- Episiotomy is the procedure in which a small incision has been made in between the spa...

Q: 1. For your summer research project, you decide to repeat Lillian Tuttle's (2017) experiment testing...

A: Introduction- This experimental approach is used to assess and influence the natural and man-made ap...

Q: la. Signs of a hyperactive letdown are: 1. Milk streams quickly 2. Infant may be overwhelmed by the ...

A: The let - down effect is a significant part of breast feeding which help in milk flowing out of moth...

Q: Describe at least two behaviors that allow people to lower their cardiovascular risk.

A: Introduction- Cardiovascular risk is the condition in which heart's abnormal activities takes place....

Q: What are the factors influencing nursing philosophy

A: FACTOR INFLUENCING NURSING PHILOSOPHY Factor influencing devolopment of philosophy of nursing educat...

Q: 53. Which is not a function of the lymphatic system?     absorption and transport dietary lipids  ...

A: The lymphatic acts as sewerage system . It maintains fluid levels  in the body tissues which removes...

Q: Which of the following statements is NOT true about smog? Photochemical smog problems are amplified ...

A: There are various sources polluting the air quality of the metropolitan cities are motor vehicles, d...

Q: Review the physician query below. Detemine (5) if it is an acceptably formatted physician query and ...

A: Pressure ulcers: This condition is also defined by the term: -pressure sores -bedsores. This include...

Q: pathopyhsiology of respiratory distress syndrome

A: RESPIRATORY DISTRESS SYNDROME      It also known as hyaline membrane disease, in this condition the ...

Q: A patient requires 2200 kcal/day from D50 (50% dextrose) and 8.5% aa (initial concentration). What i...

A: TPN means Total Parentral Nutrition is a method of feeding in which fluids are given into a vein tha...

Q: How do changes in the healthcare industry affects entrepreneurial nursing?

A: Nurse entrepreneurs assist the creation of specialised products and services, upgraded technology, s...

Q: Why is it important to study Blood Banking and relate it in nursing

A: It's very important to study blood banking and relate it in nursing because nursing officer knows ab...

Q: Considering the case of the adolescent girl. (client in the previous week scenario), identify the so...

A: Following can be the sources of stress in an adolescent girl 1) Changing hormonal physiology can lea...

Q: Name many (more than four) viruses or bacteria a titer not detect even if the patient had already be...

A: Introduction- Viruses or bacteria are the categories of germs which usually takes place in the air, ...

Q: 1. What is the general benefits of core bracing exercises? 2. Does bracing the core helps with back ...

A: It's not only about flexing the abdominal when it comes to braces. To establish the stability needed...

Q: Explain the use and importance of job description and performance evaluation/appraisal

A: A job description is a written narration that describes the employee's job including general tasks, ...

Q: What does prevention is the best medicine mean?

A: We know that Prevention is about tackling the upstream causes of ill health. Prevention is better th...

Q: How is student to student teaching linked or related to social learning theory when educating studen...

A:   Social learning theory is a learning and social behavior theory that states that new behaviors can...

Q: Name of drug Mechanism of Indications Contraindications Side effects Nursing responsibilities action...

A: Lidocaine also known as lignocaine or xylocaine.  

Q: Heart attack Atherosclerosis Ischemia Myocardial infarction Congestive heart failure

A:   Heart attack is most common due to lack of blood supply to heart muscle.

Q: Why is it important to study Blood Banking and relate it to health care workers? explain it

A: Blood Banking:  This is the process that takes place in the lab in healthcare settings. This process...

Q: Conclusion about Effects of Social anxiety on the Academic Performance of Grade 12 STEM HEALTH stude...

A: Social anxiety is also previously called social phobia, it was recognized formally as a parted phobi...

Q: Which of the following associations is NOT correct? amphetamines-narcolepsy methamphetamine-ADHD opi...

A: These are different medication used for different purposes to treat ailments.

Q: What are the challenges of developing anticancer drugs? Discuss with example.

A: We can say that Cancer refers to the type of disease that involves the uncontrolled growth of body c...

Q: A 39-yr-old woman, gravida 2; para, 1 with a history of Cesarean section delivery 10 years ago prese...

A: Placenta previa occurs when the placenta partially or completely blocks the cervix. The placenta is ...

Q: What are the indications of the DRUG LIDOCAINE

A: Lidocaine is a local anaesthesia, which is used for several procedures.

Q: Provide two reason why it is important to follow organisational and legislative requirement for mana...

A: Asthma may be a long-term lung illness that harms the airways. The lungs' airways are tubes that car...

Q: How essential are recreational activities in our holistic health and wellness?

A: Holistic health: This is an approach to life. This considers multidimensional aspects of wellness. T...

Q: GIVE 5 NCP FOR FRACTURE

A: Fracture is a partial or complete crack in the bone that results in extensive pain.  The process of ...

Q: come up with tips to prevent myositis and say what myositis is? Explain your case well. How does it ...

A: Myosites refers to inflammation that occurs in the muscular tissue when we use the muscles. This inf...

Q: Discuss the nursing interventions that are used to manage preeclampsia.  Describe expected EFM readi...

A:   PREECLAMPSIA- Preeclampsia is a dangerous blood pressure disorder that occurs during pregnancy. Pr...

Q: TITLE: BLACK SWAN DIRECTOR: DARREN ARONOFSKY 1. As a nurse or student nurse how will you intervene? ...

A: INTERVENE WITH SCHIXOPRENIA If a loved one with schizhophrenia is reluctant to see a doctor try to: ...

Q: Cake: Post- partum lare 4 Monagement you ying 6n Bed at cupine position, concci one, coherent UF Of ...

A: The pregnancy is a state where the fetus will develop in side the womb. during this state the women ...

Q: Black Swan Director: Darren Aronofsky 1. Assessment of the movie 2. Make a drug study (Chlorpromazin...

A: The Black Swan Darren Aronofsky, the filmmaker of The Black Swan, captivated and terrified audiences...

Q: 2

A: We know that The medication can be given orally as well as intravenously. The medicines are given in...

Q: Patient Anne was recovering after delivering twin girls 46 hours ago. She complains of uterine pain ...

A: Here we have to mention the condition of Ana what is happening to her and what are the priority diag...

Q: During Intensive 2, Practical A, you will be assessing and implementing care for two patients (Louca...

A:   Diabetes occurs when the body is not able to take up glucose or sugar into the cell for the use of...

Q: “Infertile couples and winless baseball teams both meet the basic requirements for participating in ...

A: Marriage is a long-term, exclusive commitment made by a man and a woman to each other, the kind that...

Q: Describe drawbacks associated with the use of topical powder dosage forms, and provide examples of o...

A: Powders are dry mixtures of finely split medicinal and non-medicinal ingredients intended for intern...

Q: DRUG: LICOCAINE (PLEASE FILL UP THE FF) Generic name: Brand name:  Therapeutic Classification:  ...

A: Drug is a substance   which alters the medical condition or reduces signs and symptoms caused by the...