Medicare funding and Reibursement Essay Example | Topics and Well Written Essays - 500 words

Medicare financing and Reibursement - Essay Example The figures gave in the model have been utilized in the figurings. SNF base rate = 70% balanced by region compensation (emergency clinic wage record) + 30% non-work related bit (base balanced for land factors x RUG weight). The nursing pace of $151 according to (Medpac 2008) will be utilized in the estimation. As far as Participating Physician who acknowledge task on every single case the Physician charges Medicare and the patient 100% of the Medicare affirmed expense which is $125,000 for this situation. Medicare will pay 80% which is equal to $100,000 and the patient will pay 20% which approaches $25,000. As far as a Non-taking an interest Physician who acknowledges task dependent upon the situation Medicare and the patient will be charged for 95% of the Medicare affirmed expense of $125,000. 95% is spoken to by $118,750. Medicare will pay 80% of $118,750 which is equivalent to $95,000 and the patient will pay 20% which is equivalent to $23,750. Regarding Non-taking an interest Physicians who don't acknowledge task the patient is charged for 115% of the Medicare endorsed expense of $125,000. This 115% is equivalent to $143,750. The patient makes the whole installment and Medicare repays 80% of the affirmed charge for non-taking part doctors. Consequently, Medicare would pay 80% of $118,750 which is equivalent to $95,000 and the patient will bear the contrast between what was paid to the Non-partaking Physician which is $143,750 less $95,000, which is equivalent to $48,750. Places for Medicare and Medicaid Services. (2010). Truth Sheet: Acute Care Hospital Inpatient Prospective Payment System. Recovered: http://www.cms.gov/MLNProducts/downloads/AcutePaymtSysfctsht.pdf. Last got to 31 Mar